Should Mendelson's syndrome be renamed?

Shingu, Koh

doi:10.1046/j.1365-2044.2001.01976-47.x

Cited by 10 publications

(5 citation statements)

References 11 publications

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“…Perioperative aspiration of gastric content is a rare but serious anesthetic-related complication which may result in significant morbidity and mortality [1]. Since its recognition back in the 1930s [2], significant measures have been introduce to minimize this complication such as adequate fasting, rapid-sequence induction and the use cuffed tracheal tubes [3]. Supraglottic airway devices (SADs) is now used for procedures requiring positive pressure ventilation that would have been previously managed with an endotracheal tube.…”

Section: Introductionmentioning

confidence: 99%

Comparison of gastric insufflation using LMA-supreme and I-gel versus tracheal intubation in laparoscopic gynecological surgery by ultrasound: a randomized observational trial

Fang

et al. 2020

BMC Anesthesiol

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Background: The application of bedside ultrasound to evaluate gastric content and volume can assist in determining aspiration risk. Applying positive pressure ventilation via supraglottic airway devices (SAD) can result in a degree of gastric insufflation. This study assessed and compared the antral cross-sectional area (CSA) in patients undergoing laparoscopic gynecological surgery when managed with different SAD. Methods: One hundred American Society of Anesthesiologists I or II female patients were assessed for inclusion in this study and divided into three groups of different ventilation devices. Patients were randomly allocated into three groups to receive LMA-Supreme (Group S), I-gel (Group I) or tracheal tube (Group T). The primary outcome was the antral cross-sectional area and secondary outcomes included haemodynamic parameters and postoperative morbidity such as sore throat, hoarseness, dry throat, nausea and vomiting. Results: The antral CSA was not significantly different among three groups before induction (P = 0.451), after induction (P = 0.456) and at the end of surgery (P = 0.195). The haemodynamic variables were significantly higher in the tracheal tube group than in the LMA-Supreme and I-gel groups after insertion (P < 0.0001) and after removal (P < 0.01). Sore throat was detected in none in the I-gel group compare to two patients (6.7%) in the LMA-Supreme group and fifteen patients (50%) in the tracheal tube group. Hoareness was detected in one (3.3%) in the I-gel group compare to two patients (6.7%) in the LMA-Supreme group and eleven patients (36.7%) in the tracheal tube group. Conclusions: The SADs do not cause obvious gastric insufflation. Thus, LMA-Supreme and I-gel can be widely used as alternative to endotracheal intubation for the short laparoscopic gynecological surgery. Trial registration: This trial was registered at the Chinese Clinical Trial Registry (ChiCTR1800018212, data of registration, September 2018).

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Section: Introductionmentioning

confidence: 99%

Comparison of gastric insufflation using LMA-supreme and I-gel versus tracheal intubation in laparoscopic gynecological surgery by ultrasound: a randomized observational trial

Fang

et al. 2020

BMC Anesthesiol

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“…Since the danger of pulmonary aspiration was recognized in the 1930s in obstetric anaesthesia, 1 and Mendelson established its aetiology in 1946, 2 efforts have been made to reduce its incidence: fasting before anaesthesia, prophylactic medication (such as antacids or H 2 antagonists), rapidsequence induction of anaesthesia with application of cricoid pressure, and the use of a cuffed tracheal tube.…”

mentioning

confidence: 99%

Editorial II: Who is at increased risk of pulmonary aspiration?

Asai

2004

British Journal of Anaesthesia

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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 boxes representing minimum testing and red boxes representing over-testing. Clinicians may wish to clarify the local level view on amber tests. The Guideline could be used to develop audits aiming at identifying pockets of residual extreme over-or under-testing, at local or national level. Other guidance from the NHS Modernisation Agency 14 on how the preoperative process should be organized and how testing fits in, is at www.modern.nhs.uk/theatreprogramme.

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“…The danger of pulmonary aspiration during general anesthesia was recognized in the 1930s, mainly by obstetric surgeons [20]. Since then, much effort has been made to minimize aspiration.…”

Section: Aspiration Pneumonia (Asai)mentioning

confidence: 99%

Perioperative respiratory complications: current evidence and strategy discussed in 2017 JA symposium

et al. 2017

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Respiratory management during general anesthesia aims to safely secure the airway and maintain adequate ventilation to deliver oxygen to the vital organs, maintaining homeostasis even during surgery. Despite its clinical importance, anesthesiologists often encounter difficulties in properly managing respiration during the perioperative period, leading to severe respiratory complications. In this year's JA symposium, 5 editorial board members of Journal of Anesthesia (JA) who are experts in the field of respiratory management in anesthesia discussed the following topics: quitting smoking before surgery: exposure to passive smoke is damaging to children, ventilator-associated pneumonia, high inspiratory oxygen concentration and lung injury, aspiration pneumonia, and postoperative respiratory management strategy in patients with obstructive sleep apnea. We hope that this special article regarding this year's JA symposium may be useful for JA readers to manage clinical anesthesia on a daily basis.

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Should Mendelson's syndrome be renamed?

Cited by 10 publications

References 11 publications

Comparison of gastric insufflation using LMA-supreme and I-gel versus tracheal intubation in laparoscopic gynecological surgery by ultrasound: a randomized observational trial

Comparison of gastric insufflation using LMA-supreme and I-gel versus tracheal intubation in laparoscopic gynecological surgery by ultrasound: a randomized observational trial

Editorial II: Who is at increased risk of pulmonary aspiration?

Perioperative respiratory complications: current evidence and strategy discussed in 2017 JA symposium

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