Korean J Anesthesiol.  2005 Nov;49(5):744-747. 10.4097/kjae.2005.49.5.744.

Fiberoptic Bronchoscopic Treatment of Pulmonary Aspiration Occurring in a Child during Induction of Anesthesia: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. jhkim007@yumc.yonsei.ac.kr
  • 2Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Pulmonary aspiration of gastric contents is a very rare but one of the most feared complications of anesthesia. The risk factors are gastroesophageal reflux, previous aspiration, renal failure, difficult intubation and trauma. The incidence of aspiration during anesthesia of children has been reported to be more common than adults. This report describes the case of a 7-year-old female patient who had experienced pulmonary aspiration during induction of anesthesia. With fiberoptic brochoscopy, the aspirates in both bronchi were carefully suctioned, and the following chest X-ray and blood gas findings improved. She was transferred to the intensive care unit for respiratory support and showed no further problems.

Keyword

anesthetic complication; fiberoptic bronchoscopy; pulmonary aspiration

MeSH Terms

Adult
Anesthesia*
Bronchi
Child*
Female
Gastroesophageal Reflux
Humans
Incidence
Intensive Care Units
Intubation
Renal Insufficiency
Risk Factors
Suction
Thorax
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