Pneumonia due to aspiration of povidine iodine after preoperative disinfection of the oral cavity

研究成果: ジャーナルへの寄稿記事

抄録

Introduction: Povidone-iodine (PI) is thought to be an effective disinfectant and safe for many surgeons. Aspiration pneumonia is usually caused by gastric contents, but if PI solution will be aspirated, pneumonia or other complications may occur. Case report: We present a case of pneumonia to aspiration of PI solution in a 91-year-old man patient who underwent oral-maxillofacial surgery. When surgeons used PI solution for disinfection into the oral cavity, the solution seems to be sinking gradually. The patient showed severe respiratory distress and developed hypoxia. There were much frothy fluids into a tracheal tube. We suctioned through the endotracheal tube and performed bronchoscopy, that revealed a redness which appeared associated to a chemical injury on the left trachea and bronchus. His condition was complicated by ARDS and DIC. Periodical bronchial suction and guideline-based treatments of ARDS were carried in ICU. He recovered without severe complication. Conclusion: Although PI solution for an oral disinfection is used routinely, all operators need to be aware of the risk for PI aspiration

元の言語英語
ページ(範囲)507-511
ページ数5
ジャーナルOral and Maxillofacial Surgery
23
発行部数4
DOI
出版物ステータス出版済み - 12 1 2019

Fingerprint

Povidone-Iodine
Disinfection
Iodine
Mouth
Pneumonia
Aspiration Pneumonia
Oral Surgery
Dacarbazine
Gastrointestinal Contents
Disinfectants
Suction
Bronchoscopy
Bronchi
Trachea
Guidelines
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

これを引用

@article{3cf234533a16444798c62829086afc9d,
title = "Pneumonia due to aspiration of povidine iodine after preoperative disinfection of the oral cavity",
abstract = "Introduction: Povidone-iodine (PI) is thought to be an effective disinfectant and safe for many surgeons. Aspiration pneumonia is usually caused by gastric contents, but if PI solution will be aspirated, pneumonia or other complications may occur. Case report: We present a case of pneumonia to aspiration of PI solution in a 91-year-old man patient who underwent oral-maxillofacial surgery. When surgeons used PI solution for disinfection into the oral cavity, the solution seems to be sinking gradually. The patient showed severe respiratory distress and developed hypoxia. There were much frothy fluids into a tracheal tube. We suctioned through the endotracheal tube and performed bronchoscopy, that revealed a redness which appeared associated to a chemical injury on the left trachea and bronchus. His condition was complicated by ARDS and DIC. Periodical bronchial suction and guideline-based treatments of ARDS were carried in ICU. He recovered without severe complication. Conclusion: Although PI solution for an oral disinfection is used routinely, all operators need to be aware of the risk for PI aspiration",
author = "Takashi Hitosugi and Masanori Tsukamoto and Takeshi Yokoyama",
year = "2019",
month = "12",
day = "1",
doi = "10.1007/s10006-019-00800-2",
language = "English",
volume = "23",
pages = "507--511",
journal = "Oral and Maxillofacial Surgery",
issn = "1865-1550",
publisher = "Springer Verlag",
number = "4",

}

TY - JOUR

T1 - Pneumonia due to aspiration of povidine iodine after preoperative disinfection of the oral cavity

AU - Hitosugi, Takashi

AU - Tsukamoto, Masanori

AU - Yokoyama, Takeshi

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Introduction: Povidone-iodine (PI) is thought to be an effective disinfectant and safe for many surgeons. Aspiration pneumonia is usually caused by gastric contents, but if PI solution will be aspirated, pneumonia or other complications may occur. Case report: We present a case of pneumonia to aspiration of PI solution in a 91-year-old man patient who underwent oral-maxillofacial surgery. When surgeons used PI solution for disinfection into the oral cavity, the solution seems to be sinking gradually. The patient showed severe respiratory distress and developed hypoxia. There were much frothy fluids into a tracheal tube. We suctioned through the endotracheal tube and performed bronchoscopy, that revealed a redness which appeared associated to a chemical injury on the left trachea and bronchus. His condition was complicated by ARDS and DIC. Periodical bronchial suction and guideline-based treatments of ARDS were carried in ICU. He recovered without severe complication. Conclusion: Although PI solution for an oral disinfection is used routinely, all operators need to be aware of the risk for PI aspiration

AB - Introduction: Povidone-iodine (PI) is thought to be an effective disinfectant and safe for many surgeons. Aspiration pneumonia is usually caused by gastric contents, but if PI solution will be aspirated, pneumonia or other complications may occur. Case report: We present a case of pneumonia to aspiration of PI solution in a 91-year-old man patient who underwent oral-maxillofacial surgery. When surgeons used PI solution for disinfection into the oral cavity, the solution seems to be sinking gradually. The patient showed severe respiratory distress and developed hypoxia. There were much frothy fluids into a tracheal tube. We suctioned through the endotracheal tube and performed bronchoscopy, that revealed a redness which appeared associated to a chemical injury on the left trachea and bronchus. His condition was complicated by ARDS and DIC. Periodical bronchial suction and guideline-based treatments of ARDS were carried in ICU. He recovered without severe complication. Conclusion: Although PI solution for an oral disinfection is used routinely, all operators need to be aware of the risk for PI aspiration

UR - http://www.scopus.com/inward/record.url?scp=85074913057&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85074913057&partnerID=8YFLogxK

U2 - 10.1007/s10006-019-00800-2

DO - 10.1007/s10006-019-00800-2

M3 - Article

C2 - 31673818

AN - SCOPUS:85074913057

VL - 23

SP - 507

EP - 511

JO - Oral and Maxillofacial Surgery

JF - Oral and Maxillofacial Surgery

SN - 1865-1550

IS - 4

ER -