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Anesthetic management and associated complications of peroral endoscopic myotomy: A case series

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  • معلومة اضافية
    • بيانات النشر:
      Baishideng Publishing Group
    • الموضوع:
      2018
    • Collection:
      Kobe University Repository (Kernel) / 神戸大学学術成果リポジトリ
    • نبذة مختصرة :
      AIM To investigate the anesthetic management of peroral endoscopic myotomy (POEM) and its associated complications. METHODS This study was a single-center, retrospective, observational study comprising a case series of all patients who underwent POEM in our hospital from April 2015 to November 2016. We collected data regarding patient characteristics, anesthetic methods, surgical factors, and complications using an electronic chart. RESULTS There were 86 patients who underwent POEM in our hospital during the study period. Preoperatively, patients were maintained on a low residue diet for 48 h prior to the procedure. They were fasted of solids for 24 h before surgery. There was one case of aspiration (1.2%). During POEM, patients were positioned supine with the upper abdomen covered by a clear drape so that pneumoperitoneum could be timeously identified. In three cases, the peak airway pressure exceeded 35 cmH(2)O during volume controlled ventilation with tidal volumes of 6-8 mL/kg and subsequent impairment of ventilation. These cases had been diagnosed with spastic esophageal disorders (SEDs) and the length of the muscular incision on the esophageal side was longer than normal. CONCLUSION In the anesthetic management of POEM, it is important to prevent aspiration during induction of anesthesia and to identify and treat complications associated with CO2 insufflation.
    • Relation:
      info:doi/10.4253/wjge.v10.i9.193
    • الدخول الالكتروني :
      http://www.lib.kobe-u.ac.jp/handle_kernel/90005281
      http://www.lib.kobe-u.ac.jp/repository/90005281.pdf
    • Rights:
      © The Author(s) 2018. This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
    • الرقم المعرف:
      edsbas.924A1853