Pneumonia due to aspiration of povidine iodine after induction of general anesthesia -A case report-.
10.4097/kjae.2011.61.3.251
- Author:
Tae Hun AN
1
;
Byung Ryang AHN
Author Information
1. Department of Anesthesiology and Pain Medicine, School of Medicine, Chosun University, Gwangju, Korea. than@chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Aspiration pneumonia;
PEEP;
Povidone iodine
- MeSH:
Anesthesia;
Anesthesia, General;
Anti-Bacterial Agents;
Bronchodilator Agents;
Bronchoscopy;
Diuretics;
Female;
Humans;
Iodine;
Operating Rooms;
Pneumonia;
Pneumonia, Aspiration;
Povidone-Iodine;
Respiration, Artificial;
Steroids
- From:Korean Journal of Anesthesiology
2011;61(3):251-256
- CountryRepublic of Korea
- Language:English
-
Abstract:
Aspiration pneumonia is usually caused by aspiration of gastric contents during anesthesia. It causes severe pulmonary complications. Povidone iodine was used widely as an oral antiseptic. Although povidone iodine is thought to be a safe and effective antiseptic, severe complications from its aspiration may occur. We present a case of pneumonia secondary to aspiration of povidone iodine in a 16 year old female patient who underwent orofacial surgery. Aspiration pneumonia must be treated immediately. Mechanical ventilation with PEEP and periodical bronchial toilet with fiberoptic bronchoscopy were carried in the operating room and ICU. Bronchodilators, antibiotics, steroids and diuretics were also used to treat pneumonia. The patient was treated successfully without any complication.