Gastric Assessment of Pediatric Patients Undergoing Surgery

Launched by BOSTON CHILDREN'S HOSPITAL · Jan 5, 2023

Keywords

ClinConnect Summary

This clinical trial, titled "Gastric Assessment of Pediatric Patients Undergoing Surgery," is focused on understanding how well ultrasound can measure the amount of food or liquid in the stomach of children before surgery. The researchers want to see if ultrasound results match with a well-established test that checks how quickly the stomach empties. This study is particularly important because knowing how full a child's stomach is can help prevent complications like aspiration pneumonia, which is when stomach contents enter the lungs during surgery.

The trial is looking for children aged 2 to 17 years who are healthy enough for surgery and are having elective procedures at Boston Children's Hospital. Participants will be divided into two groups based on their age and how they will receive anesthesia. Those older than 7 years will have both an ultrasound and a test involving acetaminophen (a common medication) to measure stomach emptying. Younger children will only have the ultrasound. If your child is eligible and decides to participate, they will undergo a simple ultrasound before surgery, and in some cases, a blood test. This study aims to improve the safety of surgeries for kids by better understanding how their stomachs work.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Perioperative patients with ASA classification 1-2
• • Ages: 2 years- less than 18 years
• • Locations: Longwood and Waltham campuses of Boston Childrens Hospital
• Exclusion Criteria:
• • History of gastrointestinal surgery
• • Gastrostomy
• • Known GI dysmotility (cohort 1 only)
• • Acetaminophen allergy (cohort 1 only)
• • Liver or renal dysfunction- pre-diagnosed or, if available, when serum biomarkers are 2 standard deviations above the highest value considered normal for age. (cohort 1 only)
• • Consumption of acetaminophen in the 4 hours prior (cohort 1 only)