Pulmonary scintigraphy for diagnosis of aspiration during intravenous propofol anaesthesia for colonoscopy.

Abstract:

:A specific technique for detection of pulmonary aspiration during the perioperative period is lacking. In this study, we developed a scintigraphic method for its diagnosis. Technetium 99m sulphur colloid was given orally 2 h before an i.v. infusion of propofol in patients undergoing elective colonoscopy. During the procedure, patients were spontaneously breathing 100% oxygen via a face mask. After recovery from anaesthesia, patients had a chest scinti-scan. As a control group, 10 healthy men were studied. The lung scan was considered positive if any tracer activity greater than background level was detected in the lung field. Among 96 patients studied, three patients had a positive chest scinti-scan. One of the three patients developed pneumonia while the other two remained asymptomatic. In none of the control asymptomatic group was tracer detected in the chest. We suggest that this technique is specific and can be used as a tool to assess the risk of pulmonary aspiration during different anaesthetic procedures.

journal_name

Br J Anaesth

authors

Rezaiguia-Delclaux S,Streich B,Bouleau D,Delchier JC,Dhonneur G,Meignan M,Duvaldestin P

doi

10.1093/bja/87.2.204

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

204-6

issue

2

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)37623-7

journal_volume

87

pub_type

临床试验,杂志文章
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    pub_type: 杂志文章,评审

    doi:10.1093/bja/aex141

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    pub_type: 杂志文章

    doi:10.1093/bja/56.12.1399

    authors: Ecoffey C,Desparmet J,Berdeaux A,Maury M,Giudicelli JF,Saint-Maurice C

    更新日期:1984-12-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/bja/57.10.949

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    更新日期:1985-10-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1093/bja/50.11.1109

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    更新日期:1978-11-01 00:00:00

  • Variations in the gliding characteristics of 10-ml plastic syringes used to locate the extradural space by "loss of resistance" techniques.

    abstract::The gliding characteristics were evaluated of 10-ml plastic syringes used to identify the extradural space by "loss of resistance" techniques. This was undertaken quantitatively, by measuring the force necessary to depress syringe plungers, and qualitatively, by examining travel characteristics in terms of the force a...

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    pub_type: 杂志文章

    doi:10.1093/bja/61.6.776

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    更新日期:1988-12-01 00:00:00

  • Evaluation of the physiological properties of ventilatory ratio in a computational cardiopulmonary model and its clinical application in an acute respiratory distress syndrome population.

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1093/bja/61.4.441

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    更新日期:1988-10-01 00:00:00

  • Laparoscopy: blood-gas values and minor sequelae associated with three techniques based on isoflurane.

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    更新日期:1987-02-01 00:00:00

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