This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (4) Citing Articles via Google Scholar Google Scholar Articles by Wong, C. A. Articles by Avram, M. J. Search for Related Content PubMed PubMed Citation Articles by Wong, C. A. Articles by Avram, M. J. Related Collections Obstetrics Physiology

---

OBSTETRIC ANESTHESIOLOGY

Gastric Emptying of Water in Obese Pregnant Women at Term

From the Department of Anesthesiology and Mary Beth Donnelley Clinical Pharmacology Core Facility, Northwestern University, Feinberg School of Medicine, Chicago, Illinois.

Address correspondence to Cynthia A. Wong, MD, Department of Anesthesiology, 251 E. Huron, F5–704, Chicago, IL 60611. Address e-mail to c-wong2{at}northwestern.edu.

Abstract

BACKGROUND: Healthy nonpregnant and pregnant patients may ingest clear liquids until 2 h before induction of anesthesia without adversely affecting gastric volume. In this study, we compared gastric emptying in obese, term, nonlaboring pregnant women (prepregnancy body mass index >35 kg/m²) after the ingestion of 50 and 300 mL of water.

METHODS: Gastric emptying was assessed in 10 obese, term pregnant volunteers using both serial gastric ultrasound examinations and acetaminophen absorption in a crossover study design. After an overnight fast, volunteers ingested 1.5 g acetaminophen and 50 or 300 mL water (randomly assigned) on two occasions separated by at least 2 days. Serial gastric antrum cross-sectional areas were determined using gastric ultrasound imaging and the half-time to gastric emptying (T_[1/2]) was calculated. Areas under the plasma acetaminophen concentration versus time curve (AUC), peak concentrations (C_max), and time to peak concentration (t_max) for 50 mL and 300 mL ingestions were compared.

RESULTS: Mean prepregnancy body mass index was 41 ± 9 kg/m². Gastric emptying T_[1/2] was not different after ingestion of 300 mL water compared with 50 mL (23 ± 11 min vs 32 ± 15 min). There were no differences between acetaminophen AUCs at 60, 90, or 120 min, C_max or t_max after ingestion of 300 mL compared with 50 mL of water.

CONCLUSIONS: Gastric emptying in obese, nonlaboring term pregnant women is not delayed after ingestion of 300 mL compared with 50 mL of water. Gastric antral volume after ingestion of 300 mL of water is similar to the baseline fasting level at 60 min.

This article has been cited by other articles:

				S. D. Cook-Sather, P. R. Gallagher, L. E. Kruge, J. M. Beus, B. P. Ciampa, K. C. Welch, S. Shah-Hosseini, J. S. Choi, R. Pachikara, K. Minger, et al. Overweight/Obesity and Gastric Fluid Characteristics in Pediatric Day Surgery: Implications for Fasting Guidelines and Pulmonary Aspiration Risk Anesth. Analg., September 1, 2009; 109(3): 727 - 736. [Abstract] [Full Text] [PDF]