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Chapter 51 - Emesis on Induction and Aspiration

from Section 5 - Hepatic and Gastrointestinal

Published online by Cambridge University Press:  03 August 2023

By
Jessica A. Lovich-Sapola  and
Michael Leeds
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 35-year-old male is scheduled for a left knee arthroscopy. He denies anything to eat or drink since midnight. He is an otherwise healthy ASA 1. Your plan is for a general anesthetic with a laryngeal mask airway (LMA). After the placement of the LMA the patient coughs and starts vomiting. What do you do? How will you treat the patient immediately? Do you secure the airway? Do you cancel the case? What medications will you give the patient? Does the patient need antibiotics? Steroids? Will you do a bronchial lavage?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 225 - 227
Publisher: Cambridge University Press
Print publication year: 2023

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References

Apfelbaum, JL, Agarkar, M, Connis, RT, et al. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. Anesthesiology 2017;126(3):376–93.Google Scholar
Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 1550–1.Google Scholar
Butterworth, JF, Mackey, DC, Wasnick, JD. Morgan & Mikhail’s Clinical Anesthesiology, 6th ed. New York: McGraw-Hill Education, 2018, pp. 276–81, 782–4.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, p. 1381.Google Scholar
Stoelting, RK, Dierdorf, SF. Anesthesia and Co-Existing Disease, 4th ed. Philadelphia: Churchill Livingstone, 2002, pp. 580–1.Google Scholar

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