ICU / ER
- Gastric PoCUS research that specifically focuses on critically ill and emergency patients is still limited.
- In these patients, gastric PoCUS:
- is able to diagnose the “at risk” stomach and antral CSA correlates well with aspirated gastric residual volume.
- may inform risk-benefit considerations when planning timing and medication choice for procedural sedation or induction.
- is being researched as a tool to guide enteral nutrition in the ICU instead of aspiration of residual volumes.
- can be used to detect foreign metal objects in the stomach (e.g. batteries).
- provides confirmation of accurate nasogastric tube placement in the stomach or duodenum by direct imaging of the tip or indirect confirmation through air instillation (air fogging).
- Emergency physicians with experience in point-of-care ultrasound can accurately identify an “empty” stomach with excellent test performance.
- Limitation: the right lateral decubitus position is not always feasible in critically ill patients.
Share Your Cases
- Have an interesting case to share where gastric ultrasound made a difference to you or your patient?
- Selected cases will be posted
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- Please, mail your cases to email@example.com