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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 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.