Cimetidine in the prevention of the pulmonary acid aspiration (Mendelson's) syndrome.
نویسندگان
چکیده
Cimetidine 200 mg was given i.v. 1 h before induction of anaesthesia to 20 patients about to undergo emergency surgery. There was an increase in pH of gastric aspirate in all patients (P less than 0.001) and in 80% pH was greater than 2.5 units at the time of induction of anaesthesia. The pH of gastric aspirate continued to increase after induction of anaesthesia and was greater than 4 units in all patients at the time of tracheal extubation and in the early recovery period.
منابع مشابه
Acid Aspiration Syndrome
Sir,—I have just re-read the paper by Hester and Heath (1977) and realize that they have misquoted our work (Hutchinson and Newson, 1975). They state that mortality from pulmonary acid aspiration syndrome in all hospitals in Auckland between 1967 and 1969 was 1 in 11 000 of nonobstetric patients. In fact, 1 in 11 000 was the frequency of severe pulmonary acid aspiration syndrome in all operativ...
متن کاملIntramuscular cimeti- dine and ranitidine as prophylaxis against gastric aspiration
Preoperative cimetidine 300 mg or ranitidh~e in 50 and 100 mg doses were administered intramuscularly to 120 patients in a randomized double-blind study. The volume and pH of gastric aspirate samples obtained after tracheal intubation and before extabation were measured. The pH of gastric aspirate was higher Jbllowing ranitidine 100 mg than ranitidine 50 mg or cimetidine 300 mg at both intubati...
متن کاملAnaesthesia for Obstetric Emergencies
Shnider, S. M. (1970b). Emergency Cesarean section; in Obstetrical Anesthesia (ed. Shnider, S. M.). Baltimore: William* and Watkins. de Lorimer, A. A., Holl, J. W., Chapfcr, F. K., and Morishima, H. O. (1968). Vasopressors in obstetrics: I. Amer. J. Obstet. Gynec, 102, 911. Taylor, G., and Pryse-Davies, J. (1966). Prophylactic use of antacid in the prevention of the acidpulmonary aspiration syn...
متن کاملMendelson's Syndrome
In 1946 Curtis Lester Mendelson wrote an article entitled "The aspiration of stomach contents into the lungs during obstetric anaesthesia", in the American Journal of Obstetrics and Gynaecology. [1]The finding of 66 cases out of 43,000 pregnancies equates to an incidence of about 1 in 660 pregnancies. [2]Today the incidence is much lower but it still represents the most common cause of maternal...
متن کاملMendelson's Syndrome
In 1946 Curtis Lester Mendelson wrote an article entitled "The aspiration of stomach contents into the lungs during obstetric anaesthesia", in the American Journal of Obstetrics and Gynaecology. [1]The finding of 66 cases out of 43,000 pregnancies equates to an incidence of about 1 in 660 pregnancies. [2]Today the incidence is much lower but it still represents the most common cause of maternal...
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عنوان ژورنال:
- British journal of anaesthesia
دوره 51 10 شماره
صفحات -
تاریخ انتشار 1979