AI Article Synopsis
- A 64-year-old male underwent elective gastrojejunostomy surgery after fasting properly but developed aspiration pneumonia during anesthesia induction when he vomited.
- Despite this complication, the surgery was completed without issues, and he needed respiratory support but was extubated by day 2.
- The case highlights that while standard fasting typically helps prevent aspiration, assessing gastric contents with ultrasound may be beneficial in certain cases to avoid complications.
Article 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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9356121 | PMC |
| http://dx.doi.org/10.1186/s40981-022-00549-w | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Mortality in Tuberous Sclerosis Complex in the United Kingdom, 2016-2022.
J Intellect Disabil Res
March 2025
Neuroscience and Mental Health Innovation Institute, Cardiff, UK.
Background: Tuberous sclerosis complex (TSC) is a genetic condition caused by mutations in either TSC1 or TSC2 genes, affecting around two million people globally. This study aims to examine causes of death in TSC and explore factors contributing to mortality in people with TSC in the United Kingdom in recent years following updated management and surveillance guidelines for the condition.
Methods: Comprehensive analysis of the available medical records of the people seen at the largest lifespan TSC clinic in the United Kingdom who passed away between 2016 and 2022 was conducted.
Mind the gut: Navigating the complex landscape of gastroprotection in neurosurgical patients.
World J Gastroenterol
February 2025
Department of Neurosurgery, University of Flordia, Gainesville, FL 32608, United States.
Neurosurgical patients, including those with severe traumatic brain injury, spinal cord injury, stroke, or raised intracranial pressure, are at heightened risk for stress ulcers and aspiration pneumonitis, leading to significant morbidity and mortality. These patients are typically managed through both pharmacological interventions [, proton pump inhibitors (PPIs), histamine 2 (H2) antagonists, sucralfate] and non-pharmacological measures (, nasogastric decompression, patient positioning) to mitigate adverse outcomes. The pathogenesis of stress ulcers in neurosurgical patients is multifactorial, but the routine use of stress ulcer prophylaxis remains controversial.
View Article and Find Full Text PDFHospitalization of patients with Down syndrome in acute care hospitals in Japan.
J Gen Fam Med
March 2025
Department of Preventive Medicine and Community Health, School of Medicine University of Occupational and Environmental Health Kitakyushu Japan.
Background: Down syndrome is the most common genetic disorder, and the life expectancy of patients with Down syndrome has increased over the decades. However, the diseases and social problems experienced by patients with Down syndrome remain unknown in Japan. Therefore, we aimed to investigate the disease status of such patients admitted to acute care hospitals in Japan.
View Article and Find Full Text PDFBackground: This study investigated the association between nasogastric tube feeding (NGF) and discharge rate to previous residences with oral intake in patients aged 80+ with aspiration pneumonia.
Methods: A retrospective cohort study included 256 hospitalized patients with aspiration pneumonia from 2012 to 2022, which could not start oral intake within 48 h due to dysphagia. Using 1:2 matched-pair analysis, the association of interest was examined using logistic regression analysis.
Dysphagia progression and related factors in community-dwelling care-dependent patients through home-visit dental care: A 12-month retrospective cohort study.
J Prosthet Dent
March 2025
Professor, Department of Dysphagia Rehabilitation, Tokyo Medical and Dental University, Tokyo, Japan.
Statement Of Problem: Reports on the progress and characteristics of patients with dysphagia who require professional care at home or in a nursing home are sparse.
Purpose: The purpose of this 12-month retrospective cohort study was to investigate the characteristics of care-dependent patients with dysphagia in the community and the factors related to oral intake scale outcomes over 12 months of dysphagia rehabilitation through home-visit dental care.
Material And Methods: A total of 323 participants receiving care at home or in a nursing facility who underwent dysphagia rehabilitation through home-visit dental care were enrolled.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!