alexa Airway Protection during Anesthesia for Esophagogastroduodendoscopy in Patients with Achalasia | OMICS International | Abstract
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
Open Access

Like us on:

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Airway Protection during Anesthesia for Esophagogastroduodendoscopy in Patients with Achalasia

Department of Anesthesia, Georgetown University Hospital, 3800 Reservoir Road, NW, Washington DC, 20007, USA
*Corresponding author: Dr. Medhat Hannallah, MD, FFARCS
Department of Anesthesia, Georgetown University Hospital
3800 Reservoir Road, NW, Washington DC, 20007, USA
Tel: 202-444-8556
Fax: 202-444-8854
E-mail: [email protected]
Received August 22, 2011; Accepted September 17, 2011; Published September 23, 2011
Citation: Hannallah M (2011) Airway Protection during Anesthesia for Esophagogastroduodendoscopy in Patients with Achalasia. J Anesthe Clinic Res S3:001. doi:10.4172/2155-6148.S3-001
Copyright: © 2011 Hannallah M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Achalasia is a disorder characterized by aperistalsis of the esophageal body and impaired relaxation of the lower esophageal sphincter. Dysphagia and regurgitation of undigested, retained food or accumulated saliva are common presenting symptoms. Recurrent aspiration pneumonia may also occur particularly in older patients [1]. Patients with achalasia are clearly at a high risk for aspiration during general anesthesia. The rapidsequence induction technique with endotracheal intubation and cricoid pressure is, therefore, indicated [2]. This is a report of two patients with achalasia who underwent esophagogastroduodenoscopy (EGD) during general anesthesia which was induced using the rapid-sequence induction technique. The cases illustrate the limitations of the airway protection that this technique offers such high risk patients. The first patient was a 69-yr-old man, ASA physical status III, 120 kg, 175 cm, with a Mallampati class III airway. He was admitted for an EGD for evaluation of dysphagia. Recent radiographs were suggestive of achalasia. Rapid-sequence induction of general anesthesia using propofol and succinyl choline with cricoid pressure was performed with the patient in the supine, head-up position. Some difficulty in visualizing an anteriorly placed larynx was felt to be exaggerated by the cricoid pressure. Gradual release of the cricoid pressure to improve visualization of the larynx was immediately followed by regurgitation of milky fluid from the esophagus into the mouth. Immediate suctioning of the regurgitant fluid was followed by successful endotracheal intubation. The trachea was suctioned and was found to be clear of fluids prior to applying positive pressure ventilation. No evidence of aspiration was found following the procedure.

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7