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Mortality directly related to anesthetic management is less common, and may include such causes as pulmonary aspiration of gastric contents, asphyxiation and anaphylaxis.
Tracheal intubation is often required to restore patency (the relative absence of blockage) of the airway and protect the tracheobronchial tree from pulmonary aspiration of gastric contents.
Most endotracheal tubes have an inflatable cuff to seal the tracheobronchial tree against leakage of respiratory gases and pulmonary aspiration of gastric contents, blood, secretions and other fluids.
The objective of RSI is to minimize the possibility of regurgitation and pulmonary aspiration of gastric contents during the induction of general anesthesia and subsequent tracheal intubation.
Named for British anesthetist Brian Arthur Sellick (1918-1996) who first described the procedure in 1961, the goal of cricoid pressure is to minimize the possibility of regurgitation and pulmonary aspiration of gastric contents.
Fasting is often indicated prior to surgery or other procedures that require general anesthetics, because of the risk of pulmonary aspiration of gastric contents after induction of anesthesia (i.e., vomiting and inhaling the vomit, causing life-threatening aspiration pneumonia).
More serious complications include laryngospasm, perforation of the trachea or esophagus, pulmonary aspiration of gastric contents or other foreign bodies, fracture or dislocation of the cervical spine, temporomandibular joint or arytenoid cartilages, decreased oxygen content, elevated arterial carbon dioxide, and vocal cord weakness.
This is intended to prevent pulmonary aspiration of stomach contents during general anesthesia.
These include asphyxia caused by airway obstruction, apnea, hypotension, and pulmonary aspiration of stomach contents.
The main reason for preoperative fasting is to prevent pulmonary aspiration of stomach contents while under the effects of general anesthesia.
Because of the possibility of vomiting, a suction device is always on hand in case of pulmonary aspiration of stomach contents.
It can also be associated with potentially fatal complications such as pulmonary aspiration of stomach contents which can result in a severe and sometimes fatal chemical aspiration pneumonitis, or unrecognized intubation of the esophagus which can lead to potentially fatal anoxia.