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10.17245/jdapm.2018.18.2.111

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suck abstract from ncbi


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pmid29744386
      J+Dent+Anesth+Pain+Med 2018 ; 18 (2 ): 111-114
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  • Pulmonary aspiration during intubation in a high-risk patient: A video clip and clinical implications #MMPMID29744386
  • Koh GH ; Kim SH ; Son HJ ; Jo JY ; Choi SS ; Park SU ; Kim WJ ; Ku SW
  • J Dent Anesth Pain Med 2018[Apr]; 18 (2 ): 111-114 PMID29744386 show ga
  • 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.
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