title: Acute Intraoperative Pulmonary Aspiration.
abstract: Acute intraoperative aspiration is a potentially fatal complication with significant associated morbidity. Patients undergoing thoracic surgery are at increased risk for anesthesia-related aspiration, largely due to the predisposing conditions associated with this complication. Awareness of the risk factors, predisposing conditions, maneuvers to decrease risk, and immediate management options by the thoracic surgeon and the anesthesia team is imperative to reducing risk and optimizing patient outcomes associated with acute intraoperative pulmonary aspiration. Based on the root-cause analyses that many of the aspiration events can be traced back to provider factors, having an experienced anesthesiologist present for high-risk cases is also critical.
authors.affiliation: Division of Thoracic and Foregut Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, 5200 Centre Avenue, Suite 715, Shadyside Medical Building, Pittsburgh, PA 15232, USA. Electronic address: nasonks@upmc.edu.
authors.forename: Katie S
authors.initials: KS
authors.lastname: Nason
mesh_terms: D000208:Acute Disease; D000768:Anesthesia, General / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications; D009017:Morbidity; D056888:Patient Positioning / Q000379:methods; D011015:Pneumonia, Aspiration / Q000209:etiology* / Q000628:therapy; D012307:Risk Factors
keywords: Anesthesia; Aspiration; Intraoperative complications; Intratracheal; Pneumonia; Prevention and control; Respiratory aspiration of gastric contents