Gastric fluid volume, pH, and emptying in elective inpatients. Influences of narcotic-atropine premedication, oral fluid, and ranitidine. 1988

J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
Department of Anaesthesia, Foothills Hospital, University of Calgary, Alberta.

One hundred and twenty healthy, elective surgical inpatients were randomly assigned to one of four groups. Between two and three hours before the scheduled time of surgery all patients ingested a marker dye, phenol red, 50 mg in 10 ml water, with placebo tablet alone (Groups 1 and 2), placebo tablet with 150 ml oral fluid (Group 3), or oral ranitidine 150 mg with oral fluid 150 ml (Group 4). Patients in Group 1 received oral diazepam or no premedication, while those in Groups 2, 3, and 4 received IM narcotic and atropine one hour preoperatively. Following induction of anaesthesia the residual gastric fluid was aspirated through a Salem sump tube and its volume, pH, and phenol red content measured. Mean volumes were Group 1: 24 ml; Group 2: 13 ml; Group 3: 17 ml; Group 4: 14 ml. Mean pH values were Group 1: 2.99; Group 2: 3.03; Group 3: 3.44; Group 4: 5.28. The amount of phenol red in the samples indicated at least 90 per cent gastric emptying had occurred in 90 per cent of patients. We conclude that, in healthy patients, 150 ml oral fluid is almost completely emptied from the stomach within two hours of ingestion, even when followed one hour later by narcotic-atropine premedication.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009020 Morphine The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. Morphine Sulfate,Duramorph,MS Contin,Morphia,Morphine Chloride,Morphine Sulfate (2:1), Anhydrous,Morphine Sulfate (2:1), Pentahydrate,Oramorph SR,SDZ 202-250,SDZ202-250,Chloride, Morphine,Contin, MS,SDZ 202 250,SDZ 202250,SDZ202 250,SDZ202250,Sulfate, Morphine
D010637 Phenolsulfonphthalein Red dye, pH indicator, and diagnostic aid for determination of renal function. It is used also for studies of the gastrointestinal and other systems. Phenol Red,Sulfonphthal,Sulphental,Sulphonthal
D011229 Preanesthetic Medication Drugs administered before an anesthetic to decrease a patient's anxiety and control the effects of that anesthetic. Medication, Preanesthetic,Medications, Preanesthetic,Preanesthetic Medications
D011899 Ranitidine A non-imidazole blocker of those histamine receptors that mediate gastric secretion (H2 receptors). It is used to treat gastrointestinal ulcers. AH-19065,Biotidin,N (2-(((5-((Dimethylamino)methyl)-2-furanyl)methyl)thio)ethyl)-N'-methyl-2-nitro-1,1-ethenediamine,Ranisen,Ranitidin,Ranitidine Hydrochloride,Sostril,Zantac,Zantic,AH 19065,AH19065,Hydrochloride, Ranitidine
D004326 Drinking The consumption of liquids. Water Consumption,Water Intake,Drinkings
D005745 Gastric Acidity Determination Gastric analysis for determination of free acid or total acid. Acidity Determination, Gastric,Acidity Determinations, Gastric,Determination, Gastric Acidity,Determinations, Gastric Acidity,Gastric Acidity Determinations
D005746 Gastric Emptying The evacuation of food from the stomach into the duodenum. Emptying, Gastric,Emptyings, Gastric,Gastric Emptyings
D005750 Gastric Juice The liquid secretion of the stomach mucosa consisting of hydrochloric acid (GASTRIC ACID); PEPSINOGENS; INTRINSIC FACTOR; GASTRIN; MUCUS; and the bicarbonate ion (BICARBONATES). (From Best & Taylor's Physiological Basis of Medical Practice, 12th ed, p651) Gastric Juices,Juice, Gastric,Juices, Gastric
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
January 1988, Canadian journal of anaesthesia = Journal canadien d'anesthesie,
J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
March 1987, Canadian journal of anaesthesia = Journal canadien d'anesthesie,
J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
February 2008, Journal of clinical anesthesia,
J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
September 1994, Canadian journal of anaesthesia = Journal canadien d'anesthesie,
J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
May 1995, Anesthesia and analgesia,
J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
December 1983, British journal of anaesthesia,
J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
June 1997, Journal of the Indian Medical Association,
J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
September 1990, Canadian journal of anaesthesia = Journal canadien d'anesthesie,
J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
February 1996, Masui. The Japanese journal of anesthesiology,
J R Maltby, and N Koehli, and A Ewen, and E A Shaffer
September 1995, Canadian journal of anaesthesia = Journal canadien d'anesthesie,
Copied contents to your clipboard!