Using gastric ultrasound to assess trauma in children
Evaluation of Gastric Contents by Ultrasound in Pediatric Trauma Patients Undergoing General Anesthesia
This study is testing if using gastric ultrasound can help doctors see how much fluid is in the stomach of injured children before they have surgery, to keep them safer during anesthesia.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 40 (estimated) |
| Ages | 0 Years to 17 Years |
| Sex | All |
| Sponsor | Children's Hospital of Philadelphia Academic / other |
| Locations | 1 site (Philadelphia, Pennsylvania) |
| Trial ID | NCT05330351 on ClinicalTrials.gov |
What this trial studies
This observational study aims to evaluate the effectiveness of gastric ultrasound in measuring gastric fluid volumes in pediatric trauma patients who require urgent or emergent surgery. It focuses on identifying children with elevated gastric fluid volumes and high-risk gastric contents, which may increase the risk of aspiration during anesthesia. The study builds on existing evidence that trauma can lead to delayed gastric emptying and elevated gastric contents, potentially complicating anesthetic management. By assessing gastric fluid volumes, the study seeks to improve safety protocols for anesthesia in this vulnerable population.
Who should consider this trial
Good fit: Ideal candidates for this study are pediatric patients aged 0-17 years who have sustained a traumatic injury requiring urgent or emergent surgical intervention.
Not a fit: Patients with altered gastric physiology, such as those with a history of Nissen Fundoplication or gastroparesis, may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could enhance the safety of anesthetic management in pediatric trauma patients by accurately identifying those at risk for aspiration.
How similar studies have performed: Previous studies have indicated elevated gastric contents in pediatric trauma patients, suggesting that this approach may be promising, though this specific application of gastric ultrasound is less explored.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pediatric patients ages 0-17 years-old * Patients suffering from a traumatic injury requiring urgent or emergent surgery. * Inpatient or Same-Day Surgery Exclusion Criteria: * Children with altered or abnormal gastric physiology, ie, history of Nissen Fundoplication, history of short-gut syndrome, history of bariatric surgery/gastric sleeve, history of gastroparesis or functional dysmotility, etc.
Where this trial is running
Philadelphia, Pennsylvania
- Children's Hospital of Philadelphia — Philadelphia, Pennsylvania, United States (Recruiting)
Study contacts
- Principal investigator: Elaina Lin, MD — Children's Hospital of Philadelphia
- Study coordinator: Elaina Lin, MD
- Email: line1@chop.edu
- Phone: 215-590-1000
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.