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Gastric distension and atelectasis after using a supraglottic airway - A case report
- Source :
- Anesthesia and Pain Medicine, Vol 19, Iss 3, Pp 261-265 (2024)
- Publication Year :
- 2024
- Publisher :
- Korean Society of Anesthesiologists, 2024.
-
Abstract
- Background Supraglottic airways (SGAs) are used during general anesthesia (GA) due to comfort. Certain complications are possible, such as gastric distension. The incidence of pulmonary aspiration of regurgitated gastric contents was found to be 0.02%. A difference in the incidence of gastric regurgitation was not identified between the use of SGAs and endotracheal intubation. We report a case of gastric distension and atelectasis in a patient in whom an I-gel® was used for GA. Case A 63-year-old female patient underwent triple arthrodesis on her ankle under GA using an SGA (I-gel® size 3). After surgery, she suffered from nausea and abdominal bloating. A chest radiograph revealed that a large amount of air in her stomach had caused gastric distention, which resulted in left hemidiaphragm elevation and atelectasis. Conclusions This case illustrates that the use of I-gel® in prolonged surgeries may result in malposition of the SGA and gastric insufflation and atelectasis.
Details
- Language :
- English
- ISSN :
- 19755171 and 23837977
- Volume :
- 19
- Issue :
- 3
- Database :
- Directory of Open Access Journals
- Journal :
- Anesthesia and Pain Medicine
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.2cb299a5c4df45ba8063d19a13e37476
- Document Type :
- article
- Full Text :
- https://doi.org/10.17085/apm.23108