Effectiveness of milrinone for cardiogenic shock due to massive pulmonary aspiration: a case report.
10.4097/kjae.2014.66.6.476
- Author:
Jeong Heon PARK
1
;
Min A KWON
;
Dong Hee KIM
;
Seok Kon KIM
;
Dae Geun JEON
;
Jaegyok SONG
;
Seung Heon JI
;
Gwan Woo LEE
;
Bong Jin KANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.
- Publication Type:Case Report
- Keywords:
Heart arrest;
Milrinone;
Respiratory aspiration of gastric contents;
Resuscitation
- MeSH:
Anesthesia;
Anesthesia, General;
Anoxia;
Heart Arrest;
Humans;
Hypertension, Pulmonary;
Milrinone*;
Mortality;
Myocardial Infarction;
Respiratory Aspiration of Gastric Contents;
Resuscitation;
Shock;
Shock, Cardiogenic*
- From:Korean Journal of Anesthesiology
2014;66(6):476-480
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pulmonary aspiration of gastric contents is one of the most frightening complications during anesthesia. Although pulmonary aspiration of gastric contents in general surgical patients is not common and resulting long-term morbidity and mortality are rare, severe hypoxemia and other sequelae of pulmonary aspiration continue to be reported. We report a case of massive aspiration of gastric contents during induction of general anesthesia, resulting in cardiac arrest due to severe pulmonary hypertension and myocardial infarction. Sustained cardiac arrest and shock that did not respond the conventional resuscitation was successfully treated using milrinone. The patient was discharged without complications in 20 days.
