Lai Po-Jung, Chen Fa-Chang, Ho Shung-Tai, Cherng Chen-Hwan, Liu Szu-Tzu, Hsu Che-Hao
Department of Anesthesiology, Tri-service General Hospital/National Defense Medical Center, Taipei, Taiwan, R.O.C.
Acta Anaesthesiol Taiwan. 2010 Jun;48(2):94-8. doi: 10.1016/S1875-4597(10)60021-5.
Intravenous anesthesia is commonly used during endoscopy. This approach greatly improves patient satisfaction with pain control. The risks of anesthesia are usually focused on the cardiopulmonary effects of anesthetics. The risk of pulmonary aspiration is often overlooked, unless there are other risk factors that may increase the incidence of pulmonary aspiration. Here, we report a patient with unexpected aspiration pneumonia after gastroscopy under intravenous anesthesia. We suggest that pulmonary aspiration should be taken into consideration as a risk associated with anesthesia for gastroscopy.
静脉麻醉在内镜检查中常用。这种方法极大地提高了患者对疼痛控制的满意度。麻醉风险通常集中在麻醉药对心肺的影响上。除非存在其他可能增加肺误吸发生率的危险因素，肺误吸的风险常常被忽视。在此，我们报告一例静脉麻醉下行胃镜检查后意外发生误吸性肺炎的患者。我们建议应将肺误吸视为胃镜检查麻醉相关的一种风险加以考虑。
