Ultrasound your NPO: Effect of body mass index on gastric volume in term pregnant women – Retrospective Case Series

Publication date: Available online 6 November 2019Source: Annals of Medicine and SurgeryAuthor(s): Efrain Riveros-Perez, Sherwin Davoud, Maria Gabriela Sanchez, Hugo Montesinos, Alexander RocutsAbstractIntroductionA common belief has been that obese patients are prone to develop aspiration of gastric contents when general anesthesia is administered. We aimed to determine the correlation between antral cross-sectional area as a surrogate of gastric volume measured by gastric ultrasound, and body mass index (BMI) in term pregnant women scheduled for elective cesarean section.MethodsA cross-sectional observational study was conducted on forty-two term pregnant patients scheduled for cesarean section. A preoperative qualitative and quantitative ultrasound assessment of the antral area was performed on the day of surgery. Gastric volume as a function of BMI was evaluated.ResultsA significant correlation was found between BMI and gastric antral area (p=0.001), as well as with longitudinal diameter (p
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research

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Right now, one in 12 children and adolescents in the US are severely obese. If that isn’t startling enough, consider this: among 12-to-15-year-olds, that number jumps to one in 10 — and among 16-to-19-year-olds, it is one in seven. According to the American Academy of Pediatrics (AAP), the best hope for many of these youths may be bariatric surgery. Bariatric surgery is surgery that helps with weight loss by making the stomach smaller and making other changes in the digestive system. It’s jarring to think about doing irreversible surgery on an adolescent — or a child, as the AAP discourages age limi...
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Authors: Rasmussen KV, Nielsen KK, Pedersen ML Abstract Studies of the association between maternal blood glucose measured by glycated haemoglobin (HbA1c) during pregnancy and the offspring's birthweight have been heterogeneous. The aim of this study was to examine the association between maternal HbA1c level before gestational week 20 and the offspring's birthweight among predominantly indigenous women in Greenland. A retrospective cohort study including all women (n = 503) and their offspring delivered from September 2015 to September 2016 at Queen Ingrid's Hospital in Nuuk was conducted. Data were obtained from ...
Source: International Journal of Circumpolar Health - Category: International Medicine & Public Health Tags: Int J Circumpolar Health Source Type: research
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Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research
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Authors: Taylor CR, Dominguez JE, Habib AS Abstract Obesity is a significant global health problem. It results in a higher incidence of complications for pregnant women and their neonates. Cesarean deliveries are more common in obese parturients as well. The increased burden of comorbidities seen in this population, such as obstructive sleep apnea, necessitates antepartum anesthetic consultation. These patients pose unique challenges for the practicing anesthesiologist and may benefit from optimization prior to delivery. Complications from anesthesia and overall morbidity and mortality are higher in this population...
Source: Local and Regional Anesthesia - Category: Anesthesiology Tags: Local Reg Anesth Source Type: research
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Source: NYT Health - Category: Consumer Health News Authors: Tags: Pregnancy and Childbirth Caesarean Section Obesity Source Type: news
Conditions:   Gestational Diabetes Mellitus;   Medical Nutrition Therapy;   Overweight/Obese;   Gut Microbiota;   Adverse Pregnancy Outcomes Interventions:   Dietary Supplement: Prebiotic-containing dairy;   Dietary Supplement: Dietary intervention Sponsor:   Capital Medical University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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