Gastric Ultrasound in Pediatric Trauma Patients

Running, not enrolling

Conditions studied: Trauma; Complications, Aspiration

In brief

Gastric ultrasound has become increasingly utilized to examine volume and quality of gastric contents in the preoperative setting to guide anesthetic management and relay risk of aspiration in both adult and pediatric medicine. Gastric fluid volumes in trauma patients are thought to be elevated due to delayed gastric emptying in the setting of an over-attenuated sympathetic response to physical pain and stress, opioid analgesia, and other associated injuries (traumatic brain). However, there is a paucity of literature examining gastric fluid volumes (GFV), measured by gastric ultrasound, in the pediatric trauma population. The purpose of the study is to assess whether preoperative gastric ultrasound is an accurate method to identify pediatric trauma patients who have elevated GFV (\>0.8mL/kg) and high-risk gastric contents (solids, complex liquids, in addition to large volumes).

Key facts

Study ID

NCT05330351

Run by

Children's Hospital of Philadelphia

People needed

40

Starts

2022-03-26

Expected to finish

2026-12-31

Last updated by the study team

2026-02-20

Who can join

Age: any, up to 17. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Pediatric patients ages 0-17 years-old
• Patients suffering from a traumatic injury requiring urgent or emergent surgery.
• Inpatient or Same-Day Surgery

You may not qualify if…

• 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 it is running

• Children's Hospital of Philadelphia — Philadelphia, Pennsylvania, United States

Full record on ClinicalTrials.gov

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