Gastric POCUS

In this lecture from our Ultrasound Grand Rounds, Dr. Dan Schwartz MD and Dr. Michael Leeds MD from anesthesiology talks gastric ultrasound and how obtaining views of the stomach can assist in minimizing aspiration risk during airway management.
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[@ferdaussarker1315]

Excellent

[@MetroHealthEmergencyUltrasound]

Thanks

[@mirani18]

I think given the findings of prophy-vap trial, ed physician can quickly scan the acute brain insult patient who had an rsi and if there is full stomach, confidently give emperical antibiotics to prevent downstream VAP. What are your thoughts?

[@MetroHealthEmergencyUltrasound]

Great question, but probably a highly nuanced answer. The prophy-vap study is an interesting idea but a reasonably small study. While there may be some signal here, we probably need more studies for it to be accepted as mainstream. As for gastric POCUS first to determine if we should give antibiotics - if the prophy-vap outcomes hold up, further studying which patients benefit most (+/- POCUS) would be an interesting area of study.