The DOI matches its Crossref record; 38 of the 39 references it cites were found in a registry or an index.
Pre‐operative gastric ultrasound in patients at risk of pulmonary aspiration: a prospective observational cohort study
Open accessAbstract
Summary: Point‐of‐care gastric sonography offers an objective approach to assessing individual pulmonary aspiration risk before induction of general anaesthesia. We aimed to evaluate the potential impact of routine pre‐operative gastric ultrasound on peri‐operative management in a cohort of adult patients undergoing elective or emergency surgery at a single centre. According to pre‐operative gastric ultrasound results, patients were classified as low risk (empty, gastric fluid volume ≤ 1.5 ml.kg ‐1 body weight) or high risk (solid, mixed or gastric fluid volume > 1.5 ml.kg ‐1 body weight) of aspiration. After sonography, examiners were asked to indicate changes in aspiration risk management (none; more conservative; more liberal) to their pre‐defined anaesthetic plan and to adapt it if patient safety was at risk. We included 2003 patients, 1246 (62%) of which underwent elective and 757 (38%) emergency surgery. Among patients who underwent elective surgery, 1046/1246 (84%) had a low‐risk and 178/1246 (14%) a high‐risk stomach, with this being 587/757 (78%) vs. 158/757 (21%) among patients undergoing emergency surgery, respectively. Routine pre‐operative gastric sonography enabled changes in anaesthetic management in 379/2003 (19%) of patients, with these being a more liberal approach in 303/2003 (15%). In patients undergoing elective surgery, pre‐operative gastric sonography would have allowed a more liberal approach in 170/1246 (14%) and made a more conservative approach indicated in 52/1246 (4%), whereas in patients undergoing emergency surgery, 133/757 (18%) would have been managed more liberally and 24/757 (3%) more conservatively. We showed that pre‐operative gastric ultrasound helps to identify high‐ and low‐risk situations in patients at risk of aspiration and adds useful information to peri‐operative management. Our data suggest that routine use of pre‐operative gastric ultrasound may improve individualised care and potentially impact patient safety.
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“Indeed, some data suggest that 6–16% of patients who appropriately followed fasting guidelines for elective surgery have gastric content or volumes associated with a higher risk of aspiration [70, 71, 72].”
Citations
Cites
Cook, T. M., Woodall, N., & Frerk, C. (2011) · British Journal of Anaesthesia · doi:10.1093/bja/aer058 · Cited by 2,415
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Warner, M. A., Warner, M. E., & Weber, J. G. (1993) · Anesthesiology · doi:10.1097/00000542-199301000-00010 · Cited by 808
Ultrasound assessment of gastric content and volume
Van de Putte, P., & Perlas, A. (2014) · British Journal of Anaesthesia · doi:10.1093/bja/aeu151 · Cited by 482
Ultrasound Assessment of Gastric Content and Volume
Perlas, A., Chan, V. W. S., Lupu, C. M., Mitsakakis, N., & Hanbidge, A. (2009) · Anesthesiology · doi:10.1097/aln.0b013e3181a97250 · Cited by 451
Perlas, A., Mitsakakis, N., Liu, L., Cino, M., Haldipur, N., Davis, L., Cubillos, J., & Chan, V. (2013) · Anesthesia & Analgesia · doi:10.1213/ane.0b013e318274fc19 · Cited by 439
Bouvet, L., Mazoit, J.-X., Chassard, D., Allaouchiche, B., Boselli, E., & Benhamou, D. (2011) · Anesthesiology · doi:10.1097/aln.0b013e31820dee48 · Cited by 343
Gastric Sonography in the Fasted Surgical Patient: A Prospective Descriptive Study
Perlas, A., Davis, L., Khan, M., Mitsakakis, N., & Chan, V. W. S. (2011) · Anesthesia & Analgesia · doi:10.1213/ane.0b013e31821b98c0 · Cited by 330
Frykholm, P., Disma, N., Andersson, H., Beck, C., Bouvet, L., Cercueil, E., Elliott, E., Hofmann, J., Isserman, R., Klaucane, A., et al. (2022) · European Journal of Anaesthesiology · doi:10.1097/eja.0000000000001599 · Cited by 266
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Research works printed but not linked: 1
- Flynn DN, 2022, StatPearls: Gastric Ultrasound
Cited by
Ahmad, I., El-Boghdadly, K., Iliff, H., Dua, G., Higgs, A., Huntington, M., Mir, F., Nouraei, S. A. R., O'Sullivan, E. P., Patel, A., et al. (2026) · British Journal of Anaesthesia · doi:10.1016/j.bja.2025.10.006 · Cited by 182
Clinical Consequences of Delayed Gastric Emptying With GLP-1 Receptor Agonists and Tirzepatide
Jalleh, R. J., Plummer, M. P., Marathe, C. S., Umapathysivam, M. M., Quast, D. R., Rayner, C. K., Jones, K. L., Wu, T., Horowitz, M., & Nauck, M. A. (2024) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgae719 · Cited by 157
El‐Boghdadly, K., Dhesi, J., Fabb, P., Levy, N., Lobo, D. N., McKechnie, A., Mustafa, O., Newland‐Jones, P., Patel, A., Pournaras, D. J., et al. (2025) · Anaesthesia · doi:10.1111/anae.16541 · Cited by 147
Shankar, A., Sharma, A., Vinas, A., & CHILTON, R. J. (2024) · Cardiovascular Endocrinology & Metabolism · doi:10.1097/xce.0000000000000321 · Cited by 41
Gastric ultrasound performance time and difficulty: a prospective observational study
Filipovic, M. G., Baettig, S. J., Hebeisen, M., Meierhans, R., & Ganter, M. T. (2024) · Anaesthesia · doi:10.1111/anae.16472 · Cited by 26
Self-citation
Metadata
- Authors
- Baettig, S. J., Filipovic, M. G., Hebeisen, M., Meierhans, R., & Ganter, M. T.
- Affiliations
- Kantonsspital Winterthur (CH)
- University of Bern (CH)
- University of Zurich (CH)
- Corresponding author
- Ganter, M. T.
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 2023-08-16
- Volume
- 78
- Issue
- 11
- Pages
- 1327-1337
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- OpenAlex
- W4385897407
- Cited by
- 59
- References
- 39
- Citations by year
- 2026: 25 · 2025: 17 · 2024: 14 · 2023: 3
- FWCI
- 19.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Anaesthesia (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by-nc-nd)
- BORIS (University Library Bern) (submittedVersion, cc-by-nc-nd)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by-nc-nd)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Ultrasound in Clinical Applications
- Keywords
- gastric aspiration risk, pulmonary aspiration, point-of-care ultrasound, general anesthesia, gastric juice volume, elective surgery, emergency surgery, anesthetic management, perioperative care, patient safety
- MeSH terms
- Adult, Aged, Anesthesia, General, Female, Humans, Male, Middle Aged, Pneumonia, Aspiration, Preoperative Care, Prospective Studies, Stomach, Ultrasonography, Cohort Studies, Elective Surgical Procedures, Point-of-Care Systems, Respiratory Aspiration
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- CoChat. (2026). Citation check: Pre‐operative gastric ultrasound in patients at risk of pulmonary aspiration: a prospective observational cohort study. https://app.cochat.ai/papers/10.1111/anae.16117
- The paper
- Baettig, S. J., Filipovic, M. G., Hebeisen, M., Meierhans, R., & Ganter, M. T. (2023). Pre‐operative gastric ultrasound in patients at risk of pulmonary aspiration: a prospective observational cohort study. Anaesthesia. https://doi.org/10.1111/anae.16117
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
