Yundo Jung, Sungyeon Jung, Seungcheol Yu, Mi Ae Jeong, Cho Long Kim
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引用次数: 0
摘要
背景：声门上气道（SGA）因其舒适性而在全身麻醉（GA）期间使用。但也可能出现某些并发症，如胃胀气。研究发现，反流胃内容物的肺吸入发生率为 0.02%。在使用 SGA 和气管插管之间并未发现胃内容物反流发生率的差异。我们报告了一例使用 I-gel® 进行 GA 的患者出现胃胀气和气胸的病例：一名 63 岁的女性患者在使用 SGA（I-gel® 3 号）进行 GA 的情况下接受了踝关节三关节切除术。术后，她感到恶心和腹胀。胸片显示，胃内大量空气造成胃胀气，导致左侧半膈抬高和肺不张：本病例说明，在长时间手术中使用 I-gel® 可能会导致 SGA 位置不正、胃胀气和肺不张。
Gastric distension and atelectasis after using a supraglottic airway - A case report.
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.
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