1992
DOI: 10.1007/bf03008711
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Gastroesophageal reflux during anaesthesia

Abstract: tionnels ne suffisent pas toujours pour pr~dire quels patients sont en danger de rdgurgitation et d'aspiration.

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Cited by 60 publications
(38 citation statements)
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“…There is evidence that most episodes of gastroesophageal reflux during anesthesia occur from and during bucking. 20,21 In addition, there is evidence from cadavers that the correctly placed LMA tip can prevent liquid flow between the esophagus and pharynx. 2 2 Expansion of the cuff secondary to diffusion of nitrous oxide does not cause displacement of the cuff from the hypopharynx.…”
Section: Discussionmentioning
confidence: 99%
“…There is evidence that most episodes of gastroesophageal reflux during anesthesia occur from and during bucking. 20,21 In addition, there is evidence from cadavers that the correctly placed LMA tip can prevent liquid flow between the esophagus and pharynx. 2 2 Expansion of the cuff secondary to diffusion of nitrous oxide does not cause displacement of the cuff from the hypopharynx.…”
Section: Discussionmentioning
confidence: 99%
“…The low relationship between humans with GER and obesity was proven in a study (n = 44) in which seven obese patients were anesthetized and only one developed GER. GER did, however, develop in five out of 37 non-obese patients (Illing et al ., 1992). Even though obesity itself has no influence in the presentation of GER, it does create an intra-abdominal condition that favors reflux when the gastroesophageal barrier is weakened (Zacchi, 1991).…”
Section: Influence Of Breed Body Condition and Age On Ger During Anmentioning
confidence: 99%
“…For obese patients undergoing elective interventions, this concept has recently been challenged (39,40). Although the actual incidence of clinically significant aspiration in this patient population is difficult to determine, and it is probably quite low, management of a difficult airway contributes to its occurrence (10,41). Positioning severely obese patients in 45°or 30°reverse Trendelenburg may aid in the prevention of gastroesophageal reflux and, thus, aspiration by alleviating increased intra-abdominal pressure (31,32).…”
Section: Intraoperative Patient Managementmentioning
confidence: 99%