Korean Journal of Anesthesiology

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Case Report
Korean J Anesthesiol. 2008;55(3):376-379.
DOI: https://doi.org/10.4097/kjae.2008.55.3.376
Aspiration pneumonitis after a 10-hour fast in a patient who had undergone subtotal gastrectomy: A case report.
Tae Hyung Kang, Kun Moo Lee, Sang Eun Lee, Young Whan Kim, Se Hun Lim, Jeong Han Lee, Soon Ho Cheong, Young Kyun Choe, Young Jae Kim, Chee Mahn Shin
Department of Anesthesia and Pain Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. aneslkm@inje.ac.kr
Abstract
A patient who had previously undergone a subtotal gastrectomy was scheduled for removal of a brain tumor under general anesthesia. Anesthesia was induced with lidocaine and propofol with rocuronium for neuromuscular blockade. She had fasted for 10 hours, but after mask ventilation, she aspirated gastric juice and materials. The oral cavity was suctioned promptly and the trachea was intubated. Intraoperative high FiO2 and dopamine were administrated to maintain the oxygen saturation and blood pressure. She received postoperative ventilatory care in the intensive care unit for 2 weeks. An upper gastrointestinal series and fiber endoscopy were performed but she had no obstruction and reflux esophagitis except delayed passage of the contrast media. She had no risk factors for pulmonary aspiration. As in this case, patients with previous gastrointestinal surgery should be considered preoperative workup for GI motility or pathology, and adequate premedication.

Keywords :aspiration pneumonitis;fasting time;subtotal gastrectomy

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