ISSN: 2155-6148
Margarida Marques
Portugal
Case Report
Gastric Rupture after Bag Mask Ventilation: A Review Under a Case Report
Author(s): Marta Carvalho, Pedro Godinho, Andreia Moura, Carla Silva, Isabel Tourais, Margarida Marques and Humberto S Machado
Marta Carvalho, Pedro Godinho, Andreia Moura, Carla Silva, Isabel Tourais, Margarida Marques and Humberto S Machado
Introduction: Bag mask ventilation is considered a safe and effective ventilation method. Despite the high frequency of gastric distension, few cases of gastric rupture are reported in literature. Case report: A 50-year-old female firefighter, ASA 2, was admitted in to the Burn Unit due to 2nd/3rd grade burns (34% of body surface). On the 22nd day after admission, she underwent balneotherapy, under sedation and analgesia and in spontaneous ventilation. During the procedure, desaturation (SpO2 65%) and paradoxical respiratory abdominal movements were noticed. Very high pressures were immediately required for bag-mask ventilation and the bag was difficult to compress. A remarkable increase in abdominal perimeter was evident, leading to the compromise of lower limb circulation. The patient was intubated and a noradrenaline infusion started due to marked hypotension, unresponsive to fluid.. View More»
DOI:
10.4172/2155-6148.1000617