Peripartum general anaesthesia without tracheal intubation: incidence of aspiration pneumonia

Citation
T. Ezri et al., Peripartum general anaesthesia without tracheal intubation: incidence of aspiration pneumonia, ANAESTHESIA, 55(5), 2000, pp. 421-426
Citations number
27
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Journal title
ANAESTHESIA
ISSN journal
00032409 → ACNP
Volume
55
Issue
5
Year of publication
2000
Pages
421 - 426
Database
ISI
SICI code
0003-2409(200005)55:5<421:PGAWTI>2.0.ZU;2-I
Abstract
This study estimated the incidence of pulmonary aspiration during general a naesthesia for obstetric procedures performed in the peripartum period (Cae sarean sections were not studied). The records of 1870 patients anaesthetis ed without tracheal intubation were reviewed retrospectively. The diagnosis of aspiration was based on the anaesthetist's written remarks and the post operative course. Eighty per cent of patients received ketamine and a benzo diazepine, and the remaining 20% received methohexital or thiopental and fe ntanyl. No cricoid pressure or tracheal intubation was performed. A single case of mild aspiration was detected in a woman anaesthetised with methohex ital (an incidence of 0.053%). These results suggest that the risk of aspir ation during general anaesthesia without tracheal intubation, during and im mediately after delivery, may not be higher in obstetric patients in the pe ripartum period, as has been reported previously.