Anesthesia management in mendelson's syndrome

In anesthetized patient, aspiration occurs because of insufficient airway protective reflex and subsequent aspiration of gastric contents. It is rare but potentially fatal, depending on its severity. Symptoms may vary from hypoxia to respiratory failure and acute respiratory distress syndrome, even...

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Main Authors: Ornella Widyapuspita, Bambang Novianto Putro
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Bali Journal of Anesthesiology
Subjects:
Online Access:http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2019;volume=3;issue=3;spage=181;epage=183;aulast=Widyapuspita
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author Ornella Widyapuspita
Bambang Novianto Putro
author_facet Ornella Widyapuspita
Bambang Novianto Putro
author_sort Ornella Widyapuspita
collection DOAJ
description In anesthetized patient, aspiration occurs because of insufficient airway protective reflex and subsequent aspiration of gastric contents. It is rare but potentially fatal, depending on its severity. Symptoms may vary from hypoxia to respiratory failure and acute respiratory distress syndrome, even collapsed lung and death. A 30-year-old woman who had a hysterectomy with intra-abdominal packing was scheduled for pack removal. She vomited during induction and ended up with aspiration pneumonitis (Mendelson's syndrome). She was admitted to the intensive care unit after surgery and was extubated on the 4th day. She was then moved to the ward 6 days after the surgery. Awareness and skills to minimize the risk of aspiration anesthetic practice are developing well, but it still causes more than 50% of deaths related to the airway during anesthesia. Recognizing risks and its management is essential to prevent morbidity and mortality.
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spelling doaj.art-34f943c91ea7406bbcca0f8b6dce7ccc2022-12-21T18:52:26ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762019-01-013318118310.4103/BJOA.BJOA_3_19Anesthesia management in mendelson's syndromeOrnella WidyapuspitaBambang Novianto PutroIn anesthetized patient, aspiration occurs because of insufficient airway protective reflex and subsequent aspiration of gastric contents. It is rare but potentially fatal, depending on its severity. Symptoms may vary from hypoxia to respiratory failure and acute respiratory distress syndrome, even collapsed lung and death. A 30-year-old woman who had a hysterectomy with intra-abdominal packing was scheduled for pack removal. She vomited during induction and ended up with aspiration pneumonitis (Mendelson's syndrome). She was admitted to the intensive care unit after surgery and was extubated on the 4th day. She was then moved to the ward 6 days after the surgery. Awareness and skills to minimize the risk of aspiration anesthetic practice are developing well, but it still causes more than 50% of deaths related to the airway during anesthesia. Recognizing risks and its management is essential to prevent morbidity and mortality.http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2019;volume=3;issue=3;spage=181;epage=183;aulast=Widyapuspitaanesthesiaaspirationmendelson syndromepneumonitis
spellingShingle Ornella Widyapuspita
Bambang Novianto Putro
Anesthesia management in mendelson's syndrome
Bali Journal of Anesthesiology
anesthesia
aspiration
mendelson syndrome
pneumonitis
title Anesthesia management in mendelson's syndrome
title_full Anesthesia management in mendelson's syndrome
title_fullStr Anesthesia management in mendelson's syndrome
title_full_unstemmed Anesthesia management in mendelson's syndrome
title_short Anesthesia management in mendelson's syndrome
title_sort anesthesia management in mendelson s syndrome
topic anesthesia
aspiration
mendelson syndrome
pneumonitis
url http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2019;volume=3;issue=3;spage=181;epage=183;aulast=Widyapuspita
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