Abstract：
BACKGROUND:Surgical patients are asked to fast for a sufficient duration to ensure that the amount of residual liquid in the stomach is within the safe range, thereby reducing the risk of gastric reflux perioperatively. The authors hypothesized that subjective hunger numerical rating scale (NRS) score could also help assess the process of gastric emptying and determine the amount of fluid remaining in the stomach. METHODS:The current study consisted of healthy volunteers recruited by advertisement and mutual introduction. Participants were asked to rate their subjective hunger feeling every 30 min after oral administration of 8 mL/kg carbohydrate nutrient solution that contained 10% maltodextrin and 2.5% sucrose. Consecutively, the gastric residual fluid was measured by magnetic resonance imagining (MRI). The Spearman's correlation coefficient, the ROC curves and the stepwise regression were used to analyze the predictive value of NRS for the gastric emptying process. RESULTS:The cohort consisted of 29 healthy volunteers enrolled in this study. The area under ROC curves estimated by the NRS score for the gastric residual volume of 2 mL/kg, 1 mL/kg, and 0.5 mL/kg were AUC2.0 = 0.78, AUC1.0 = 0.76, and AUC0.5 = 0.72, respectively. The correlation coefficient between the NRS score and the residual liquid in the stomach was -0.57 (P < 0.01). The correlation coefficient between the increase of the NRS score and the decrease of gastric liquid residual volume was 0.46 (P < 0.01). The standardized estimate of NRS score for the residual volume was -0.18 (P < 0.01) and the standardized estimate of fasting time was -0.73 (P < 0.01). CONCLUSIONS:The subjective hunger NRS score can not accurately predict the gastric residual volume, but it can provide a reference for clinicians to judge the gastric emptying process and it should be used as a second check after oral intake of clear fluids before surgery according to the new fasting protocol.
journal_name
BMC Anesthesioljournal_title
BMC anesthesiologyauthors
Weiji Q,Shitong L,Yu L,Tianfang H,Ning K,Lina Zdoi
10.1186/s12871-018-0470-3subject
Has Abstractpub_date
2018-01-12 00:00:00pages
6issue
1issn
1471-2253pii
10.1186/s12871-018-0470-3journal_volume
18pub_type
杂志文章abstract：BACKGROUND:McGrath MAC video laryngoscope offers excellent laryngosopic views and increases the success rate of orotracheal intubation in some cases. The aim of this study was to determine the usefulness of McGrath MAC for routine nasotracheal intubation by comparing McGrath MAC with Airway scope and Macintosh laryngos...
journal_title：BMC anesthesiology
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12871-017-0451-y
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Local anesthesia can reduce the response to surgical stress and decrease the consumption of opioids, which may reduce immunosuppression and potentially delay postoperative tumor recurrence. We compared paravertebral block (PVB) combined with general anesthesia (GA) and general anesthesia regarding their effe...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-020-00976-1
更新日期：2020-03-06 00:00:00
abstract：BACKGROUND:This study investigated the effect of different degrees of passive leg raising (PLR) on the internal jugular vein (IJV) cross-sectional area (CSA) and on the success rate of IJV cannulation in patients waiting for thoracic surgery, to analyze whether body mass index (BMI), gender, age, fasting time and preop...
