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- Aspiration Pneumonia in a Pediatric Patient under General Anesthesia despite Adequate Preoperative Fasting
- Sang-Il Yoon, Jong-Man Kang
- Korean J Crit Care Med. 2015;30(4):313-317. Published online November 30, 2015
- DOI: https://doi.org/10.4266/kjccm.2015.30.4.313
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Abstract
PDF - Aspiration pneumonia rarely occurs during general anesthesia; however, it can result in fatal pulmonary complications. To reduce aspiration pneumonia, a preoperative fasting time of 8 hours is recommended. A 4-year-old boy with ankyloglossia was scheduled for frenotomy. He completed preoperative fasting time and had no digestive symptoms. Pulmonary aspiration due to unexpected massive vomiting occurred during anesthesia induction. The patient’s airway was immediately secured by endotracheal tube. The vomitus in the airway tract was removed by fiberoptic bronchoscopy. Abdomen radiograph taken after this event showed paralytic ileus which can cause aspiration of gastric contents. We describe a case of pneumonia caused by aspiration of gastric contents in a pediatric patient who followed fasting instructions and who was scheduled for outpatient surgery.
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Citations
Citations to this article as recorded by
- Factors associated with bronchopulmonary aspiration: a national-based study
Jaqueline Helena Tanner, Cristina Mara Zamarioli, Magda Machado de Miranda Costa, Heiko Thereza Santana, Ana Clara Ribeiro Bello dos Santos, Cleide Felicia de Mesquita Ribeiro, Fernanda Raphael Escobar Gimenes
Revista Brasileira de Enfermagem.2022;[Epub] CrossRef
- Factors associated with bronchopulmonary aspiration: a national-based study
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