Evidence map›Paper›PMID 30195629›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

[Ultrasound dynamics of gastric content volumes after the ingestion of coconut water or a meat sandwich. A randomized controlled crossover study in healthy volunteers].

Bruno Mendes Carmona, Clauber Claudino Alves Almeida, Waldônio de Brito Vieira, Mario de Nazareth Chaves Fascio, Lídia Raquel de Carvalho, Luiz Antonio Vane, Fabiano Timbó Barbosa, Paulo do Nascimento Junior, Norma Sueli Pinheiro Módolo

Open access · diamondAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Bruno Mendes CarmonaHospital Ophir Loyola, Departamento de Anestesiologia, Belém, PA, Brasil. Electronic address: bcarmona.carmona@gmail.com.
Clauber Claudino Alves AlmeidaHospital Ophir Loyola, Departamento de Anestesiologia, Belém, PA, Brasil.
Waldônio de Brito VieiraFundação Santa Casa de Misericórdia do Pará, Departamento de Radiologia e Imagem de Diagnóstico, Belém, PA, Brasil.
Mario de Nazareth Chaves FascioHospital Ophir Loyola, Departamento de Anestesiologia, Belém, PA, Brasil.
Lídia Raquel de CarvalhoUniversidade Estadual Paulista (Unesp), Instituto de Biociência, Botucatu, SP, Brasil.
Luiz Antonio VaneUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatu, SP, Brasil.
Fabiano Timbó BarbosaHospital Geral Estadual Professor Osvaldo Brandão Vilela, Maceió, AL, Brasil.
Paulo do Nascimento JuniorUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatu, SP, Brasil.
Norma Sueli Pinheiro MódoloUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatu, SP, Brasil.
Universidade Estadual Paulista (Unesp) · BRLoyola Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdequate preoperative fasting is critical in preventing pulmonary aspiration of gastric content. We proposed to study the sonographic gastric content dynamics after the ingestion of liquid or solid food in healthy volunteers and confront it with current guidelines for preoperative fasting times.

methodsWe performed a prospective, crossover, evaluator-blinded study involving 17 healthy volunteers of both sexes. Each participant fasted for 10h and was subjected to a baseline gastric ultrasound, intake of 400mL of coconut water or a 145g, 355kcal meat sandwich, and sonographic gastric evaluations after 10min and every hour until the stomach was completely empty.

resultsAt baseline, all subjects had an empty stomach. At 10min, gastric content [mean + standard deviation (SD)] was 240.4 + 69.3 and 248.2 + 119.2mL for liquid and solid foods, respectively (p>0.05). Mean + SD gastric emptying times were 2.5 + 0.7 and 4.5 + 0.9h for liquid and solid foods, respectively (p<0.001). For the drink, the stomach was completely empty in 59% and 100% of the subjects after two and four hours, and for the sandwich, 65% and 100% of the subjects after four and seven hours, respectively.

conclusionsSonographic gastric dynamics for coconut water and a meat sandwich resulted in complete gastric emptying times higher and lower, respectively, than those suggested by current guidelines for preoperative fasting.

Indexed as

BeveragesMeatAdultCocosCross-Over StudiesEatingFemaleGastric EmptyingGastrointestinal ContentsHumansMaleOrgan SizeProspective StudiesReference ValuesStomachTime FactorsConteúdo gástricoDinâmica gástricaGastric contentGastric dynamicsJejum pré‐operatórioPreoperative fastingUltrasoundUltrassom

Identifiers

PMID30195629
PMCPMC9391824
OpenAlexW2883210504

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.