Acta Anaesthesiologica Taiwanica
Volume 48, Issue 2 , Pages 94-98 , June 2010

Unexpected Pulmonary Aspiration During Endoscopy Under Intravenous Anesthesia

  • Po-Jung Lai

      Affiliations

    • Department of Anesthesiology, Tri-service General Hospital/National Defense Medical Center, Taipei, Taiwan, R.O.C
    • Department of Anesthesiology, Songshan Armed Forces General Hospital, Taipei, Taiwan, R.O.C
    • ,
  • Fa-Chang Chen

      Affiliations

    • Department of Anesthesiology, Tri-service General Hospital/National Defense Medical Center, Taipei, Taiwan, R.O.C
    • ,
  • Shung-Tai Ho

      Affiliations

    • Department of Anesthesiology, Tri-service General Hospital/National Defense Medical Center, Taipei, Taiwan, R.O.C
    • ,
  • Chen-Hwan Cherng

      Affiliations

    • Department of Anesthesiology, Tri-service General Hospital/National Defense Medical Center, Taipei, Taiwan, R.O.C
    • ,
  • Szu-Tzu Liu

      Affiliations

    • Department of Anesthesiology, Songshan Armed Forces General Hospital, Taipei, Taiwan, R.O.C
    • ,
  • Che-Hao Hsu

      Affiliations

    • Department of Anesthesiology, Tri-service General Hospital/National Defense Medical Center, Taipei, Taiwan, R.O.C
    • Corresponding Author InformationCorresponding author. Department of Anesthesiology, Tri-service General Hospital/National Defense Medical Center, Taipei, Taiwan, R.O.C

Received 27 April 2009 ,Revised 27 January 2010 ,Accepted 1 February 2010.

References 

  1. Ristikankare M, Julkunen R, Mattila M, Tomi L, Shi-Xuan W, Markku H, et al  Conscious sedation and cardiorespiratory safety during colonoscopy . Gastrointest Endosc . 2000;52:48–54
  2. Early DS , Saifuddin T , Johnson JC , King PD , Marshall JB . Patients' attitudes toward undergoing colonoscopy without sedation . Am J Gastroenterol . 1999;94:1862–1865
  3. Ng A , Smith G . Gastroesophageal reflux and aspiration of gastric contents in anesthetic practice . Anesth Analg . 2001;93:494–513
  4. Gilbert DA , Silverstein FE , Tedesco FJ . National ASGE survey on upper gastrointestinal bleeding: complications of endoscopy . Dig Dis Sci . 1981;26(Suppl 7):S55–S59
  5. Lipper B , Simon D , Cerrone F . Pulmonary aspiration during emergency endoscopy in patients with upper gastrointestinal hemorrhage . Crit Care Med . 1991;19:330–333
  6. Tagaito Y , Isono S , Nishino T . Upper airway reflexes during a combination of propofol and fentanyl anesthesia . Anesthe siology . 1998;88:1459–1466
  7. Wiener-Kronish JP , Gropper MA . In: Conscious Sedation . Philadelphia: Hanley & Belfus Inc.; 2001;p. 119–134
  8. Cox MR , Martin CJ , Dent J , Westmore M . Effect of general anaesthesia on transient lower oesophageal sphincter relaxations in the dog . Aust N Z J Surg . 1988;58:825–830
  9. Brock-Utne JG , Downing JW . The lower oesophageal sphincter and the anaesthetist . S Afr Med J . 1986;70:170–171
  10. Marik PE . Aspiration pneumonitis and aspiration pneumonia . N Engl J Med . 2001;344:665–671
  11. Matsui T , Yamaya M , Ohrui T , Arai H , Sasaki H . Sitting position to prevent aspiration in bed-bound patients . Gerontology . 2002;48:194–195
  12. Kollef MH . Ventilator-associated pneumonia: a multivariate analysis . JAMA . 1993;270:1965–1970
  13. deBoisblanc BP . Body position and pneumonia . Crit Care Med . 1999;27:678–679
  14. Adnet F , Borron SW , Finot MA , Minadeo J , Baud FJ . Relation of body position at the time of discovery with suspected aspiration pneumonia in poisoned comatose patients . Crit Care Med . 1999;27:745–748
  15. McIntyre JWR . Evolution of 20th century attitudes to prophylaxis of pulmonary aspiration during anaesthesia . Can J Anaesth . 1998;45:1024–1030
  16. Reinhold P , Karoff C , Dame WR . Cimetidine for preventing the adverse effects of aspiration during anaesthesia . Anasth Intensivther Notfallmed . 1981;16:39–42 [In German]
  17. Nishina K , Mikawa K , Takao Y , Shiga M , Maekawa N , Obara H . A comparison of rabeprazole, lansoprazole and ranitidine for improving preoperative gastric fluid property in adults undergoing elective surgery . Anesth Analg . 2000;90:717–721
  18. Nishina K , Mikawa K , Maekawa N , Takao Y , Shiga M , Obara H . A comparison of lansoprazole, omeprazole and ranitidine for reducing preoperative gastric secretion in adult patients undergoing elective surgery . Anesth Analg . 1996;82:832–836
  19. Escolano F , Castaño J , López R , Bisbe E , Alcón A . Effects of omeprazole, ranitidine, famotidine and placebo on gastric secretion in patients undergoing elective surgery . Br J Anaesth . 1992;69:404–406
  20. James CF , Modell JH , Gibbs CP , Kuck EJ , Ruiz BC . Pulmonary aspiration-effects of volume and pH in the rat . Anesth Analg . 1984;63:665–668
  21. Raidoo DM , Rocke DA , Brock-Utne JG , Marszalek A , Engelbrecht HE . Critical volume for pulmonary acid aspiration: reappraisal in a primate . Br J Anaesth . 1990;65:248–250
  22. Mendelson CL . The aspiration of stomach contents into the lungs during obstetric anesthesia . Am J Obstet Gynecol . 1946;52:191–205
  23. Teabeaut JR . Aspiration of gastric contents: an experimental study . Am J Pathol . 1952;28:51–67
  24. Exarhos ND , Logan WD , Abbott OA , Hatcher CR . The importance of pH and volume in tracheobronchial aspiration . Dis Chest . 1965;47:167–169

PII: S1875-4597(10)60021-5

doi: 10.1016/S1875-4597(10)60021-5

Acta Anaesthesiologica Taiwanica
Volume 48, Issue 2 , Pages 94-98 , June 2010

Article Tools