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Point-of-Care Gastric Ultrasound in a Pediatric Patient After Bowel Preparation: A Case Report

Authors Yamaguchi Y, Zadora SP, Flahive C, Russo JM, Maves GS, Moharir A, Tobias JD

Received 20 March 2020

Accepted for publication 28 May 2020

Published 2 July 2020 Volume 2020:13 Pages 245—248


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Everson L.A. Artifon

Yoshikazu Yamaguchi,1,2 Steven P Zadora,1 Colleen Flahive,3 John M Russo,3 Gregory S Maves,1,2 Alok Moharir,1,2 Joseph D Tobias1,2

1Department of Anesthesiology and Pain Medicine, Nationwide Children’s Hospital, Columbus, Ohio, USA; 2Department of Anesthesiology and Pain Medicine, The Ohio State University, Columbus, Ohio, USA; 3Department of Pediatrics and the Division of Pediatric Gastroenterology, Nationwide Children’s Hospital & the Ohio State University, Columbus, Ohio, USA

Correspondence: Yoshikazu Yamaguchi
Department of Anesthesiology and Pain Medicine, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, Ohio 43205, USA
Tel +1 614 722-4200
Fax +1 614 722-4203

Abstract: Polyethylene glycol electrolyte solutions (PEG, NuLYTELY®) are widely used to prepare the GI tract before colonoscopy or barium enema examinations. Although PEG appears as a clear liquid, the optimal interval for sedation or general anesthesia after the last administration of these solutions is unclear and controversial in the anesthetic literature. We present a 3-year-old patient with intermittent bloody stools who required anesthetic care for esophagogastroduodenoscopy (EGD) and colonoscopy. Given the controversial nil per os time with the use of PEG-containing solutions, point-of-care gastric ultrasound was performed to evaluate gastric contents and gastric volume before the induction of anesthesia.

Keywords: bowel preparation, point-of-care ultrasound, colonoscopy

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