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Hyperergic Aspiration Pneumonitis (Mendelson Syndrome)

https://doi.org/10.15360/1813-9779-2006-6-191-199

Abstract

This paper gives basic data on the problem of hyperergic aspiration pneumonitis (Mendelson’s syndrome) in obstetric anes-thesiological practice. It describes changes in the gastrointestinal tract during pregnancy and labor. The pathology and mechanisms of aspiration are considered. The existing preventive methods are analyzed in detail. The new regulations of preopera-tive preparation of patients for planned anesthesia at cesarean section are presented.

 

About the Author

Ye. M. Shifman
Republican Perinatal Center, Republic of Karelia, Petrozavodsk


References

1. Kluger M. T., Willemsen G. Antiaspiration prophylaxis in New Zealand; a national survey. Anaestesia and Intensive Care 1998; 26: 70—77.

2. Stamer U. M., Wieser R., Stu F. et al. Change in anaesthetic practice for Caesarean section in Germany. Acta Anaesthesiol. Scand. 2005; 49: 170—176.

3. Calthorpe N., Lewis M. Acid aspiration prophylaxis in labour: a survey of UK obstetric units. Int. J. Obstet. Anesth. 2005; 14: 300—304.

4. Bannister W. K., Sattilaro A. J. Vomiting and aspiration during anesthesia. Anesthesiology 1962; 23: 251—252.

5. Mendelson C. L. Aspiration of stomach contents into lungs during obstetric Anesthesia. Amer. J. Obstet. Gynec. 1946; 52: 191—205.

6. Hjortso E., Mondorf T. Does oral premedication increase the risk of gastric aspiration? Acta Anaesth. Scand. 1982; 26: 505—506.

7. Nimmo W. S. Effect of anaesthesia on gastric motility and emptying. Brit. J. Anaesth. 1984; 56: 29—37.

8. McCrady E. M., Macdonald A. G. Effect of the preoperative administration of water on gastric volume and pH. Brit. J. Anaesth. 1988; 60: 803—805.

9. Филиппович Г. В., Шифман Е. М. Тошнота и рвота при спинномозговой анестезии во время операции кесарева сечения: ондансетрон или метоклопрамид? Вестн. интенс. терапии 2004; 5: 176—177.

10. Cohen S. E. La prevention du syndrome de Mendelson. Cah. Anesth. 1983; 31: 43—46.

11. Heijke S. A. M., Smith G., Key A. The effect of the Trendelenburg position on lower oesophageal sphincter tone. Anaesthesia 1991; 46: 185—187.

12. Jones M. J., Mithell R. W., Hidocha N. Effect of increased intra-abdominal pressure during laparascopy on the lower esophagal sphincter. Anesth. Analg. 1989; 68: 63—65.

13. Sandhar B. K., Elliot R. H., Windram I. et al. Peripartum changes in gastric emptying. Anaesthesia 1992; 44: 196—198.

14. Clark R. S. Nausea and Vomiting. Brit. J. Anaesth. 1984; 56: 720—730.

15. Mushambi M. C., Rowbotham D. J., Bailey S. M. Gastric emptying after minor gynaecological surgery. Anaesthesia 1992; 47: 297—299.

16. Writer W. D. R. Phisiology of Placenta, Fetus and Neonate. / ed. Whitehead E. M., Smith M., Dean Y., O'Sullivan G. An evaluation of gastric emptying times in pregnancy and the puerperium. Anaesthesia 1993; 48: 53—57.

17. Зильбер А. П., Шифман Е. М. Акушерство глазами анестезиолога: Этюды критической медицины. 3. Петрозаводск: Изд-во ПетрГУ; 1997.

18. Kluger M. T., Short T. G. Aspiration during anaesthesia: a review of 133 cases from the Australian Anesthetic Incident Monitoring Study (AIMS). Anaesthesia 1999; 54: 19—26.

19. Salem M. R. Anesthetic management of patients with «a full stomach». Anesth. Analg. 1970; 49: 47—56.

20. Thorburn J., Moir D. D. Antacid therapy for emergency Caesarean section. Anaesthesia 1987; 42: 351—352.

21. Howells T. H., Chamney A. R., Wraight W. J. et al. The application of cricoid pressure. Anaesthesia 1983; 38: 457—460.

22. Sellick B. A. Cricoid pressure to prevent regurgitation of stomach contents during induction of anaesthesia. Lancet 1961; 2: 404—406.

23. Sellick B. A. Rupture of the oesophagus following cricoid pressure? (letter). Anaesthesia 1982; 37: 213—214.

24. Suga A., Tanaka M., Toyooka H. Effects of i. v. metoclopramide, atropine and their combination on gastric insufflation in children anaesthetized with sevoflurane and nitrous oxide. Paed. Anaesth. 2001; 11: 151—156.

