{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:10:38Z","timestamp":1790014238589,"version":"4.0.1"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T00:00:00Z","timestamp":1513641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    Ultrasound examination of the gastric antrum is a non\u2010invasive tool that allows reliable estimation of gastric contents. We performed this prospective cohort study in non\u2010elective paediatric surgery to assess whether gastric ultrasound may help to determine the best anaesthetic induction technique, whether rapid sequence or routine. The primary outcome was the reduction of inappropriate induction technique. A pre\u2010operative clinical assessment was performed by the attending anaesthetist who made a provisional plan for induction. Gastric ultrasound was performed in the semirecumbent and right lateral decubitus positions for a qualitative assessment of gastric contents, using a 0\u20132 grading scale. A final induction plan was made based on this assessment. Immediately after tracheal intubation, gastric contents were suctioned through a multi\u2010orifice nasogastric tube; these were defined as above risk threshold for regurgitation and aspiration if there was clear fluid &gt; 0.8 ml.kg\n                    <jats:sup>\u22121<\/jats:sup>\n                    , and\/or the presence of thick fluid and\/or solid particles. Gastric ultrasound was feasible in 130 out of 143 (90%) of children, and led to a change in the planned induction technique in 67 patients: 30 from routine to rapid sequence, and 37 from rapid sequence to routine. An appropriate induction technique was therefore performed in 85% of children, vs. 49% planned after pre\u2010operative clinical assessment alone (p &lt; 0.00001). Our results suggest that gastric ultrasound is a useful guide to the general anaesthetic induction technique with respect to the risk of pulmonary aspiration, in comparison with pre\u2010operative clinical assessment alone.\n                  <\/jats:p>","DOI":"10.1111\/anae.14179","type":"journal-article","created":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T04:43:31Z","timestamp":1513658611000},"page":"304-312","source":"Crossref","is-referenced-by-count":77,"title":["The effect of pre\u2010operative gastric ultrasound examination on the choice of general anaesthetic induction technique for non\u2010elective paediatric surgery. A prospective cohort study"],"prefix":"10.1111","volume":"73","author":[{"given":"A.\u2010C.","family":"Gagey","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care H\u00f4pital Femme M\u00e8re Enfant Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"de Queiroz Siqueira","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care H\u00f4pital Femme M\u00e8re Enfant Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Monard","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care H\u00f4pital Femme M\u00e8re Enfant Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Combet","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care H\u00f4pital Femme M\u00e8re Enfant Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Cogniat","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care H\u00f4pital Femme M\u00e8re Enfant Bron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.\u2010P.","family":"Desgranges","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care H\u00f4pital Femme M\u00e8re Enfant Bron France"},{"name":"Department of Anaesthesia Universit\u00e9 Claude Bernard Lyon 1 Villeurbanne France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Clinical Research Hospices Civils de Lyon, Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Chassard","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care H\u00f4pital Femme M\u00e8re Enfant Bron France"},{"name":"Department of Anaesthesia Universit\u00e9 Claude Bernard Lyon 1 Villeurbanne France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Bouvet","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care H\u00f4pital Femme M\u00e8re Enfant Bron France"},{"name":"Universit\u00e9 Claude Bernard Lyon 1 INSERM, LabTAU UMR1032 Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199901000-00011"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12877"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181fcbfd9"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2010.02277.x"},{"key":"e_1_2_6_6_1","unstructured":"Royal College of Anaesthetists.4th National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. 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