Achalasia case detected during endoscopy application accompanied by anaesthesia
Yazarlar (5)
Prof. Dr. Recai DAĞLI
Kırşehir Ahi Evran Üniversitesi, Türkiye
Bolu Abant İzzet Baysal Üniversitesi, Türkiye
Kırşehir Ahi Evran Üniversitesi, Türkiye
Kırşehir Ahi Evran Üniversitesi, Türkiye
Doç. Dr. Zeynel Abidin ERBESLER
Kırşehir Ahi Evran Üniversitesi, Türkiye
| Makale Türü |
Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği,
araştırma notu, bilirkişi raporu ve benzeri)
(Uluslararası alan indekslerindeki dergilerde yayınlanan teknik not,
editöre mektup, tartışma, vaka takdimi ve özet türünden makale)
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| Dergi Adı | Przeglad Gastroenterologiczny | ||
| Dergi ISSN | 1895-5770 Wos Dergi Scopus Dergi | ||
| Dergi Tarandığı Indeksler | Pubmed | ||
| Makale Dili | İngilizce | Basım Tarihi | 01-2016 |
| Cilt / Sayı / Sayfa | 11 / 4 / 302–303 | DOI | 10.5114/pg.2016.61476 |
| Makale Linki | http://www.termedia.pl/doi/10.5114/pg.2016.61476 | ||
| Özet |
| Achalasia is an uncommon dysfunctional neuromuscular disease of the oesophagus. General anaesthesia might be required for its diagnosis and treatment. During the anaesthesia, complications such as oesophagus dilatation-perforation and tracheal aspiration in oesophagus content might be seen. In order to ensure the security of the respiratory tract, rapid intubation might be required [1]. When anaesthesia is required in endoscopy units for diagnosis, equipment and devices standardised for outpatient anaesthesia applications by American Society of Anaesthesiologists (ASA) should immediately be ready [2].A 41-year-old male patient, who applied to the Gastroenterology Polyclinic due to gastric complaints and had lymphadenopathy detected in his abdomen ultrasonography, was scheduled for conscious endoscopy. He was unable to tolerate the endoscopy which was applied following twelve-hour fasting, and he vomited. Endoscopy with anaesthesia was then planned, rescheduled with two weeks of strict liquid food diet and pineapple juice application. The patient was taken to the endoscopy unit following 24 h of fasting, and was monitored with ECG and pulse oximeter. Intubation was then planned. Anaesthesia induction was conducted with 50 mg of remifentanil and 100 mg of propofol. While O2 was provided with a mask, the intraoral and oropharyngeal area was filled with liquid. Despite rapid aspiration, the contents continuously flowed to intraoral area, and the patient’s saturation dropped. He was immediately intubated. In the meantime, the amount of aspired liquid content was 900 ml. Having reached normal levels of saturation and … |
| Anahtar Kelimeler |
BM Sürdürülebilir Kalkınma Amaçları
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