Critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery: a case report
Abstract Background We experienced the critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery which standard fasting period was complied with. Case presentation A 64-year-old male was scheduled for gastrojejunostomy because of gastrointestinal obstruction. He fast...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-08-01
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| Series: | JA Clinical Reports |
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| Online Access: | https://doi.org/10.1186/s40981-022-00549-w |
| _version_ | 1798037987741663232 |
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| author | Midori Mogami Yuki Yamazaki Chiaki Nemoto Mariko Muto Youichi Tanaka Satoki Inoue |
| author_facet | Midori Mogami Yuki Yamazaki Chiaki Nemoto Mariko Muto Youichi Tanaka Satoki Inoue |
| author_sort | Midori Mogami |
| collection | DOAJ |
| description | Abstract Background We experienced the critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery which standard fasting period was complied with. Case presentation A 64-year-old male was scheduled for gastrojejunostomy because of gastrointestinal obstruction. He fasted from the night before surgery. General anesthesia was induced, and cricoid pressure was applied during intubation. However, he vomited huge amount of gastric contents. The scheduled surgery was performed without surgical complications, and postoperatively respiratory management, including mechanical ventilation with prone positioning, was performed in high care unit. He was extubated on postoperative day 2. He was discharged from the hospital on POD 25. Conclusion The standard fasting period can prevent aspiration pneumonia in most cases. However, even in elective cases without abdominal symptoms, we consider that massive-volume gastric residual contents, especially in susceptible cases. We suggest that point-of-care gastric ultrasonography be performed in suspicious cases before induction of anesthesia. |
| first_indexed | 2024-04-11T21:34:04Z |
| format | Article |
| id | doaj.art-924cb69010f448b3a9290b12d1dca20d |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-11T21:34:04Z |
| publishDate | 2022-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-924cb69010f448b3a9290b12d1dca20d2022-12-22T04:01:48ZengSpringerOpenJA Clinical Reports2363-90242022-08-01811410.1186/s40981-022-00549-wCritical aspiration pneumonia during induction of anesthesia in elective abdominal surgery: a case reportMidori Mogami0Yuki Yamazaki1Chiaki Nemoto2Mariko Muto3Youichi Tanaka4Satoki Inoue5Department of Anesthesiology, Ohara General HospitalDepartment of Anesthesiology, Fukushima Medical UniversityDepartment of Anesthesiology, Ohara General HospitalDepartment of Anesthesiology, Ohara General HospitalDepartment of Anesthesiology, Ohara General HospitalDepartment of Anesthesiology, Fukushima Medical UniversityAbstract Background We experienced the critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery which standard fasting period was complied with. Case presentation A 64-year-old male was scheduled for gastrojejunostomy because of gastrointestinal obstruction. He fasted from the night before surgery. General anesthesia was induced, and cricoid pressure was applied during intubation. However, he vomited huge amount of gastric contents. The scheduled surgery was performed without surgical complications, and postoperatively respiratory management, including mechanical ventilation with prone positioning, was performed in high care unit. He was extubated on postoperative day 2. He was discharged from the hospital on POD 25. Conclusion The standard fasting period can prevent aspiration pneumonia in most cases. However, even in elective cases without abdominal symptoms, we consider that massive-volume gastric residual contents, especially in susceptible cases. We suggest that point-of-care gastric ultrasonography be performed in suspicious cases before induction of anesthesia.https://doi.org/10.1186/s40981-022-00549-wAspiration pneumoniaGastrointestinal obstructionFasting periodPoint-of-care gastric ultrasonography |
| spellingShingle | Midori Mogami Yuki Yamazaki Chiaki Nemoto Mariko Muto Youichi Tanaka Satoki Inoue Critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery: a case report JA Clinical Reports Aspiration pneumonia Gastrointestinal obstruction Fasting period Point-of-care gastric ultrasonography |
| title | Critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery: a case report |
| title_full | Critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery: a case report |
| title_fullStr | Critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery: a case report |
| title_full_unstemmed | Critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery: a case report |
| title_short | Critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery: a case report |
| title_sort | critical aspiration pneumonia during induction of anesthesia in elective abdominal surgery a case report |
| topic | Aspiration pneumonia Gastrointestinal obstruction Fasting period Point-of-care gastric ultrasonography |
| url | https://doi.org/10.1186/s40981-022-00549-w |
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