PDF(Pubmed)
Abstract：
BACKGROUND: Supraglottic airways (SGAs) are used during general anesthesia (GA) due to comfort. Certain complications are possible, such as gastric distension. The incidence of pulmonary aspiration of regurgitated gastric contents was found to be 0.02%. A difference in the incidence of gastric regurgitation was not identified between the use of SGAs and endotracheal intubation. We report a case of gastric distension and atelectasis in a patient in whom an I-gel® was used for GA.
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.
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.
摘要：
■由于舒适，在全身麻醉（GA）期间使用声门上气道（SGA）。某些并发症是可能的，如胃胀。发现反流的胃内容物肺吸入的发生率为0.02％。在使用SGA和气管插管之间，未发现胃返流发生率的差异。我们报告了一例使用I-gel®进行GA的患者的胃胀和肺不张。
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。
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。
