METHODS: A 63-year-old female patient underwent triple arthrodesis on her ankle under GA using an SGA (I-gel® size 3). After surgery, she suffered from nausea and abdominal bloating. A chest radiograph revealed that a large amount of air in her stomach had caused gastric distention, which resulted in left hemidiaphragm elevation and atelectasis.
CONCLUSIONS: This case illustrates that the use of I-gel® in prolonged surgeries may result in malposition of the SGA and gastric insufflation and atelectasis.
一名63岁女性患者在GA下使用SGA(I-gel®3号)对脚踝进行了三次关节固定术。手术后,她患有恶心和腹胀。胸部X光片显示,她的胃中大量空气导致胃扩张,导致左半膈抬高和肺不张。
■此病例说明,在长时间手术中使用I-gel®可能会导致SGA错位以及胃吹气和肺不张。