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- Title
Crohn’s disease‑associated silent aspiration in the outpatient setting: Anesthesiologists beware.
- Authors
SNELL, CHRISTOPHER; COLEMAN, SCOTT; VAN HAL, MICHELE; RASHIDIAN, FARSHAD; OKUM, GARY; GREEN, MICHAEL STUART
- Abstract
Every anesthesia provider fears aspiration of gastric contents during an anesthetic, and it may occur even in the absence of overt signs such as coughing or choking. Whether the aspiration is frank or silent, catastrophic and deleterious consequences may ensue. Therefore, familiarity with risk factors for silent aspiration is essential. Crohn’s disease reportedly delays gastric emptying making these patients more susceptible to silent aspiration during surgery. Anesthesia providers must be cognizant of this risk and vigilant in the recognition to formulate a specific treatment plan preoperatively. We present a case of an ambulatory surgical patient with suspected silent aspiration undiagnosed by the anesthesia care team before induction of anesthesia.
- Subjects
CROHN'S disease; RESPIRATORY distress syndrome; GASTRIC diseases; ANESTHESIOLOGISTS; PREOPERATIVE care
- Publication
Saudi Journal of Anaesthesia, 2018, Vol 12, Issue 2, p339
- ISSN
1658-354X
- Publication type
Case Study
- DOI
10.4103/sja.SJA_663_17