2004
DOI: 10.1093/bja/aeh234
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Editorial II: Who is at increased risk of pulmonary aspiration?

Abstract: This first national Guideline summarizes the knowledge that is available now and provides a framework for future improvement. Anaesthesia and surgery departments should ensure that the pocket version features in every induction of new junior staff. Clinicians at the local level may also decide to use the NICE Guideline for wider purposes than supporting individual doctors' preoperative testing decisions. The Guideline can form the basis of local guidance on preoperative testing, which may need updating, green … Show more

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Cited by 90 publications
(56 citation statements)
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“…In the accompanying comments, the latter technique was related to the use of short acting anaesthetic drugs and many considered this level of anaesthesia at extubation rather similar to the awake category. A recent editorial by Asai [19] highlighted the importance of removing supraglottic airways only after the patient spontaneously regained consciousness to avoid vomiting and pulmonary aspiration. Similarly, at tracheal extubation, it is equally important not to precipitate airway irritation as this could provoke vomiting, laryngeal spasm and aspiration of stomach contents.…”
Section: Discussionmentioning
confidence: 99%
“…In the accompanying comments, the latter technique was related to the use of short acting anaesthetic drugs and many considered this level of anaesthesia at extubation rather similar to the awake category. A recent editorial by Asai [19] highlighted the importance of removing supraglottic airways only after the patient spontaneously regained consciousness to avoid vomiting and pulmonary aspiration. Similarly, at tracheal extubation, it is equally important not to precipitate airway irritation as this could provoke vomiting, laryngeal spasm and aspiration of stomach contents.…”
Section: Discussionmentioning
confidence: 99%
“…Not surprisingly, pulmonary aspiration is a key factor when considering the role of supraglottic airway devices [19]. There is little evidence evaluating the risks of pulmonary aspiration with an LMA compared with tracheal intubation during mechanical ventilation.…”
mentioning
confidence: 99%
“…However, our audit group is small and limited. Asai stated that four major factors can theoretically predispose patients to the risk of pulmonary aspiration: patient factors, procedure factors, anaesthesia factors, and device factors [14]. We suggest that a different study is necessary to evaluate whether a higher airway leak pressure reduces gastric distension or protects against pulmonary aspiration.…”
Section: Discussionmentioning
confidence: 94%