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

Abstract

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, USACorrespondence: Yoshikazu YamaguchiDepartment of Anesthesiology and Pain Medicine, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, Ohio 43205, USATel [phone]Fax [phone]Email [email protected]: 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

Keywords

• bowel preparation
• point-of-care ultrasound
• colonoscopy