• A&A practice · Jul 2024

    Case Reports

    Hypoxemic Cardiac Arrest from Aspiration of a Cracker in the Postanesthesia Care Unit: A Case Report.

    • Jacqueline A Quinn and Monika Nanda.
    • From the Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina.
    • A A Pract. 2024 Jul 1; 18 (7): e01819e01819.

    AbstractA 71-year-old woman with coronary artery disease presented for carotid artery revascularization. After general anesthesia, the patient arrived in stable condition to the postanesthesia care unit. While awaiting transfer to her inpatient room, telemetry alarms alerted her nurse, who found the patient unresponsive, cyanotic, and pulseless. Advanced cardiovascular life support was initiated, with return of spontaneous circulation obtained after 1 round of chest compressions. On oropharyngeal examination, food particles were observed and suctioned. The patient then coughed up additional cracker pieces. This case highlights the risk of aspiration from dry, solid foods in the elderly during the postanesthesia recovery period.Copyright © 2024 International Anesthesia Research Society.

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