journal_title：BMC anesthesiology
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12871-019-0751-5
更新日期：2019-05-17 00:00:00
abstract：BACKGROUND:The effect of local infiltration after breast surgery is controversial. This prospective double blind randomized study sought to document the analgesic effect of local anaesthetic infiltration after breast cancer surgery. METHODS:Patients scheduled for mastectomy or tumorectomy and axillary nodes dissection...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/1471-2253-11-23
更新日期：2011-11-24 00:00:00
abstract：BACKGROUND:Early prediction of outcome would be useful for an optimal intensive care management of liver transplant recipients. Indocyanine green clearance can be measured non-invasively by pulse spectrophometry and is closely related to liver function. METHODS:This study was undertaken to assess the predictive value ...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/1471-2253-14-103
更新日期：2014-11-15 00:00:00
abstract：BACKGROUND:Aspiration-induced lung injury can decrease gas exchange and increase mortality. Acute lung injury following acid aspiration is characterized by elevated pulmonary blood flow (PBF) in damaged lung areas in the early inflammation stage. Knowledge of PBF patterns after acid aspiration is important for targetin...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-015-0013-0
更新日期：2015-03-18 00:00:00
abstract：BACKGROUND:Sugammadex is a modified gamma-cyclodextrin that acts by selectively encapsulating free amino-steroidal neuromuscular relaxants. Several case reports have been published on the use of sugammadex in patients with neuromuscular disorders that include neuromuscular junction diseases, myopathies, neuropathies, a...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-019-0887-3
更新日期：2019-11-19 00:00:00
abstract：BACKGROUND:Noise levels in hospitals, especially in intensive care units (ICUs) are known to be high, potentially affecting not only the patients' well-being but also their clinical outcomes. In an observational study, we made a long-term measurement of noise levels in an ICU, and investigated the influence of various ...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-015-0019-7
更新日期：2015-03-31 00:00:00
abstract：BACKGROUND:The volatile anesthetic isoflurane protects the heart from hypoxia/reperfusion (H/R) injury. However, it is still incompletely understood whether isoflurane exerts its protective role through preventing mitochondrial permeability transition pore (MPTP) opening. METHODS:Primary cultured cardiocytes were expo...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/1471-2253-14-17
更新日期：2014-03-10 00:00:00
abstract：BACKGROUND:Local anesthetic Bupivacaine commonly used in gastric cancer resection operation has been reported to suppress the progression of gastric cancer. However, the specific mechanism by which Bupivacaine functions is largely unexplored. METHODS:The viability and metastasis of gastric cancer cells were assessed b...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-020-01179-4
更新日期：2020-10-30 00:00:00
abstract：BACKGROUND:To identify changes in cefoperazone/sulbactam penetration into cerebrospinal fluid (CSF) after craniotomy and to investigate preliminarily whether cefoperazone/sulbactam CSF concentration can reach therapeutic level when administered intravenously after neurosurgical operation. METHODS:Neurosurgical patient...
journal_title：BMC anesthesiology
pub_type： 临床试验,杂志文章
doi：10.1186/s12871-015-0012-1
更新日期：2015-03-13 00:00:00
abstract：BACKGROUND:Isoflurane-induced neuroapoptosis and cognitive impairment has been previously reported. Hydrogen sulfide (H2S) has been shown to be a neuromodulator that is thought to have anti-apoptotic, anti-inflammatory, and anti-oxidative benefits. However, it is not known if H2S is protective against anesthesia-induce...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-017-0419-y
更新日期：2017-09-05 00:00:00
abstract：BACKGROUND:Current pain assessment and treatment does not address every patient's requirements. Although the Polish national guidelines for post-operative pain management have been published, many patients experience severe pain in the postoperative period. The main goal of our study was to assess pain severity among p...
journal_title：BMC anesthesiology
pub_type： 杂志文章,多中心研究
doi：10.1186/s12871-018-0551-3
更新日期：2018-07-18 00:00:00
abstract：BACKGROUND:Ketamine and hyperoxia are widely used in obstetric and pediatric settings. Either ketamine or hyperoxia has been reported to cause neuroapoptosis in the developing brain, and ketamine-induced neuronal apoptosis may involve a compensatory upregulation of the N-methyl-D-aspartate (NMDA) receptor NR1 subunit. ...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-018-0511-y
更新日期：2018-05-10 00:00:00
abstract：BACKGROUND:Performing spinal anaesthesia using the conventional popping method with a 27-gauge (27G) spinal needle is technically difficult. In this study, we compared the aspiration and conventional popping method for spinal anaesthesia using 27G Quincke-type needles. METHODS:This prospective, randomized study enroll...
journal_title：BMC anesthesiology
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12871-020-0954-9
更新日期：2020-01-30 00:00:00
abstract：BACKGROUND:Continuous epidural infusion (CEI) is the standard application setting for epidural infusion. A new mode, the programmed intermittent epidural bolus (PIEB) technique, showed reduced local anesthetic (LA) consumption and improved analgesia in obstetric analgesia. Goal of this trial was to evaluate the effects...
