Aspiration pneumonitis after a 10-hour fast in a patient who had undergone subtotal gastrectomy: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 376-379, 2008.
Article
Dans Anglais
| WPRIM
| ID: wpr-58970
ABSTRACT
A patient who had previously undergone a subtotal gastrectomy was scheduled for removal of a brain tumor under general anesthesia. Anesthesia was induced with lidocaine and propofol with rocuronium for neuromuscular blockade. She had fasted for 10 hours, but after mask ventilation, she aspirated gastric juice and materials. The oral cavity was suctioned promptly and the trachea was intubated. Intraoperative high FiO2 and dopamine were administrated to maintain the oxygen saturation and blood pressure. She received postoperative ventilatory care in the intensive care unit for 2 weeks. An upper gastrointestinal series and fiber endoscopy were performed but she had no obstruction and reflux esophagitis except delayed passage of the contrast media. She had no risk factors for pulmonary aspiration. As in this case, patients with previous gastrointestinal surgery should be considered preoperative workup for GI motility or pathology, and adequate premedication.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Oxygène
/
Pneumopathie infectieuse
/
Prémédication
/
Aspiration (technique)
/
Trachée
/
Ventilation
/
Pression sanguine
/
Tumeurs du cerveau
/
Dopamine
/
Oesophagite peptique
Type d'étude:
Etude d'étiologie
/
Facteurs de risque
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Anesthesiology
Année:
2008
Type:
Article
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