{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:37:18Z","timestamp":1787841438139,"version":"build-2784847793"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,12,7]],"date-time":"2018-12-07T00:00:00Z","timestamp":1544140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"University Emergency Medicine Foundation"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      The objective was to use gastric point\u2010of\u2010care ultrasound (\n                      <jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content>\n                      ) to assess gastric contents and volume, summarize the prevalence of \u201cfull stomach,\u201d and explore the relationship between fasting time and gastric contents at the time of procedural sedation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a prospective study of patients aged 2 to 17 years fasting prior to procedural sedation. A single sonographer scanned each patient's gastric antrum in two positions: supine with the upper body elevated and right lateral decubitus (\n                      <jats:styled-content style=\"fixed-case\">RLD<\/jats:styled-content>\n                      ). Gastric content (empty, liquid, or solid) was noted, and the gastric volume (\n                      <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\n                      \/kg) was estimated from antral cross\u2010sectional area (\n                      <jats:styled-content style=\"fixed-case\">CSA<\/jats:styled-content>\n                      ). \u201cFull stomach\u201d was defined as any solid content or\u00a0&gt;1.2\n                      <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\n                      \/kg of liquid gastric content.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We enrolled 116 subjects, with a median fasting time of 5.8 hours. Of the 107 with evaluable images, 74 patients, 69% (95% confidence interval [\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ]\u00a0= 60%\u201377%), were categorized as having a full stomach. Each hour of fasting was associated with lower odds (odds ratio\u00a0= 0.79, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u00a0= 0.65\u20130) of a full stomach. However, the knowledge of fasting time alone provides little ability to discriminate between risk groups (C\u2010index\u00a0=\u00a00.66).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Gastric\n                      <jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content>\n                      classified many patients as having a full stomach at the time of expected procedural sedation, despite prolonged fasting times. These findings may inform risk\u2013benefit considerations when planning the timing and medication choice for procedural sedation.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acem.13651","type":"journal-article","created":{"date-parts":[[2018,10,29]],"date-time":"2018-10-29T15:19:56Z","timestamp":1540826396000},"page":"752-760","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["\u201cFull Stomach\u201d Despite the Wait: Point\u2010of\u2010care Gastric Ultrasound at the Time of Procedural Sedation in the Pediatric Emergency Department"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5770-8796","authenticated-orcid":false,"given":"Julie","family":"Leviter","sequence":"first","affiliation":[{"name":"Departments of Emergency Medicine and Pediatrics Alpert Medical School of Brown University Hasbro Children's Hospital\/Rhode Island Hospital Providence RI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5689-0255","authenticated-orcid":false,"given":"Dale W.","family":"Steele","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine and Pediatrics Alpert Medical School of Brown University Hasbro Children's Hospital\/Rhode Island Hospital Providence RI"},{"name":"Department of Health Services Policy &amp; Practice, Alpert Medical School and School of Public Health Brown University Providence RI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Constantine","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine and Pediatrics Alpert Medical School of Brown University Hasbro Children's Hospital\/Rhode Island Hospital Providence RI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0758-5227","authenticated-orcid":false,"given":"James G.","family":"Linakis","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine and Pediatrics Alpert Medical School of Brown University Hasbro Children's Hospital\/Rhode Island Hospital Providence RI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3540-3163","authenticated-orcid":false,"given":"Siraj","family":"Amanullah","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine and Pediatrics Alpert Medical School of Brown University Hasbro Children's Hospital\/Rhode Island Hospital Providence RI"},{"name":"Department of Health Services Policy &amp; Practice, Alpert Medical School and School of Public Health Brown University Providence RI"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1212"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2013.10.015"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2004.06.006"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000001452"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2006.02.003"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2011.03563.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew462"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2017.11.080"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000933"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14362"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-017-1031-9"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2012.10.005"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12581"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2011.03718.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew070"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-016-2204-3"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12993"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeu151"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_7_21_1","unstructured":"R Core Team.R: A Language and Environment for Statistical Computing.2018. 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