journal_title：BMC anesthesiology
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12871-018-0613-6
更新日期：2018-10-30 00:00:00
abstract：BACKGROUND:As the field of interventional pulmonology (IP) expands, anesthesia services are increasingly being utilized when complex procedures of longer duration are performed on sicker patients with high risk co-morbidities and lung pathology. Yet, evidence on the optimal anesthetic management for these patients rema...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-019-0872-x
更新日期：2019-10-31 00:00:00
abstract：BACKGROUND:Sodium nitroprusside (SNP) is a potent vasodilator that has been used to induce deliberate hypotension in children during surgery involving significant blood loss, including craniofacial and spinal fusion procedures. SNP metabolism liberates cyanide, which may cause interference with cellular energy metaboli...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/1471-2253-13-9
更新日期：2013-04-30 00:00:00
abstract：BACKGROUND:Embolic stroke is a common complication of atrial myxoma, whereas multiple cerebral aneurysms associated with atrial myxoma is rare. The pathogenesis of the cerebral vascular disease related to an atrial myxoma is still not well known, and there are no guidelines to guide treatment and anesthesia management ...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-020-01055-1
更新日期：2020-07-04 00:00:00
abstract：BACKGROUND:Rotational elastometry (ROTEM) has been shown useful to monitor coagulation in trauma patients and in major elective surgery. In this study, we aimed to evaluate the utility of ROTEM to identify hemostatic disturbances and to predict the need for transfusion, compared with standard coagulation tests (SCTs) i...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-017-0440-1
更新日期：2017-10-24 00:00:00
abstract：BACKGROUND:Abnormal acute pain after burn injury still torments patients severely. In this study, we investigated that one voltage gated sodium channel Nav1.7 plays a vital role in lowering heat pain threshold after burn injury, and the hypothesis that knockdown of Nav1.7 attenuates pain following burn injury. METHODS...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-016-0215-0
更新日期：2016-08-11 00:00:00
abstract：BACKGROUND:Breast cancer surgery is one of the most common surgeries among the female population. Nearly half of the patients suffer chronic pain following breast cancer surgery, and 24% of them categorizing their pain as moderate to high. In this study, effects of ultrasound-guided erector spinae plane (ESP) block per...
journal_title：BMC anesthesiology
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12871-019-0700-3
更新日期：2019-03-04 00:00:00
abstract：BACKGROUND:No study has been conducted to demonstrate the feasibility of an opioid-free anesthesia (OFA) protocol in cardiac surgery to improve patient care. The aim of the present study was to evaluate the effect of OFA on post-operative morphine consumption and the post-operative course. METHODS:After retrospectivel...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-019-0802-y
更新日期：2019-07-31 00:00:00
abstract：BACKGROUND:Desflurane during early reperfusion has been shown to postcondition human myocardium, in vitro. We investigated the role of adenosine and bradykinin receptors, and generation of radical oxygen species in desflurane-induced postconditioning in human myocardium. METHODS:We recorded isometric contraction of hu...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/1471-2253-10-12
更新日期：2010-07-29 00:00:00
abstract：BACKGROUND:Delayed gastric emptying and the resultant "full stomach" is the most important risk factor for perioperative pulmonary aspiration. Using point-of-care gastric sonography, we aimed to investigate the prevalence of full stomach and its risk factors in elective surgical patients with type 2 diabetes. METHODS:...
journal_title：BMC anesthesiology
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12871-019-0848-x
更新日期：2019-10-10 00:00:00
abstract：BACKGROUND:Induction of the COX-2 isoenzyme appears to play a major role in the genesis of central sensitization after nociceptive stimulation. This study aimed to investigate the efficacy of a single, oral dose of the specific COX-2 inhibitor-valdecoxib in attenuating the central sensitization - induced secondary hype...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/1471-2253-6-3
更新日期：2006-03-10 00:00:00
abstract：OBJECTIVE:To compare the analgesic effects of patient-controlled intravenous analgesia (PCA) with hydromorphone and sufentanil after thoracic surgery on postoperative pulmonary complications (PPCs). METHODS:A total of 142 patients who were scheduled for thoracic surgery were randomly allocated to receive PCA with hydr...
journal_title：BMC anesthesiology
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12871-018-0657-7
更新日期：2018-12-19 00:00:00
abstract：BACKGROUND:The passive ventilation of nonventilated lung results in tidal gas movement (TGM) and thus affects lung collapse. The present study aimed to measure the volume of TGM and to analyse the relevant factors of the TGM index (TGM/body surface area). METHODS:One hundred eight patients scheduled for elective thora...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/s12871-020-0937-x
更新日期：2020-01-22 00:00:00
abstract：BACKGROUND:Effectiveness of the donation request is generally measured by consent rates, rather than by relatives' satisfaction with their decision. Our aim was to elicit Dutch ICU staffs' views and experiences with the donation request, to investigate their awareness of (dis)satisfaction with donation decisions by rel...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/1471-2253-14-52
更新日期：2014-07-11 00:00:00
abstract：BACKGROUND:We report a case of severe upper airway obstruction due to a retropharyngeal hematoma that presented nearly one day after a precipitating traumatic injury. Retropharyngeal hematomas are rare, but may cause life-threatening airway compromise. CASE PRESENTATION:A 50 year-old man developed severe dyspnea with ...
journal_title：BMC anesthesiology
pub_type： 杂志文章
doi：10.1186/1471-2253-7-2
更新日期：2007-03-12 00:00:00
