HISTORICAL AND EXPERIMENTAL STUDY OF ASPIRATION OF GASTRIC AND OESOPHAGEAL CONTENTS INTO THE LUNGS IN ANAESTHESIA
The history of aspiration of gastric contents into the lungs in anaesthesia is reviewed. In a clinical study 109 patients were given barium before operation. In 81 barium was given by mouth before operation; postoperative radiography demonstrated aspiration in two cases. In 16 patients barium was in...
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Published in | British journal of anaesthesia : BJA Vol. 38; no. 5; pp. 370 - 379 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
England
Elsevier Ltd
01.05.1966
Oxford University Press |
Subjects | |
Online Access | Get full text |
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Summary: | The history of aspiration of gastric contents into the lungs in anaesthesia is reviewed. In a clinical study 109 patients were given barium before operation. In 81 barium was given by mouth before operation; postoperative radiography demonstrated aspiration in two cases. In 16 patients barium was introduced directly into the stomach by tube before induction of anaesthesia; one patient aspirated barium. In 12 patients it was introduced directly into the stomach after induction in such a way as to avoid oesophageal pooling of contrast medium; one of this group inhaled. In three of these four cases the most probable time of aspiration was the anaesthetic recovery phase. The lateral or semiprone position should be assumed at the time of extubation, or immediately the anaesthetic is discontinued. There was evidence that fluid, either swallowed or regurgitated, may “pool” in the oesophagus and form a potential anaesthetic hazard. The overall incidence of aspiration was 4 per cent. |
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Bibliography: | ArticleID:38.5.370 istex:42443BD8786EF2C917D6D88EA385191CFB09C2CE ark:/67375/HXZ-6X7TGTQW-T ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0007-0912 1471-6771 |
DOI: | 10.1093/bja/38.5.370 |