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Crohn's disease-associated silent aspiration in the outpatient setting: Anesthesiologists beware
Journal article   Open access   Peer reviewed

Crohn's disease-associated silent aspiration in the outpatient setting: Anesthesiologists beware

Christopher Snell, Scott Coleman, Michele Van Hal, Farshad Rashidian, Gary Okum and Michael Stuart Green
Saudi journal of anaesthesia, v 12(2), pp 339-342
01 Jan 2018
PMID: 29628853
url
https://doi.org/10.4103/sja.sja_663_17View
Published, Version of Record (VoR)CC BY-NC-SA V4.0 Open
url
https://doi.org/10.4103/sja.SJA_663_17View
Published, Version of Record (VoR) Open

Abstract

Adult Case Report Crohn's disease respiratory aspiration of gastric contents respiratory distress syndrome
Every anesthesia provider fears aspiration of gastric contents during an anesthetic, and it may occur even in the absence of overt signs such as coughing or choking. Whether the aspiration is frank or silent, catastrophic and deleterious consequences may ensue. Therefore, familiarity with risk factors for silent aspiration is essential. Crohn's disease reportedly delays gastric emptying making these patients more susceptible to silent aspiration during surgery. Anesthesia providers must be cognizant of this risk and vigilant in the recognition to formulate a specific treatment plan preoperatively. We present a case of an ambulatory surgical patient with suspected silent aspiration undiagnosed by the anesthesia care team before induction of anesthesia.

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Web of Science research areas
Anesthesiology
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