کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2743166 1148653 2007 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Preventing aspiration and regurgitation
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Preventing aspiration and regurgitation
چکیده انگلیسی

Aspiration is a rare but potentially devastating complication of general anaesthesia, with an estimated incidence of between 1 and 5 in 10,000 cases. It occurs secondary to the passive regurgitation of gastric contents, which pass into the lungs and induce an inflammatory response. The main aims of preoperative assessment are to identify those patients at risk of this complication and to plan a safe anaesthetic accordingly. This requires a sound knowledge of the pathophysiology of regurgitation, and careful consideration of the anatomical, pharmacological and pathological characteristics of the patient. If general anaesthesia is planned, the risk of aspiration can be minimized with good preparation. This may include adequate fasting, antacid prophylaxis, stomach emptying, appropriate patient positioning and use of a careful anaesthetic technique from induction to emergence. The role of rapid-sequence induction with cricoid pressure is discussed in this article, as is the choice of airway device. The importance of considering a regional alternative to general anaesthesia where possible is emphasized.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Anaesthesia & Intensive Care Medicine - Volume 8, Issue 9, September 2007, Pages 368–372
نویسندگان
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