Korean J Anesthesiol.  2014 Jun;66(6):476-480. 10.4097/kjae.2014.66.6.476.

Effectiveness of milrinone for cardiogenic shock due to massive pulmonary aspiration: a case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.
  • 2Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea. mmauss@hanmail.net

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.

Keyword

Heart arrest; Milrinone; Respiratory aspiration of gastric contents; Resuscitation

MeSH Terms

Anesthesia
Anesthesia, General
Anoxia
Heart Arrest
Humans
Hypertension, Pulmonary
Milrinone*
Mortality
Myocardial Infarction
Respiratory Aspiration of Gastric Contents
Resuscitation
Shock
Shock, Cardiogenic*
Milrinone
Full Text Links
  • KJAE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr