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Park JH, Kwon MA, Kim DH, et al. Effectiveness of milrinone for cardiogenic shock due to massive pulmonary aspiration: a case report. Korean J Anesthesiol. 2014;66(6):476-80doi: 10.4097/kjae.2014.66.6.476.
Park, J. H., Kwon, M. A., Kim, D. H., Kim, S. K., Jeon, D. G., Song, J., Ji, S. H., Lee, G. W., & Kang, B. J. (2014). Effectiveness of milrinone for cardiogenic shock due to massive pulmonary aspiration: a case report. Korean journal of anesthesiology, 66(6), 476-80. https://doi.org/10.4097/kjae.2014.66.6.476
Park, Jeong Heon, et al. "Effectiveness of milrinone for cardiogenic shock due to massive pulmonary aspiration: a case report." Korean journal of anesthesiology vol. 66,6 (2014): 476-80. doi: https://doi.org/10.4097/kjae.2014.66.6.476
Park JH, Kwon MA, Kim DH, Kim SK, Jeon DG, Song J, Ji SH, Lee GW, Kang BJ. Effectiveness of milrinone for cardiogenic shock due to massive pulmonary aspiration: a case report. Korean J Anesthesiol. 2014 Jun;66(6):476-80. doi: 10.4097/kjae.2014.66.6.476. Epub 2014 Jun 26. PMID: 25006374; PMCID: PMC4085271.
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Korean J Anesthesiol. 2014 Jun;66(6):476-80. doi: 10.4097/kjae.2014.66.6.476. Epub 2014 Jun 26.

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

Korean journal of anesthesiology

Jeong Heon Park, Min A Kwon, Dong Hee Kim, Seok-Kon Kim, Dae Geun Jeon, Jaegyok Song, Seung Heon Ji, Gwan Woo Lee, Bong Jin Kang

Affiliations

  1. Department of Anesthesiology and Pain Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.
  2. Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.

PMID: 25006374 PMCID: PMC4085271 DOI: 10.4097/kjae.2014.66.6.476

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.

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

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