Document Detail

Aerophagia and anesthesia: an unusual cause of ventilatory insufficiency in a neonate.
MedLine Citation:
PMID:  16176321     Owner:  NLM     Status:  MEDLINE    
We describe a healthy neonate with abdominal distention, inadequate ventilation, and delayed extubation during anesthesia for minor surgery. Following rectal decompression and successful extubation, extreme abdominal distention recurred postoperatively after ingestion of clear fluids. We elicited a history of frequent and excessive flatus from the parents, and abdominal radiography revealed distended loops of small bowel with small lung volumes suggestive of aerophagia. The differential diagnosis of aerophagia is reviewed, the anesthetic implications discussed, and relevant literature pertaining to this condition summarized.
Kirk Lalwani
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  15     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-22     Completed Date:  2005-12-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  897-9     Citation Subset:  IM    
Department of Anesthesiology, Oregon Health and Science University, Portland, OR 97239, USA.
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MeSH Terms
Aerophagy / complications*,  diagnosis,  radiography
Anesthesia, General / adverse effects*
Flatulence / etiology*
Infant, Newborn
Lower Body Negative Pressure
Respiratory Insufficiency / etiology*

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