Aspiration Prevention and Prophylaxis

Tasch, Mark D.; Langeron, Olivier

doi:10.1016/b978-1-4377-2764-7.00012-9

Cited by 2 publications

(1 citation statement)

References 176 publications

(228 reference statements)

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“…the resulting picture is a chemical pneumonia that can progress to acute respiratory distress syndrome (arDs). 6 overall mortality due to pulmonary aspiration is between 5% to 20%. 7,8 The RSI technique: indications, controversies, and critical elements rsi is a technique used to achieve patient intubation in situations where induction of anesthesia is required quickly and when it is necessary to minimize the risk of gastric content aspiration.…”

Section: Aspiration Of Gastric Content: Past Actuality Physiopatholog...mentioning

confidence: 99%

Rapid sequence induction of anesthesia: works in progress and steps forward with focus to oxygenation and monitoring techniques

DEL SANTO,

DI FILIPPO,

ROMAGNOLI

2024

Minerva Anestesiol

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The description of the main scientifically consolidated innovations in recent years on Rapid Sequence Induction have been the subject of this narrative review. Data sources were PubMed, eMBase, Web of science, the cochrane central register of controlled trials, and clinicatrials.gov, searched up to March 21 st , 2023; rapid sequence induction and anesthesia were used as key word for the research. In recent years at least three significant innovations which have improved the procedure: firstly the possibility of using drugs which rapidly reverse the action of the myorelaxants and which have made it possible to give up the use of succinylcholine, replaced by rocuronium; secondly, the possibility of using much more effective pre-oxygenation methods than in the past, also through apneic oxygenation techniques which allow longer apnea time, and finally new monitoring systems much more effective than pulse oximetry in identifying and predicting periprocedural hypoxemia and indicating the need for ventilation in patients at risk of hypoxemia and preventing it. the description of three main scientifically consolidated innovations in recent years, in pharmacology, oxygen method of administration and monitoring, have been the subject of this narrative review.

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Section: Aspiration Of Gastric Content: Past Actuality Physiopatholog...mentioning

confidence: 99%

Rapid sequence induction of anesthesia: works in progress and steps forward with focus to oxygenation and monitoring techniques

DEL SANTO,

DI FILIPPO,

ROMAGNOLI

2024

Minerva Anestesiol

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Sezaryen Öncesi Açlık Süresinde Kanıta Dayalı Yaklaşım

Kizilkaya¹,

Gül²

2018

Sağlık Bilimleri Ve Meslekleri Dergisi

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ÖZ Kanıta dayalı uygulamalar klinikte hastalar için en doğru kararı vermede etkili olan uygulamaları içermektedir. Sezaryen öncesi hazırlık sürecinde açlık süresine ilişkin kılavuzlarda çeşitli öneriler ve kanıt düzeyleri mevcuttur. Bu süreçte eski bir uygulama olan nil per os (NPO) yani oral alımın gece yarısından itibaren kısıtlanması yaygın olarak uygulanır. Bu kısıtlamanın amacı aspirasyon ve regurjitasyon gibi anesteziye bağlı komplikasyonları en aza indirmektir. Cerrahi işlemin gecikmesi veya ertelenmesi açlık süresinin daha fazla uzamasına neden olur. Açlık süresinin uzaması ise dehidratasyon, insulin direnci, kaygı ve baş ağrısı gibi olumsuz sonuçlara yol açabilir. Bu olumsuz sonuçları en az düzeye indirmek için cerrahi öncesi açlıkla ilgili güncel kılavuzlar takip edilmelidir. Güncel kılavuzlarda sezaryen öncesi son iki saate kadar sıvı gıda alımına, son 6-8 saate kadar da katı gıda alımına izin verilmektedir. Ebeler başta olmak üzere sezaryen öncesi süreçte gebelere bakım veren sağlık profesyonelleri verilen bakımın kalitesini artırmak için güncel kılavuzları takip etmeli ve önerilere uygun girişimleri benimsemelidir. Bu derlemede sağlık profesyonellerinin konu ile ilgili bilgi düzeylerini arttırmak amacıyla sezaryen öncesi açlık süresinin etkileri, günümüzdeki uygulamalar ve öneriler ele alındı. Anahtar kelimeler: açlık, ameliyat öncesi bakım, kanıta dayalı uygulama, sezaryen ABSTRACT Evidence-based practices includes the best interventions for the patients. There are some evidences and suggestions about preoperative fasting time before cesarean section. Restricting oral intake of liquids or solids from midnight is an old practice called nil per os (NPO) is widely practiced in clinics. This is used to minimize the complications of anesthesia such as aspiration and regurgitation. When the surgical procedure delayed, fasting period is prolonged. Prolonged fasting times can cause harm effects like dehydration, insulin resistance, anxiety and headache. Current preoperative fasting guidelines and evidence-based practices should be followed to reduce these undesirable effects. Fasting from the intake of clear liquids for two hours; solids for six or eight hours before surgery is suggested in the current guidelines. Health professionals especially midwives who give care for women before cesarean section, should follow the current guidelines to increase the quality of healthcare. In this review, the effects of the pre-cesarean fasting period, current practices and recommendations were discussed in order to increase the knowledge level of health professionals.

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Aspiration Prevention and Prophylaxis

Cited by 2 publications

References 176 publications

Rapid sequence induction of anesthesia: works in progress and steps forward with focus to oxygenation and monitoring techniques

Rapid sequence induction of anesthesia: works in progress and steps forward with focus to oxygenation and monitoring techniques

Sezaryen Öncesi Açlık Süresinde Kanıta Dayalı Yaklaşım

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