Gastric ultrasound for perioperative prandial status
MyJA 2-2 PDF 59


How to Cite

Yeoh, J. C., & Mohd Fathil, S. (2023). Gastric ultrasound for perioperative prandial status. Malaysian Journal of Anaesthesiology, 2(2), 189–198.

Copyright notice

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Copyright (c) 2023 Jie Cong Yeoh, Shahridan Mohd Fathil


gastric ultrasound; perioperative ultrasound; point-of-care ultrasound; risk stratification; pulmonary aspiration


Gastric ultrasound is a valuable tool for real-time assessment of gastric content at the bedside, reducing the risk of pulmonary aspiration. A good understanding of the gastric sonoanatomy and techniques for image acquisition will allow the clinician to utilize ultrasound to assess gastric content and volume via qualitative and quantitative
assessment to risk stratify their patient prior to the surgery. We describe the core principles of gastric ultrasound and its practical implications on patient safety during the perioperative period.
MyJA 2-2 PDF 59


Royse C, Canty D, Sessler D. Perioperative ultrasound-assisted clinical evaluation - A case based review. Australasian Journal of Ultrasound in Medicine. 2018 Oct 14;21(4):204–18.

Van de Putte P, Perlas A. Ultrasound assessment of gastric content and volume. Br J Anaesth. 2014 Jul;113(1):12-22.

Perlas A, Arzola C, Van de Putte P. Point-of-care gastric ultrasound and aspiration risk assessment: a narrative review. Can J Anesth. 2018;65:437–448.

Perlas A, Chan VW, Lupu CM, Mitsakakis N, Hanbidge A. Ultrasound assessment of gastric content and volume. Anesthesiology. 2009 Jul;111(1):82-9.

Perlas A, Mitsakakis N, Liu L, et al. Validation of a mathematical model for ultrasound assessment of gastric volume by gastroscopic examination. Anesth Analg. 2013 Feb;116(2):357-63.

Godschalx V, Vanhoof M, Soetens F, et al. The role of gastric ultrasound in anaesthesia for emergency surgery: A review and clinical guidance. European Journal of Anaesthesiology and Intensive Care 2(4):p e0027, August 2023.

Kruisselbrink R, Gharapetian A, Chaparro LE, et al. Diagnostic Accuracy of Point-of-Care Gastric Ultrasound. Anesth Analg. 2019 Jan;128(1):89-95.

Baettig SJ, Filipovic MG, Hebeisen M, Meierhans R, Ganter MT. Pre-operative gastric ultrasound in patients at risk of pulmonary aspiration: a prospective observational cohort study. Anaesthesia. 2023 Nov;78(11):1327-1337.

MyJA 2-2 PDF 59