Using gastric ultrasound to assess patients before fracture surgery
Perioperative Point-of-care Gastric Ultrasound for Surgical Fracture Repair: Effect of Stress on Gastric Emptying
Haseki Training and Research Hospital · NCT05728242
This study is testing if using ultrasound to check stomach contents before fracture surgery can help keep patients safer, especially those with certain health issues.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 80 (estimated) |
| Ages | 18 Years to 90 Years |
| Sex | All |
| Sponsor | Haseki Training and Research Hospital (other) |
| Locations | 1 site (Istanbul) |
| Trial ID | NCT05728242 on ClinicalTrials.gov |
What this trial studies
This observational study evaluates the effectiveness of standard fasting protocols for patients undergoing fracture surgery by using bedside gastric ultrasound to measure gastric volume and content. It aims to identify patients at risk of aspiration due to delayed gastric emptying, particularly those with specific conditions such as gastrointestinal disorders or trauma. The study focuses on patients classified as ASA Physical Status I to III and seeks to standardize the use of gastric ultrasound in preoperative assessments. By doing so, it hopes to improve patient safety and outcomes during surgery.
Who should consider this trial
Good fit: Ideal candidates for this study are patients classified as ASA Physical Status I to III who require surgery after a traumatic fracture.
Not a fit: Patients with a body mass index over 35 or those with conditions leading to gastroparesis or other gastrointestinal disorders may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the risk of aspiration pneumonia in patients undergoing fracture surgery.
How similar studies have performed: While recent studies have explored gastric ultrasound in various contexts, this specific application in fracture surgery is novel and has not been previously evaluated.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * • American Society of Anesthesiologists (ASA) Physical Status classification I to III * Patients necessitating surgery after traumatic fracture Exclusion Criteria: * • Patients with a body mass index over 35 * Diseases that may lead to gastroparesis ( * Known gastroesophageal reflux disease * Known autonomic neuropathy * Known diabetes mellitus * Known or operated esophageal abnormalities * History of gastric surgery * Acute gastric or peptic ulcus * Pregnancy * Preoperative narcotic analgesic usage * Known connective tissue disorders like scleroderma or amyloidosis * Known hiatal hernia * Known gallbladder and choledochal stone
Where this trial is running
Istanbul
- Haseki Training and Research Hospital — Istanbul, Turkey (Türkiye) (RECRUITING)
Study contacts
- Principal investigator: Berna Caliskan, MD — Haseki Training and Research Hospital Anesthesiology and Reanimation Department
- Study coordinator: Berna Caliskan, MD
- Email: caliskan.b@gmail.com
- Phone: +905067108770
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Pneumonia, Aspiration, Gastric Content, Fractures, Bone, gastric ultrasound, aspiration pneumonia, gastric emptying, fracture surgery