25. Brock-Utne J. G., Dimopoulos G. E., Downing J. W. et al. Effect of metoclopramide given before atropine sulphate on lower oesophageal sphincter tone. S. Afr. Med. J. 1982; 27: 465—467.

26. Brock-Utne J. G., Rubin J., Downing J. W. et al. The administration of metoclopramide with atropine: a drug interaction effect on the gastrooesophageal sphincter in man. Anaesthesia 1976; 31: 1186—1190.

27. Brimacombe J. R., Berri A. M. Cricoid pressure. Can. J. Anaesth. 1997; 44: 414—425.

28. Wraight W. J., Chamney A. R., Howells T. H. The determination of an effective cricoid pressure. Anaesthesia 1983; 38: 461—466.

29. Vanner R. G., Pryle B. J. Nasogastric tubes and cricoid pressure (letter). Anaesthesia 1993; 48: 1112—1113.

30. Olsson G. L., Hallen B., Hambraeus-Jonzon K. Aspiration during anaesthesia. A computer aided study of 185 385 anaesthetics. Acta Anaesth. Scand. 1986; 30: 84—92.

31. Ralph S. J., Wacham C. A. Rupture of the oesophagus during cricoid pressure. Anaesthesia 1991; 46: 40—41.

32. Elkington K. W. At the water's edge: where obstetrics and anesthesia meet. Obstet. Gynecol. 1991; 77: 304—308.

33. Young P. J., Pakeerathan S., Blunt M. C. et al. A low-volume, low-pressure tracheal tube cuff reduces pulmonary aspiration. Crit. Care Med. 2006; 34: 632—639.

34. Andrews A. D., Brock-Utne J. G., Downing J. W. Protection against pulmonary acid aspiration with ranitidine. Anaesthesia 1982; 37: 22—25.

35. Alnutt M. F. Human factors in accidents. Brit. J. Anaesth. 1987; 59: 856—864.

36. American task force on preoperative fasting. Practice guidelines for preoperative fasting and the use of pharmacological agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. A report by the american task force on preoperative fasting. Anesthesiology 1999; 90: 896—905.

37. Sireide E., Erikson L. I., Hirlekar G. et al. Pre-operative fasting guidelines: an update. Acta Anaesth. Scand. 2005; 49: 1041—1047.

38. Sireide E., Strimskag K. E., Steen P. A. Statistical aspects in studies of preoperative fluid intake and gastric content. Acta Anaesth. Scand. 1995; 39: 738—743.

39. Brady M., Kinn S., Stuart P. Preoperative fasting for adults to prevent perioperative complications. In: Cochrane Database Syst. Rev. 2003; (4). Hoboken: John Wiley & Sons; 2003.

40. Ljungqvist O., Sireide E. Preoperative fasting. Br. J. Surg. 2003; 90: 400— 406.

41. Spies C. D., Breuer J. P., Wichmann M. et al. Preoperative fasting. An update. Anaesthesist 2003; 52: 1039—1045.

42. Soreide E., Hausken T., Soreide J. A. et al. Gastric emptying of a light hospital breakfast. A study using ultrasonography. Acta Anaesth. Scand. 1996; 40: 549—553.

43. Soreide E., Veel T., Holst-Larsen H. et al. The effects of chewing gum on gastric content рrior to induction of anesthesia. Anesth. Analg. 1995; 80: 985—989.

44. Brock-Utne J. G. Clear fluids, not breakfast, before surgery. Acta Anaesth. Scand. 1996; 40: 507—508.

45. Schumacher A., Vagts D. A., Noldge-Schomburg G. F. Smoking and preoperative fasting — are there evidence-based guidelines? Anaesthesiol. Reanim. 2003; 28: 88—96.

46. Scrutton M. J., Metcalfe G. A., Lowy C. et al. Eating in labour. A randomised controlled trial assessing the risks and benefits. Anaesthesia 1999; 54: 1017—1019.

47. Гайдуль К. В., Лещенко И. В., Муконин А. А. Аспирационная пневмония: некоторые аспекты этиологии, патогенеза, диагностики и проблемы рациональной антибактериальной терапии. Интенсивная терапия 2005; 3 (3): 169—175.


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For citations:


Shifman Ye.M. Hyperergic Aspiration Pneumonitis (Mendelson Syndrome). General Reanimatology. 2006;2(6):191-199. (In Russ.) https://doi.org/10.15360/1813-9779-2006-6-191-199

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ISSN 1813-9779 (Print)
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