Evidence map›Paper›PMID 34324937›Full record

Observational studyBrazilian journal of anesthesiology (Elsevier)

Reinforcing the valuable role of gastric ultrasound for volume and content assessment: an observational study.

Elena Segura-Grau, Ana Segura-Grau, Ricardo Ara Jo, Guillermo Payeras, Jorge Cabral, Vera Afreixo

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study 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
0.8field-weighted citation impact, top 27% 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, 8 citations in OpenAlex.

  1. Assessment of residual gastric volume by ultrasound prior to upper endoscopy: a prospective cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025
    Article
  2. Review
  3. Article
  4. Point-of-Care Ultrasound for the Trauma Anesthesiologist.Current anesthesiology reports · 2022
    Review
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

6 authors at 2 institutions in 1 country.

Elena Segura-GrauCentro Hospitalar Tondela-Viseu, Viseu, Portugal. Electronic address: elenasegura12@hotmail.com.
Ana Segura-GrauSan Francisco de As.ís Hospital, Ultrasonography Unit, Ecographic Diagnostic Center, Madrid, Spain.
Ricardo Ara JoCentro Hospitalar Tondela-Viseu, Viseu, Portugal.
Guillermo PayerasSan Francisco de As.ís Hospital, Madrid, Spain.
Jorge CabralUniversity of Aveiro, Mathematics Department, Aveiro, Portugal.
Vera AfreixoUniversity of Aveiro, Mathematics Department, Aveiro, Portugal.
Centro Hospitalar Tondela-Viseu · PTUniversity of Aveiro · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary aspiration is one of the most important complications in anesthesiology. Assessment of gastric content by ultrasound is a good method to quantify gastric volume and to determine the risk of intraoperative pulmonary aspiration. The aim of this study is to determine the accuracy of the gastric ultrasonography in the qualitative analysis of gastric content, mainly in the analysis of small amounts of liquid content.

methodsGastric ultrasound was performed to 36 patients before upper gastrointestinal endoscopy (UGI), making two longitudinal scans at the epigastric level, one in supine position and the other in right lateral decubitus position, measuring two diameters and the area of the gastric antrum and assessing the content characteristics determining whether it was an empty stomach or contained fluid or solid content. Subsequently, the ultrasound findings were compared with UGI findings.

resultsGastric areas were analyzed by the trace and the lengths of the craniocaudal and anteroposterior axes concluding that there are no significant differences between the two methods. No statistically significant difference was found between UGI and US assessment technics. No statistically significant difference was found between the estimated volume by UGI and US.

conclusionsThough our study has some limitations, qualitative analysis of gastric content using ultrasound followed by endoscopy enabled the conclusion that there are no differences in the qualitative assessment regarding these two techniques, supporting the important role of point-of-care gastric ultrasound (POCGUS) in the assessment of pulmonary aspiration risk by the anesthesiologist in the perioperative period.

Indexed as

Gastrointestinal ContentsStomachHumansProspective StudiesPyloric AntrumUltrasonographyGastric antrumGastric ultrasoundGastric volumePoint of care ultrasoundPulmonary aspiration

Identifiers

PMID34324937
PMCPMC9659995
OpenAlexW3184813937

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.