Bedside ultrasound tracks whether restored blood flow clears the stomach in hurt kids
NCT ID NCT07810907
First seen Sep 09, 2026 · Last updated Sep 10, 2026 · Updated 1 time
Summary
Children who suffer traumatic injuries and severe bleeding can develop shock, which slows blood flow to the gut and delays stomach emptying. When food or fluid stays in the stomach, it raises the risk of vomit entering the lungs during emergency breathing tube placement or surgery. This study uses bedside ultrasound to measure stomach contents in children aged 2 to 7 before, right after, and for up to 48 hours following standard resuscitation. Researchers want to learn whether restoring blood flow helps the stomach empty faster and lowers the amount of residual stomach contents.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- standard hemodynamic resuscitation following pediatric advanced life support guidelines, with gastric ultrasound monitoring
- What this could lead to
- If resuscitation improves stomach emptying, doctors could use bedside ultrasound to guide safer timing of airway procedures and anesthesia in injured children.
- What could go wrong
- This small observational study cannot prove that resuscitation directly causes faster stomach emptying. Ultrasound estimates of stomach volume can be imprecise in children, and the findings may not apply to other age groups or types of trauma.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Pediatric trauma patients aged 2 to 7 years presenting to the Emergency Department at Assiut University Hospital with hemorrhagic shock requiring hemodynamic resuscitation. Eligible participants are hemodynamically stable enough to undergo point-of-care gastric ultrasound (POCUS) examination without delaying critical emergency interventions. Patients with known preexisting gastrointestinal motility disorders, prior upper gastrointestinal surgery, significant abdominal injury affecting motility, gastric decompression before initial imaging, isolated head trauma, or immediate surgical needs are excluded.
- Ages
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2 to 7 years
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pediatric patients aged 2 to 7 years presenting with trauma. * Presenting with hemorrhagic shock requiring hemodynamic resuscitation (diagnosed according to Advanced Paediatric Life Support \[APLS\] guidelines based on clinical and laboratory evidence of inadequate tissue perfusion secondary to acute blood loss, such as age-adjusted hypotension, tachycardia, prolonged capillary refill time \> 2 seconds, weak peripheral pulses, altered mental status, elevated serum lactate, and/or increased base deficit). * Hemodynamically stable enough to undergo point-of-care gastric ultrasound (POCUS) examination without delaying emergency medical management. Exclusion Criteria: * Known gastrointestinal diseases affecting gastric motility (e.g., gastric outlet obstruction, intestinal obstruction). * History of prior upper gastrointestinal surgery. * Significant abdominal injury that may affect gastric motility. * Need for immediate emergency surgical intervention before completion of study baseline assessments. * Inability to adequately perform gastric POCUS (e.g., extensive abdominal wounds, surgical emphysema, or poor acoustic window). * Gastric decompression performed before the initial ultrasound assessment. * Isolated head injury.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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