RT Book, Section
A1 Haché, Manon
A2 Houck, Philipp J.
A2 Haché, Manon
A2 Sun, Lena S.
SR Print(0)
ID 1105553139
T1 ASPIRATION PNEUMONIA
T2 Handbook of Pediatric Anesthesia
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176935-8
LK accesspediatrics.mhmedical.com/content.aspx?aid=1105553139
RD 2024/10/12
AB A  14-year-old  male  patient  with  developmental  delay  presents  for  a  Nissen  fundoplication  and  gastrostomy  tube.  He  takes  esomeprazole  and  ranitidine.  He  has  a  history  of  having  been  born  at  27  weeks’  gestation,  with  cerebral  palsy,  developmental  delay,  seizure  disorder  treated  by  levetiracetam,  chronic  lung  disease,  and  severe  gastroesophageal  reflux  disease  (GERD)  with  multiple  episodes  of  aspiration  pneumonias.  He  takes  fluticasone  and  albuterol  daily.  He  also  takes  glycopyrrolate  to  help  with  management  of  copious  oral  secretions.  During  your  rapid-sequence  induction,  a  large  volume  of  clear  liquid  is  noted  in  the  oropharynx,  which  you  suction  before  passing  your  endotracheal  tube.