Gastric rupture after bag-mask-ventilation. (2015)

• Record Type: Journal Article
• Authors: Bednarz, Stephan; Filipovic, Miodrag; Schoch, Otto; Mauermann, Eckhard
• Is Part Of: Respiratory medicine case reports. Volume 16(2015)
• Page Start: 1
• Page End: 2
• Publication Date: 2015
• Subjects: Pneumoperitoneum -- Artificial; Respiratory organs -- Diseases -- Periodicals; Chest -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory System -- Periodicals; Chest -- Diseases; Respiratory organs -- Diseases; Electronic journals; Periodicals; 616.2
• DOI: 10.1016/j.rmcr.2015.05.014
• Languages: English
• ISSNs: 2213-0071

Abstract

Abstract: A 42 year old woman underwent bronchoscopy with procedural propofol sedation. During the procedure, the patient suffered respiratory arrest, and bag-mask ventilation was initiated. During forced mask ventilation, abdominal distention occurred. Even after correct placement of an endotracheal and a nasogastric tube, high inspiratory pressures persisted. The abdominal CT scan revealed a high amount of intraperitoneal free air. An emergent laparotomy confirmed a stomach rupture. Immediately after opening of the peritoneal cavity, peak ventilatory pressures decreased. In this case forceful bag-mask ventilation led to air insufflation into the stomach, increasing gastric pressure, and consecutive stomach rupture.