CPAP-Related Aerophagia: Awareness First!

Harding, Susan M.

doi:10.5664/jcsm.2330

Cited by 5 publications

(3 citation statements)

References 2 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We recommend initiating the oronasal CPAP therapy at 5-7 cmH 2 O [68] and increasing it as required; suggesting an upper limit of 15-20 cmH 2 O in the immediate postoperative period as the lower esophageal sphincter may give away at pressures higher than 20 cmH 2 O [69]. CPAP pressure above this level can lead to gastric distension and increased aerophagia [70] which may compromise the anastomosis. No clinically deteriorating patient should be denied the benefit of CPAP.…”

Section: Postoperative Cpap Threatens Surgical Anastomosis! What Is Tmentioning

confidence: 99%

Controversies in Perioperative Anesthetic Management of the Morbidly Obese: I Am a Surgeon, Why Should I Care?

Singh

2015

OBES SURG

View full text Add to dashboard Cite

Over the last four decades, as the rates of obesity have increased, so have the challenges associated with its anesthetic management. In the present review, we discuss perioperative anesthesia management issues that are modifiable by the early involvement of the surgical team. We sum up available evidence or expert opinion on issues like patient positioning, postoperative analgesia, and the effect of continuous positive airway pressure (CPAP) ventilation on surgical anastomosis. We also address established predictors of higher perioperative risk and suggest possible management strategies and concerns of obese patients undergoing same day procedures. Finally, a generalized pharmacological model relevant to altered pharmacokinetics in these patients is presented.

show abstract

Section: Postoperative Cpap Threatens Surgical Anastomosis! What Is Tmentioning

confidence: 99%

Controversies in Perioperative Anesthetic Management of the Morbidly Obese: I Am a Surgeon, Why Should I Care?

Singh

2015

OBES SURG

View full text Add to dashboard Cite

show abstract

“…CPAP use has been associated with increased air swallowing ( 17 ) and subsequent GERD-like symptoms ( 18 ). CPAP has also been reported to improve symptoms of GER in some patients ( 19 - 21 ).…”

Section: Expectations Of the Study Facilitator Or Patient During A Mi...mentioning

confidence: 99%

Executing and facilitating the successful combined multichannel intraluminal impedance and pH monitoring study

Woodley,

Miller,

Di Lorenzo

et al. 2024

Transl Gastroenterol Hepatol

View full text Add to dashboard Cite

Successful multichannel intraluminal impedance and pH monitoring (MII-pHM) studies rely on constant attendants (CAs) or family members (and sometimes the patients themselves) to assist in the execution and facilitation of the MII-pHM study. While “pushing buttons” [corresponding to specific symptoms, body position (upright versus recumbent), and meal start and stop times] on the MII-pHM system recording box is indeed a big part of MII-pHM study execution and facilitation, there are other concerns and duties that are equally as important. This paper outlines some of the important duties of the study facilitator (or patient) during a MII-pHM study. When provided with the proper training, study facilitators invigilating the MII-pHM study will be better able to contribute to the data collection process and ultimately to produce data that when analyzed will lead to better interpretations, clinical recommendations, and good clinical outcomes. When executed properly, MII-pHM studies have the potential to assess diurnal exposure of the esophageal mucosa to gastric/duodenal contents, provide insight regarding the proximal extent of gastroesophageal reflux (GER), provide a measurement of the mean esophageal pH, and assess mucosal integrity and temporal relationship between GER and the symptoms of interest. While several groups have offered recommendations for proper execution of the MII-pHM study, to our knowledge, there have not been publications wherein recommendations were compiled to form a single source document.

show abstract

“…Swallowing air is higher in patients under positive pressure ventilation and therefore causes distension and esophageal reflux [13,14]. In addition, certain conditions in patients, especially ICU patients, increase the amount of air swallowed, such as swallowing the excess salivary and postnasal discharge, attempting to increase lip and tongue movement to produce more saliva and overcome the dry mouth caused by an open mouth, tracheal intubation or the anticholinergic side effects of some medications.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Gastric Gas Emptying on the Residual Gastric Volume in Mechanically-Ventilated Intensive Care Unit Patients Fed Through Nasogastric Tubes: A Randomized, Single-Blind, Clinical Trial

Mohammadpour

Sajadi²,

Maghami³

et al. 2018

Asian J Pharm Clin Res

View full text Add to dashboard Cite

Objective: Increased gastric residual volume is a complication of enteral nutrition intolerance that leads to gastrointestinal complications such as nausea, vomiting, and aspiration pneumonia. The present study was conducted to determine the effect of gastric gas emptying on the residual gastric volume in mechanically-ventilated patients fed through nasogastric tubes.Methods: This randomized, single-blind, clinical trial was conducted on two groups of patients in the intensive care unit (ICU) of Kamyab Hospital of Mashhad. A total of 64 patients were randomly divided into a case and a control group. In the case group, the gastric gases accumulated through the nasogastric tube were emptied by applying palm pressure on the epigastric region. The control group did not undergo this intervention but received the routine care provided in the ward. Data were collected using a demographic questionnaire and a form containing records of the patients’ residual gastric volume and disease-related information. The residual gastric volume was measured and compared in the two groups before and after the intervention. Data were analyzed in SPSS-19 using the Chi-square test, the independent t-test, and the repeated measures ANOVA at the significance level of 5%.Results: The residual gastric volume did not differ significantly between the two groups before the intervention (p=0.14); after the intervention; however, a significant reduction was observed in the case group compared to the controls (p=0.007).Conclusion: Gastric gas emptying helps reduce the residual gastric volume in mechanically-ventilated patients fed through nasogastric tubes. Further studies are recommended to further ensure the benefits of this method.

show abstract

CPAP-Related Aerophagia: Awareness First!

Cited by 5 publications

References 2 publications

Controversies in Perioperative Anesthetic Management of the Morbidly Obese: I Am a Surgeon, Why Should I Care?

Controversies in Perioperative Anesthetic Management of the Morbidly Obese: I Am a Surgeon, Why Should I Care?

Executing and facilitating the successful combined multichannel intraluminal impedance and pH monitoring study

The Effect of Gastric Gas Emptying on the Residual Gastric Volume in Mechanically-Ventilated Intensive Care Unit Patients Fed Through Nasogastric Tubes: A Randomized, Single-Blind, Clinical Trial

Contact Info

Product

Resources

About