Einleitung des nicht nüchternen Patienten: Welche Techniken sind zu verwenden?

Knoth, Selena; Weber, Benedict; Croll, Marlene; Lotz, H.H.; Eberhart, Leopold

doi:10.1055/a-0720-3923

Cited by 2 publications

(1 citation statement)

References 39 publications

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“…However, these manoeuvres have their own risks, and their effectiveness is debatable [ 9 ]. In non-high-risk patients, such as the case presented, further risk assessment with gastric ultrasonography may assist the decision-making process [ 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Regurgitation under the ERAS Program: A Case Report

Pires

Marcelino

2021

Clinics and Practice

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Introduction: Enhanced recovery after surgery (ERAS) is an evidence-based concept that reduces the recovery period after major abdominal surgery. Ingestion of carbohydrate solutions up until two hours before elective surgery has shown positive results. The authors present a case of regurgitation in a patient with apparently low risk for delayed gastric emptying who drank a carbohydrate solution two hours before induction of anaesthesia. Case report: An 80-year-old male patient with a relevant history of ischemic heart disease, atrial fibrillation, stage 3 chronic kidney disease and hypertension, was diagnosed with rectal cancer. He was scheduled for an anterior rectal resection hand-assisted laparoscopic surgery under the ERAS program, which included a 200 mL carbohydrate drink the night before and in the morning of the surgery, no less than two hours before the induction of anaesthesia. Immediately after loss of consciousness, there was regurgitation of a significant amount of clear fluid. Discussion: Even though ingestion of oral carbohydrate drinks is considered to be safe up to two hours before anaesthesia, further evaluation (e.g., gastric ultrasonography) may be considered in non-high-risk patients.

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Section: Discussionmentioning

confidence: 99%

Regurgitation under the ERAS Program: A Case Report

Pires

Marcelino

2021

Clinics and Practice

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Aspiration pneumonia during general anesthesia induction after esophagectomy: A case report

Tang

Nian

Tang

et al. 2020

WJCC

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BACKGROUND Esophageal cancer is a common malignant tumor of the digestive system. At present, surgery is the most important treatment strategy. After esophagectomy and gastric esophagoplasty, the patients are prone to regurgitation. However, these patients currently do not receive much attention, especially from anesthesiologists. CASE SUMMARY A 55-year-old woman was scheduled for right lower lung lobectomy. The patient had undergone radical surgery for esophageal cancer under general anesthesia 6 mo prior. Although the patient had fasted for > 17 h, unexpected aspiration still occurred during induction of general anesthesia. Throughout the operation, oxygen saturation was 98%-100%, but the airway pressure was high (35 cmH 2 O at double lung ventilation). The patient was sent to the intensive care unit after surgery. Bedside chest radiography was performed, which showed exudative lesions in both lungs compared with the preoperative image. After surgery, antibiotics were given to prevent lung infection. On day 2 in the intensive care unit, the patient was extubated and discharged on postoperative day 7 without complications related to aspiration pneumonia. CONCLUSION After esophagectomy, patients are prone to regurgitation. We recommend nasogastric tube placement followed by rapid sequence induction or conscious intubation.

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Einleitung des nicht nüchternen Patienten: Welche Techniken sind zu verwenden?

Cited by 2 publications

References 39 publications

Regurgitation under the ERAS Program: A Case Report

Regurgitation under the ERAS Program: A Case Report

Aspiration pneumonia during general anesthesia induction after esophagectomy: A case report

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