title: Effectiveness of milrinone for cardiogenic shock due to massive pulmonary aspiration: a case report.
abstract: Pulmonary aspiration of gastric contents is one of the most frightening complications during anesthesia. Although pulmonary aspiration of gastric contents in general surgical patients is not common and resulting long-term morbidity and mortality are rare, severe hypoxemia and other sequelae of pulmonary aspiration continue to be reported. We report a case of massive aspiration of gastric contents during induction of general anesthesia, resulting in cardiac arrest due to severe pulmonary hypertension and myocardial infarction. Sustained cardiac arrest and shock that did not respond the conventional resuscitation was successfully treated using milrinone. The patient was discharged without complications in 20 days.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.
authors.forename: Jeong Heon
authors.initials: JH
authors.lastname: Park
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Min A
authors.initials: MA
authors.lastname: Kwon
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Dong Hee
authors.initials: DH
authors.lastname: Kim
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Seok-Kon
authors.initials: SK
authors.lastname: Kim
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Dae Geun
authors.initials: DG
authors.lastname: Jeon
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Jaegyok
authors.initials: J
authors.lastname: Song
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Seung Heon
authors.initials: SH
authors.lastname: Ji
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Gwan Woo
authors.initials: GW
authors.lastname: Lee
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Bong Jin
authors.initials: BJ
authors.lastname: Kang
keywords: Heart arrest; Milrinone; Respiratory aspiration of gastric contents; Resuscitation