Aspiration Pneumonitis Occurring during General Anesthesia in a Parturient with Strangulation Ileus: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 530-535, 1999.
Artigo
em Coreano
| WPRIM
| ID: wpr-46316
ABSTRACT
Pulmonary aspiration of gastric contents is the main cause of anesthesia-related maternal deaths. We experienced a case of pulmonary aspiration during induction of general anesthesia for an emergency cesarean section. The parturient was admitted for severe abdominal pain and abnormal fetal movement. She had no remarkable past medical history except for an appendectomy, 3 years earlier. The massive pulmonary aspiration of acid-liquid, malodorous feculent, gastric contents occurred accidently. Immediate endotracheal intubation and suction were followed. The strangulation ileus of the small bowel resulting from the pressure of the enlarged uterus on intestinal adhesions was detected after cesarean delivery and severe pulmonary edema developed during the perioperative period. Intensive care including mechanical ventilation with positive end-expiratory pressure, frequent suction, antibiotic therapy and other measures was attempted. At the 50th day after the operation the patient was discharged fortunately without any meaningful pulmonary sequelae. In conclusion, we should be aware of the possibility of mechanical ileus and pulmonary aspiration in parturients with past abdominal operation histories during anesthesia for cesarean section.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Apendicectomia
/
Pneumonia
/
Edema Pulmonar
/
Respiração Artificial
/
Sucção
/
Útero
/
Dor Abdominal
/
Cesárea
/
Respiração com Pressão Positiva
/
Cuidados Críticos
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
1999
Tipo de documento:
Artigo
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