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Table 1 SWOT analysis of gastric ultrasound in clinical practice

From: A narrative review of glucagon-like peptide-1 receptor agonists prior to deep sedation or general anesthesia

Strengths

Weaknesses

Easy and fast to use

Challenging in obese patients

Feasible and repeatable at bedside

Patient factors limiting feasibility (e.g., abdominal scarring, excessive bowel gas, or specific acute abdominal pathologies)

Radiation-free

Logistical constraints (e.g., time constraints in emergency settings or limited access to ultrasound equipment)

Non-invasive and safe

Operator dependency

Opportunities

Threats

Preoperative assessment in high-risk patients (e.g., delayed gastric emptying, diabetes, or opioid use)

Variability in operator skill and experience

Emergency settings (e.g., trauma or critically ill patients requiring rapid gastric content assessment)

Limited awareness or adoption in some clinical environments

Pediatric patients with uncertain fasting status

Cost for training and equipment