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- Boris Waldman, Navid Aminian, Michael G Cooper, Peter I C Wu, and John M L Boss.
- From the Departments of Anaesthesia.
- A A Pract. 2022 Jan 1; 16 (1): e01562e01562.
AbstractPulmonary aspiration continues to be a major cause of anesthesia-related mortality. Anesthesiologists are encouraged to perform bronchoscopy to manage aspiration of particulate matter; however, they have limited training and experience in clearing luminal obstructions endoscopically. In our report, an adult with achalasia aspirated during induction for a per-oral endoscopic myotomy (POEM), resulting in desaturation and high airway pressures. Bronchoscopy by the anesthesiologist was ineffective. However, bronchoscopy by the gastroenterologist using a pediatric gastroscope cleared the bronchi of debris and led to immediate clinical improvement. Anesthesiologists, faced with particulate matter aspiration, could consider assistance from a gastrointestinal endoscopist.Copyright © 2022 International Anesthesia Research Society.
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