Perioperative pulmonary aspiration is infrequent and low risk in pediatric anesthetic practice
Summary Recent studies have reported perioperative pulmonary aspiration in pediatric practice to be an uncommon problem associated with low morbidity and mortality. This paper examines the recent publications in both the adult and pediatric literature and looks at some of the potential risk factors...
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| Published in | Pediatric anesthesia Vol. 25; no. 1; pp. 36 - 43 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
France
Blackwell Publishing Ltd
01.01.2015
Wiley Subscription Services, Inc |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Summary
Recent studies have reported perioperative pulmonary aspiration in pediatric practice to be an uncommon problem associated with low morbidity and mortality. This paper examines the recent publications in both the adult and pediatric literature and looks at some of the potential risk factors involved, both patient and anesthetic, in the development of aspiration of gastric contents. We also look at the risk of severe morbidity following pulmonary aspiration and speculate on possible reasons behind the assertion that pulmonary aspiration in pediatric anesthetic practice is rare and a low‐risk event. |
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| AbstractList | Summary
Recent studies have reported perioperative pulmonary aspiration in pediatric practice to be an uncommon problem associated with low morbidity and mortality. This paper examines the recent publications in both the adult and pediatric literature and looks at some of the potential risk factors involved, both patient and anesthetic, in the development of aspiration of gastric contents. We also look at the risk of severe morbidity following pulmonary aspiration and speculate on possible reasons behind the assertion that pulmonary aspiration in pediatric anesthetic practice is rare and a low‐risk event. Recent studies have reported perioperative pulmonary aspiration in pediatric practice to be an uncommon problem associated with low morbidity and mortality. This paper examines the recent publications in both the adult and pediatric literature and looks at some of the potential risk factors involved, both patient and anesthetic, in the development of aspiration of gastric contents. We also look at the risk of severe morbidity following pulmonary aspiration and speculate on possible reasons behind the assertion that pulmonary aspiration in pediatric anesthetic practice is rare and a low-risk event.Recent studies have reported perioperative pulmonary aspiration in pediatric practice to be an uncommon problem associated with low morbidity and mortality. This paper examines the recent publications in both the adult and pediatric literature and looks at some of the potential risk factors involved, both patient and anesthetic, in the development of aspiration of gastric contents. We also look at the risk of severe morbidity following pulmonary aspiration and speculate on possible reasons behind the assertion that pulmonary aspiration in pediatric anesthetic practice is rare and a low-risk event. Recent studies have reported perioperative pulmonary aspiration in pediatric practice to be an uncommon problem associated with low morbidity and mortality. This paper examines the recent publications in both the adult and pediatric literature and looks at some of the potential risk factors involved, both patient and anesthetic, in the development of aspiration of gastric contents. We also look at the risk of severe morbidity following pulmonary aspiration and speculate on possible reasons behind the assertion that pulmonary aspiration in pediatric anesthetic practice is rare and a low-risk event. Summary Recent studies have reported perioperative pulmonary aspiration in pediatric practice to be an uncommon problem associated with low morbidity and mortality. This paper examines the recent publications in both the adult and pediatric literature and looks at some of the potential risk factors involved, both patient and anesthetic, in the development of aspiration of gastric contents. We also look at the risk of severe morbidity following pulmonary aspiration and speculate on possible reasons behind the assertion that pulmonary aspiration in pediatric anesthetic practice is rare and a low-risk event. |
| Author | Kelly, Christopher J. Walker, Robert W. M. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25280003$$D View this record in MEDLINE/PubMed |
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| References_xml | – reference: Eriksson LI, Sundman E, Olsson R et al. Functional assessment of the larynx at rest and during swallowing in partially paralysed humans. Anesthesiology 1997; 87: 1035-1043. – reference: Kluger MT, Short TG. Aspiration during anaesthesia: a review of 133 cases from the Australian Anaesthetic Incident monitoring system (AIMS). Anaesthesia 1999; 54: 19-26. – reference: Salem MR, Josph NJ, Heyman HJ et al. Cricoid compression is effective in obliterating the esophageal lumen in the presence of a naso gastric tube. Anesthesiology 1985; 63: 443-446. – reference: Moore JG, Christian PE, Coleman RE. Gastric emptyingof varying meal weight and composition in man: evaluation of dual liquid and solid phase isotopic method. Dig Dis Sci 1981; 26: 16-22. – reference: Emerson BM, Wrigley SR, Newton M. Preoperative fasting in paediatric anaesthesia: a survey of common practice. Anaesthesia 1998; 53: 326-330. – reference: Simpson JY. Remarks on the alleged cause of death from the action of chloroform. Lancet 1848; 1: 175-176. – reference: Soreide E, Hausken T, Soreide JA et al. Gastric emptying of a light hospital breakfast: a study using real time ultrasonography. Acta Anaesthesiol Scand 1996; 40: 549-553. – reference: Wylie WD. The use of muscle relaxants at the induction of anaesthesia of patients with a full stomach. Br J Anaesth 1963; 35: 168-173. – reference: Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet 1961; 2: 404-406. – reference: Tounadre JP, Chassard D, Berrada K et al. Lower oesophageal sphincter pressure during application of cricoid pressure in healthy volunteers. Br J Anaesth 1996; 76: A50. – reference: Cotton BR, Smith G. The lower oesophageal sphincter and anaesthesia. Br J Anaesth 1984; 56: 37-57. – reference: Snow RG. 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Recent studies have reported perioperative pulmonary aspiration in pediatric practice to be an uncommon problem associated with low morbidity and... Recent studies have reported perioperative pulmonary aspiration in pediatric practice to be an uncommon problem associated with low morbidity and mortality.... Summary Recent studies have reported perioperative pulmonary aspiration in pediatric practice to be an uncommon problem associated with low morbidity and... |
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| SubjectTerms | adolescent Adult Aging - physiology Anesthesia - adverse effects Child complications general anesthesia Humans morbidity Pediatrics Perioperative Care Pneumonia, Aspiration - epidemiology Pneumonia, Aspiration - mortality respiratory Respiratory Aspiration of Gastric Contents - epidemiology Respiratory Aspiration of Gastric Contents - mortality Risk |
| Title | Perioperative pulmonary aspiration is infrequent and low risk in pediatric anesthetic practice |
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