title: Emergency extracorporeal membrane oxygenation to treat massive aspiration during anaesthesia induction. A case report.
abstract: Since first described in 1946 by Mendelson, aspiration of gastric content resulting in severe pulmonary complications is a known hazard of general anaesthesia. We report on a case of massive aspiration of gastric content during induction of general anaesthesia, resulting in severe prolonged hypoxaemia with cardiac arrest, followed by rapid onset of an acute respiratory distress syndrome (ARDS) associated with severe global respiratory insufficiency and severe hypoxia. ARDS was successfully treated using emergency extracorporeal membrane oxygenation within 3 h after the incident.
authors.affiliation: Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany.
authors.forename: W A
authors.initials: WA
authors.lastname: Wetsch
authors.forename: F A
authors.initials: FA
authors.lastname: Spöhr
authors.forename: J
authors.initials: J
authors.lastname: Hinkelbein
authors.forename: S A
authors.initials: SA
authors.lastname: Padosch
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D001919:Bradycardia / Q000209:etiology / Q000628:therapy; D002395:Catecholamines / Q000627:therapeutic use; D003422:Critical Care; D004632:Emergency Medical Services; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007036:Hypothermia, Induced; D000860:Hypoxia / Q000628:therapy; D007442:Intubation, Intratracheal; D008297:Male; D010100:Oxygen / Q000097:blood; D010751:Phosphopyruvate Hydratase / Q000097:blood; D011680:Pupil / Q000502:physiology; D053120:Respiratory Aspiration / Q000150:complications / Q000628:therapy*; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D014947:Wounds and Injuries / Q000601:surgery
chemical_list: D002395:Catecholamines; D010751:Phosphopyruvate Hydratase; D010100:Oxygen