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Serial Gastric Ultrasound to Evaluate Gastric Emptying After Prokinetic Therapy With Domperidone and Erythromycin in a Surgical Patient With a Full Stomach: A Case Report

Sebrechts, Tom, MD*; Perlas, Anahi, MD, FRCPC†,‡; Abbas, Sheriff, MD§; Van de Putte, Peter, MD∥,¶

doi: 10.1213/XAA.0000000000000755
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Fasting guidelines are used to prevent perioperative aspiration but they are only reliable in healthy elective patients. Point-of-care gastric ultrasound allows qualitative and quantitative evaluation of gastric contents at the bedside. This case report describes the use of serial gastric point-of-care ultrasound to evaluate the effect of prokinetic therapy with domperidone and erythromycin in an elective surgical patient with multiple comorbidities who presented with a full stomach.

From the *Department of Anaesthesiology, University Hospital Antwerp, Edegem, Belgium;

Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada;

Department of Anaesthesia and Pain Management, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada;

§Department of Anaesthesiology, University Hospital Leuven, Leuven, Belgium;

Department of Anesthesiology, AZ Monica, campus Deurne, Deurne, Belgium

Department of Anesthesiology, UMC Radboud, Nijmegen, the Netherlands.

Accepted for publication January 4, 2018.

Funding: None.

Conflicts of Interest: See Disclosures at the end of the article.

Address correspondence to Peter Van de Putte, MD, F. Pauwelslei 1, 21100 Deurne, Belgium. Address e-mail to doktervdputte@gmail.com.

© 2018 International Anesthesia Research Society
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