Автор: Антипин Э.Э.
создано: 24.01.2010 15:17
А вот это интересно, надо же, удивили, именно об етом мы давно знаем и пытаемся втолковать: Peripartum general anasthesia without tracheal intubation: incidence of aspiration pneumonia T. Ezri 1 , P. Szmuk 2 , A. Stein 3 , S. Konichezky 4 , T. Hagai 5 and D. Geva 6 Head, Postanesthesia Care Unit, Staff Anesthesiologist, Head, Intensive Care Unit, Chairman, Department of Anesthesiology, Chairman, Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel, Assistant Professor, Department of Anesthesiology, The University of Texas Health Science Center, Houston Medical School, 6431 Fannin, MSB 5.020, Houston, TX 77030, USA Correspondence to P.Szmuk, Copyright Blackwell Science Ltd KEYWORDS Anasthesia: obstetric • Complications: aspiration • Intubation: tracheal ABSTRACT
This study estimated the incidence of pulmonary aspiration during general anasthesia for obstetric procedures performed in the peripartum period (Caesarean sections were not studied). The records of 1870 patients anasthetised without tracheal intubation were reviewed retrospectively. The diagnosis of aspiration was based on the anasthetist's written remarks and the postoperative course. Eighty per cent of patients received ketamine and a benzodiazepine, and the remaining 20% received methohexital or thiopental and fentanyl. No cricoid pressure or tracheal intubation was performed. A single case of mild aspiration was detected in a woman anasthetised with methohexital (an incidence of 0.053%). These results suggest that the risk of aspiration during general anasthesia without tracheal intubation, during and immediately after delivery, may not be higher in obstetric patients in the peripartum period, as has been reported previously.
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