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[Prevention of regurgitation and aspiration during emergency care of patients under general anesthesia].
- Source :
-
Anesteziologiia i reanimatologiia [Anesteziol Reanimatol] 2008 Jul-Aug (4), pp. 8-12. - Publication Year :
- 2008
-
Abstract
- This study has provided new data on methods for preventing regurgitation and aspiration under general anesthesia, by using parenteral and enteral antacids as premedication in urgent surgery. There is evidence that with 60-minute delay in starting surgery, omeprazole, 40 mg, has the highest alkalizing effect. Second- and third-generation H2-blockers have a persistent and good antacid effect. In emergencies, 30 ml of 3% sodium citrate solution show a rapid and effective antacid effect, which eliminates or drastically reduces the likelihood of aspiration pulmonitis even in case of regurgitation and aspiration of the gastric contents. Based on the findings, the authors have developed a patient preparation protocol for general anesthesia in urgent surgery as the standard for the practical use in general anesthesiology.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Anesthesia, General adverse effects
Antacids administration & dosage
Female
Gastric Acidity Determination
Humans
Hydrogen-Ion Concentration
Male
Middle Aged
Treatment Outcome
Anesthesia, General methods
Antacids therapeutic use
Emergency Medical Services methods
Emergency Medical Services standards
Gastroesophageal Reflux prevention & control
Preanesthetic Medication methods
Preanesthetic Medication standards
Respiratory Aspiration prevention & control
Subjects
Details
- Language :
- Russian
- ISSN :
- 0201-7563
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Anesteziologiia i reanimatologiia
- Publication Type :
- Academic Journal
- Accession number :
- 18819388