Massive Diffuse Alveolar Hemorrhage Caused by the Aspiration of Gastric Contents during Induction of Anesthesia in Patients with Adhesive Ileus: A Case Report / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 115-119, 2012.
Artículo
en Coreano
| WPRIM
| ID: wpr-653972
ABSTRACT
Aspiration pneumonitis is best defined as an acute lung injury, following the aspiration of regurgitated gastric contents. Major cause of pulmonary aspiration, during anesthesia, is gastric contents. Pulmonary aspiration can present symptoms of wheezing, coughing, dyspnea, cyanosis, pulmonary edema, hypotension, and hypoxemia, which may progress rapidly to severe acute respiratory distress syndrome (ARDS). However, there was no report of massive alveolar hemorrhage associated with aspiration pneumonitis. A 63-year-old man, who had undergone a total gastrectomy and received adjuvant chemotherapy, four months ago, was scheduled for adhesiolysis of the small bowel. The patient occurred aspiration of gastric contents, during induction of anesthesia, and subsequently, hypoxia developed during surgery. The patient moved to an intensive care unit (ICU), without extubation. Mechanical ventilation with PEEP was performed in an ICU. However, the patient died by ARDS and massive alveolar hemorrhage.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumonía
/
Edema Pulmonar
/
Respiración Artificial
/
Síndrome de Dificultad Respiratoria
/
Adhesivos
/
Ruidos Respiratorios
/
Quimioterapia Adyuvante
/
Tos
/
Cianosis
/
Disnea
Límite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Critical Care Medicine
Año:
2012
Tipo del documento:
Artículo
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