PMID- 37882823
OWN - NLM
STAT- MEDLINE
DCOM- 20240125
LR  - 20240224
IS  - 1438-8359 (Electronic)
IS  - 0913-8668 (Linking)
VI  - 38
IP  - 1
DP  - 2024 Feb
TI  - Ultrasound evaluation of gastric emptying of high-energy semifluid solid beverage 
      in parturients during labor at term: a randomized controlled trial.
PG  - 29-34
LID - 10.1007/s00540-023-03269-2 [doi]
AB  - PURPOSE: What to intake during labor is controversial. The purpose of this study 
      was to compare the gastric emptying of high-energy semifluid solid beverage 
      (HESSB) versus that of carbohydrate (CHO) solution of equal calories and volume 
      by evaluating the gastric antral cross-sectional area (CSA) using ultrasonography 
      in parturients during labor at term. METHODS: The study was conducted at a 
      maternity and infant hospital between June and October 2020. Forty parturients 
      scheduled for epidural labor analgesia during labor at term were randomly 
      assigned to receive HESSB (300 mL, n = 20) or CHO (300 mL, n = 20). Gastric 
      antral CSA was measured at baseline and 5, 30, 60, 90, and 120 min after 
      consumption of the drink. The primary outcome was gastric antral CSA at 120 min 
      in the HESSB group and CHO group. RESULTS: The gastric antral CSA between the 
      HESSB group and CHO group at 120 min was not statistically significant (2.73 
      cm(2) +/- 0.55 vs. 2.55 cm(2) +/- 0.72, P = 0.061). All patients returned to baseline 
      at 120 min after intake of 300 mL isocaloric HESSB and CHO, confirmed by 
      evaluation of gastric antral CSA. The visual analog scale score for satiety was 
      higher in the HESSB group (P < 0.001), with better taste satisfaction (7[5-8] vs. 
      5[4-6], P < 0.001). CONCLUSION: The change of gastric antral cross-sectional area 
      after HESSB is similar to the corresponding calories and volume of CHO and the 
      gastric emptying of HESSB can be emptied within 2 h with better 
      taste satisfaction and satiety in pregnant women under labor analgesia.
CI  - (c) 2023. The Author(s) under exclusive licence to Japanese Society of 
      Anesthesiologists.
FAU - Ni, Xiu
AU  - Ni X
AD  - Department of Anesthesiology, Shanghai Key Laboratory of Maternal Fetal Medicine, 
      Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai 
      First Maternity and Infant Hospital, School of Medicine, Tongji University, 
      Shanghai, China.
FAU - Li, Jiang
AU  - Li J
AD  - Department of Anesthesiology, Shanghai Key Laboratory of Maternal Fetal Medicine, 
      Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai 
      First Maternity and Infant Hospital, School of Medicine, Tongji University, 
      Shanghai, China.
FAU - Wu, Qi-Wei
AU  - Wu QW
AD  - Department of Anesthesiology, Shanghai Key Laboratory of Maternal Fetal Medicine, 
      Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai 
      First Maternity and Infant Hospital, School of Medicine, Tongji University, 
      Shanghai, China.
FAU - Zhou, Shuang-Qiong
AU  - Zhou SQ
AD  - Department of Anesthesiology, Shanghai Key Laboratory of Maternal Fetal Medicine, 
      Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai 
      First Maternity and Infant Hospital, School of Medicine, Tongji University, 
      Shanghai, China.
FAU - Xu, Zhen-Dong
AU  - Xu ZD
AD  - Department of Anesthesiology, Shanghai Key Laboratory of Maternal Fetal Medicine, 
      Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai 
      First Maternity and Infant Hospital, School of Medicine, Tongji University, 
      Shanghai, China. btxzd123@126.com.
FAU - Liu, Zhi-Qiang
AU  - Liu ZQ
AD  - Department of Anesthesiology, Shanghai Key Laboratory of Maternal Fetal Medicine, 
      Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai 
      First Maternity and Infant Hospital, School of Medicine, Tongji University, 
      Shanghai, China. drliuzhiqiang@163.com.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20231026
PL  - Japan
TA  - J Anesth
JT  - Journal of anesthesia
JID - 8905667
SB  - IM
MH  - Humans
MH  - Female
MH  - Pregnancy
MH  - Gastric Emptying
MH  - *Labor, Obstetric
MH  - Ultrasonography
MH  - Beverages
MH  - *Analgesia, Epidural
OTO - NOTNLM
OT  - Gastric emptying
OT  - Parturients
OT  - Semi-fluid solid beverage
OT  - Ultrasound
EDAT- 2023/10/26 12:42
MHDA- 2024/01/25 06:44
CRDT- 2023/10/26 11:04
PHST- 2022/09/29 00:00 [received]
PHST- 2023/09/29 00:00 [accepted]
PHST- 2024/01/25 06:44 [medline]
PHST- 2023/10/26 12:42 [pubmed]
PHST- 2023/10/26 11:04 [entrez]
AID - 10.1007/s00540-023-03269-2 [pii]
AID - 10.1007/s00540-023-03269-2 [doi]
PST - ppublish
SO  - J Anesth. 2024 Feb;38(1):29-34. doi: 10.1007/s00540-023-03269-2. Epub 2023 Oct 
      26.