title: Aspiration pneumonitis requiring intubation after procedural sedation and analgesia: a case report.
abstract: Emergency department (ED) procedural sedation and analgesia is widely and routinely performed; serious complications are rare. We describe the first reported case of aspiration during procedural sedation in the ED. Although our patient required endotracheal intubation and critical care admission, there was no adverse long-term outcome. Given that there were no apparent predisposing factors, we believe it is crucial for emergency physicians to routinely anticipate the possibility of such a complication during each sedation event.
authors.affiliation: Department of Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. kwcheung@dal.ca
authors.forename: Ka Wai
authors.initials: KW
authors.lastname: Cheung
authors.forename: Mary-Lynn
authors.initials: ML
authors.lastname: Watson
authors.forename: Simon
authors.initials: S
authors.lastname: Field
authors.forename: Samuel G
authors.initials: SG
authors.lastname: Campbell
mesh_terms: D000368:Aged; D000698:Analgesia; D016512:Ankle Injuries / Q000601:surgery*; D002985:Clinical Protocols; D016292:Procedural Sedation; D000075202:Contraindications; D004636:Emergency Service, Hospital; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal; D011014:Pneumonia / Q000209:etiology* / Q000628:therapy*; D013997:Time Factors