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.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-739954
Biblioteca responsável:
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.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Estômago
/
Neoplasias Hipofaríngeas
/
Incidência
/
Esofagectomia
/
Esfíncter Esofágico Inferior
/
Aspiração Respiratória
/
Gravitação
/
Intubação
/
Anestesia
/
Anestesia Geral
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Dental Anesthesia and Pain Medicine
Ano de publicação:
2018
Tipo de documento:
Artigo