Pulmonary aspiration during intubation in a high-risk patient: A video clip and clinical implications
Journal of Dental Anesthesia and Pain Medicine
; : 111-114, 2018.
Article
in En
| WPRIM
| ID: wpr-739954
Responsible library:
WPRO
ABSTRACT
We report a case of pulmonary aspiration during induction of general anesthesia in a patient who was status post esophagectomy. Sudden, unexpected aspiration occurred even though the patient had fasted adequately (over 13 hours) and received rapid sequence anesthesia induction. Since during esophagectomy, the lower esophageal sphincter is excised, stomach vagal innervation is lost, and the stomach is flaccid, draining only by gravity, the patient becomes vulnerable to aspiration. As the incidence of perioperative pulmonary aspiration is relatively low, precautions to prevent aspiration tend to be overlooked. We present a video clip showing pulmonary aspiration and discuss the literature concerning the risk of aspiration and its preventive strategies.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Stomach
/
Hypopharyngeal Neoplasms
/
Incidence
/
Esophagectomy
/
Esophageal Sphincter, Lower
/
Respiratory Aspiration
/
Gravitation
/
Intubation
/
Anesthesia
/
Anesthesia, General
Type of study:
Etiology_studies
/
Incidence_studies
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Journal of Dental Anesthesia and Pain Medicine
Year:
2018
Document type:
Article