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Achalasia case detected during endoscopy application accompanied by anaesthesia      
Yazarlar (5)
Prof. Dr. Recai DAĞLI Prof. Dr. Recai DAĞLI
Kırşehir Ahi Evran Üniversitesi, Türkiye
Hakan Bayır
Abant İzzet Baysal Üniversitesi, Türkiye
Bilal Ergül
Kırıkkale Üniversitesi, Türkiye
Nazan Kocaoğlu
Doç. Dr. Zeynel Abidin ERBESLER Doç. Dr. Zeynel Abidin ERBESLER
Kırşehir Ahi Evran Üniversitesi, Türkiye
Devamını Göster
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
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü Diğer hakemli uluslararası dergilerde yayınlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı GASTROENTEROLOGY REVIEW-PRZEGLAD GASTROENTEROLOGICZNY
Dergi ISSN 1895-5770 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler EBSCO
Makale Dili İngilizce
Basım Tarihi 01-2016
Cilt No 11
Sayı 4
Sayfalar 302 / 303
Doi Numarası 10.5114/pg.2016.61476
Makale Linki http://www.termedia.pl/doi/10.5114/pg.2016.61476
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Achalasia case detected during endoscopy application accompanied by anaesthesia

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