About: Computer tomographic assessment of gastric volume in major trauma patients: impact of pre-hospital airway management on gastric air

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About: Computer tomographic assessment of gastric volume in major trauma patients: impact of pre-hospital airway management on gastric air Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Computer tomographic assessment of gastric volume in major trauma patients: impact of pre-hospital airway management on gastric air
Creator	Kreutziger, Janett Mitteregger, Thomas Oberladstätter, Daniel Schwaiger, Philipp Schöchl, Herbert Trimmel, Helmut Voelckel, Wolfgang
Source	PMC
abstract	BACKGROUND: Gastric dilation is frequently observed in trauma patients. However, little is known about average gastric volumes comprising food, fluids and air. Although literature suggests a relevant risk of gastric insufflation when endotracheal intubation (ETI) is required in the pre-hospital setting, this assumption is still unproven. METHODS: Primary whole body computed tomographic (CT) studies of 315 major trauma patients admitted to our Level 1 Trauma Centre Salzburg during a 7-year period were retrospectively assessed. Gastric volumes were calculated employing a CT volume rendering software. Patients intubated in the pre-hospital setting by emergency physicians (PHI, N = 245) were compared with spontaneously breathing patients requiring ETI immediately after arrival in the emergency room (ERI, N = 70). RESULTS: The median (range) total gastric content and air volume was 402 (26–2401) and 94 (0–1902) mL in PHI vs. 466 (59–1915) and 120 (1–997) mL in ERI patients (p = .59 and p = .35). PHI patients were more severely injured when compared with the ERI group (injury severity score (ISS) 33 (9–75) vs. 25 (9–75); p = .004). Mortality was higher in the PHI vs. ERI group (26.8% vs. 8.6%, p = .001). When PHI and ERI patients were matched for sex, age, body mass index and ISS (N = 50 per group), total gastric content and air volume was 496 (59–1915) and 119 (0–997) mL in the PHI vs. 429 (36–1726) and 121 (4–1191) mL in the ERI group (p = .85 and p = .98). Radiologic findings indicative for aspiration were observed in 8.1% of PHI vs. 4.3% of ERI patients (p = .31). Gastric air volume in patients who showed signs of aspiration was 194 (0–1355) mL vs. 98 (1–1902) mL in those without pulmonary CT findings (p = .08). CONCLUSION: In major trauma patients, overall stomach volume deriving from food, fluids and air must be expected to be around 400–500 mL. Gastric dilation caused by air is common but not typically associated with pre-hospital airway management. The amount of air in the stomach seems to be associated with the risk of aspiration. Further studies, specifically addressing patients after difficult airway management situations are warranted.
has issue date	2020-07-28(xsd:dateTime)
bibo:doi	10.1186/s13049-020-00769-y
bibo:pmid	32723391
has license	cc-by
sha1sum (hex)	ebf44604322e7e50785e9d570c6452a4b81b4c4c
schema:url	https://doi.org/10.1186/s13049-020-00769-y
resource representing a document's title	Computer tomographic assessment of gastric volume in major trauma patients: impact of pre-hospital airway management on gastric air
has PubMed Central identifier	PMC7386834
has PubMed identifier	32723391
schema:publication	Scand J Trauma Resusc Emerg Med
resource representing a document's body	covid:ebf44604322e7e50785e9d570c6452a4b81b4c4c#body_text
is schema:about of	named entity 'volumes' named entity 'gastric' named entity 'ENDOTRACHEAL INTUBATION' named entity 'BACKGROUND' named entity 'observed' named entity 'gastric' named entity 'literature' named entity 'endotracheal intubation' named entity 'tomographic' named entity 'sample size' named entity 'GraphPad Prism' named entity 'major trauma' named entity 'gastric distension' named entity 'airway management' named entity 'EMS' named entity 'ERI' named entity 'PDMS' named entity 'oxygen mask' named entity 'pre-hospital' named entity 'endotracheal intubation' named entity 'ground-glass opacities' named entity 'mask ventilation' named entity 'EMS' named entity 'pre-hospital' named entity 'Pre-hospital' named entity 'trauma patients' named entity 'paramedics' named entity 'airway management' named entity 'difficult airway' named entity 'emergency service' named entity 'major trauma' named entity 'Salzburg' named entity 'COPRA' named entity 'volume rendering' named entity 'stomach' named entity 'airway management' named entity 'intubation' named entity 'anaesthesia' named entity 'airway management' named entity '1, 2' named entity 'pre-hospital' named entity 'Trauma Centre' named entity 'oxygen mask' named entity 'insufflation' named entity 'positive airway pressure' named entity 'pre-hospital' named entity 'Redmond, WA' named entity 'abdominal computed tomography' named entity 'airway management' named entity 'CT scans' named entity 'pre-hospital' named entity 'ERI' named entity 'major trauma' named entity 'pre-hospital' named entity 'stomach' named entity 'HEMS' named entity 'air volume' named entity 'Salzburg' named entity 'airway management' named entity 'ERI' named entity 'anaesthesia' named entity 'margin of error' named entity 'ERI' named entity 'insufflation' named entity 'Germany' named entity 'gastric content' named entity 'tomographic' named entity 'airway management' named entity 'ISS' named entity 'air volume' named entity 'atelectasis' named entity 'trauma patients' named entity 'intubated' named entity 'Level I trauma' named entity 'correlation'

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