Intubation bei Aspirationsrisiko

  • Georg Laux
Living reference work entry
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Patienten mit erhöhtem Aspirationsrisiko stellen eine besondere Herausforderung bei der Intubation und Extubation dar. Das praktische Vorgehen wird in diesem Kapitel ebenso dargestellt wie die Risiken und Therapieoptionen nach Aspiration.

Supplementary material

Video 1

Die Rapid Sequence Induction (WMV 8801 kb)

Literatur

  1. 1.
    Di Filippo A, Gonnelli C (2009) Rapid sequence intubation: a review of recent evidences. Rev Recent Clin Trials 4(3):175–178CrossRefPubMedGoogle Scholar
  2. 2.
    Leon A de, Thörn SE, Ottosson J, Wattwil M. Body positions and esophageal sphincter pressures in obese patients during anesthesia. Acta Anaesthesiol Scand. 2010;54(4):458-463. https://doi.org/10.1111/j.1399-6576.2009.02158.x. Epub 2009 Nov 12
  3. 3.
    Takenaka I, Aoyama K, Iwagaki T (2012) Combining head-neck position and head-down tilt to prevent pulmonary aspiration of gastric contents during induction of anaesthesia: a volunteer and manikin study. Eur J Anaesthesiol 29(8):380–385.  https://doi.org/10.1097/EJA.0b013e328354a51aCrossRefPubMedGoogle Scholar
  4. 4.
    Sparr HJ, Jöhr M (2002) Succinylcholine – update. Anaesthesist 51(7):565–575CrossRefPubMedGoogle Scholar
  5. 5.
    Tran DT, Newton EK, Mount VA, Lee JS, Wells GA, Perry JJ (2015) Rocuronium versus succinylcholine for rapid sequence induction intubation. Cochrane Database Syst Rev (10):CD002788. https://doi.org/10.1002/14651858. CD002788.pub3
  6. 6.
    Casarotti P, Mendola C, Cammarota G, Della Corte F (2014) High-dose rocuronium for rapid-sequence induction and reversal with sugammadex in two myasthenic patients. Acta Anaesthesiol Scand 58(9):1154–1158. https://doi.org/10.1111/aas.12391. Epub 2014 Sep 3CrossRefPubMedGoogle Scholar
  7. 7.
    Sellick BA (1961) Krikoid pressure to control regurgitation of stomach contents during induction of anesthesia. Lancet II:404CrossRefGoogle Scholar
  8. 8.
    Landsmann I (2004) Cricoid pressure: indications and complications. Paediatr Anaesth 14:43–47CrossRefGoogle Scholar
  9. 9.
    Rice MJ, Mancuso AA, Gibbs C, Morey TE, Gravenstein N, Deitte LA (2009) Cricoid pressure results in compression of the postcricoid hypopharynx: the esophageal position is irrelevant. Anesth Analg 109(5):1546–1552.  https://doi.org/10.1213/ane.0b013e3181b05404CrossRefPubMedGoogle Scholar
  10. 10.
    Algie CM, Mahar RK, Tan HB, Wilson G, Mahar PD, Wasiak J (2015) Effectiveness and risks of cricoid pressure during rapid sequence induction for endotracheal intubation. Cochrane Database Syst Rev (11):CD011656. https://doi.org/10.1002/14651858. CD011656.pub2
  11. 11.
    Takenaka I, Aoyama K (2016) Prevention of aspiration of gastric contents during attempt in tracheal intubation in the semi-lateral and lateral positions. World J Emerg Med 7(4):285–289CrossRefPubMedCentralPubMedGoogle Scholar
  12. 12.
    Beck-Schimmer B, Bonvini JM (2011) Bronchoaspiration: incidence, consequences and management. Eur J Anaesthesiol 28(2):78–84.  https://doi.org/10.1097/EJA.0b013e32834205a8CrossRefPubMedGoogle Scholar
  13. 13.
    Klanarong S, Suksompong S, Hintong T, Chau-In W, Jantorn P, Werawatganon T (2011) Perioperative pulmonary aspiration: an analysis of 28 reports from the Thai Anesthesia Incident Monitoring Study (Thai AIMS). J Med Assoc Thail 94(4):457–464Google Scholar

Copyright information

© © Springer-Verlag GmbH Deutschland 2018

Authors and Affiliations

  • Georg Laux
    • 1
  1. 1.Departement für AnästhesieKantonsspital Baselland, Standord LiestalLiestalSchweiz

Section editors and affiliations

  • Rolf Rossaint
    • 1
  1. 1.Klinik für operative Intensivmedizin und Intermediate CareUniversitätsklinikum AachenAachenDeutschland

Personalised recommendations