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Computer tomographic assessment of gastric volume in major trauma patients: impact of pre-hospital airway management on gastric air.

Thomas MittereggerPhilipp SchwaigerJanett KreutzigerHerbert SchöchlDaniel OberladstätterHelmut TrimmelWolfgang G Voelckel
Published in: Scandinavian journal of trauma, resuscitation and emergency medicine (2020)
In major trauma patients, overall stomach volume deriving from food, fluids and air must be expected to be around 400-500 mL. Gastric dilation caused by air is common but not typically associated with pre-hospital airway management. The amount of air in the stomach seems to be associated with the risk of aspiration. Further studies, specifically addressing patients after difficult airway management situations are warranted.
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