Pulmonary aspiration in a patient with “Thoracic Stomach”
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Pulmonary aspiration of gastric contents in the perioperative period is a rare, but potentially catastrophic complication. Anesthesiologists routinely identify risk factors for aspiration and take measures to reduce the incidence and severity of this complication. Pharmacological prophylaxis, NPO (nil per os, or nothing by mouth) guidelines and cricoid pressure (Selleck’s Maneuver) during induction have been utilized, although their application and efficacy are controversial. We report a case of pulmonary aspiration during the peri-operative period in a patient with a severe hiatal hernia...

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