title: Gastric rupture after bag-mask-ventilation.
abstract: A 42 year old woman underwent bronchoscopy with procedural propofol sedation. During the procedure, the patient suffered respiratory arrest, and bag-mask ventilation was initiated. During forced mask ventilation, abdominal distention occurred. Even after correct placement of an endotracheal and a nasogastric tube, high inspiratory pressures persisted. The abdominal CT scan revealed a high amount of intraperitoneal free air. An emergent laparotomy confirmed a stomach rupture. Immediately after opening of the peritoneal cavity, peak ventilatory pressures decreased. In this case forceful bag-mask ventilation led to air insufflation into the stomach, increasing gastric pressure, and consecutive stomach rupture.
authors.affiliation: Departement of Anesthesiology, Cantonal Hospital St. Gallen, Rorschacher Strasse 95, 9007 St. Gallen, Switzerland.
authors.forename: Stephan
authors.initials: S
authors.lastname: Bednarz
authors.affiliation: Departement of Anesthesiology, Cantonal Hospital St. Gallen, Rorschacher Strasse 95, 9007 St. Gallen, Switzerland.
authors.forename: Miodrag
authors.initials: M
authors.lastname: Filipovic
authors.affiliation: Departement of Pneumology, Cantonal Hospital St. Gallen, Rorschacher Strasse 95, 9007 St. Gallen, Switzerland.
authors.forename: Otto
authors.initials: O
authors.lastname: Schoch
authors.affiliation: Departement of Anesthesiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.
authors.forename: Eckhard
authors.initials: E
authors.lastname: Mauermann
keywords: Artificial; Pneumoperitoneum