ABSTRACT
BACKGROUND: Graft versus host disease (GVHD) of the gut is thought to delay gastric emptying and so may increase the risk of aspirating retained contents while under anesthesia. Knowing that gastric emptying is delayed in patients with GVHD might lead one to choose to intubate the trachea for all patients with suspected GVHD, who present for diagnostic esophagogastricduodenoscopy (EGD). We are not aware of published data that gives specific guidance as to the need for intubation in the pediatric bone marrow or stem cell transplantation (BMT) population. This review was intended to evaluate the gastric contents (pH and volume) in this group of patients, to provide anesthesiologists with data that would inform their decisions about airway management for these patients. METHODS: Retrospective chart review of patients Subject(s)
Bone Marrow Transplantation
, Gastrointestinal Contents
, Graft vs Host Disease
, Child
, Female
, Gastric Emptying
, Humans
, Hydrogen-Ion Concentration
, Intubation, Intratracheal
, Male
, Retrospective Studies
