Rigo Vegas,a 24-year-old tennis coach,was scheduled for an arthroscopy for recurrent knee pain.This was his first surgical experience and he was determined to optimize his chances for a successful outcome by complying with all his preoperative orders.He has a family history of anesthesia and surgery complications and did his best to provide a thorough preanesthetic assessment history.He denied any history of allergies,musculoskeletal abnormalities,obstructive sleep apnea,or reflux disease.He admitted to eating a cheese steak and drinking 2 cans of beer the night before at 11:30 PM,but promised that he finished food and fluid intake before midnight and did not eat or drink anything else.He stated that he felt calm even without preoperative sedation.The induction was smooth.On attempt at intubation,it was evident that total muscle relaxation had not been achieved.The circulating nurse gently restrained Rigo's arms as he began to move and gag on the laryngoscope.Rigo vomited undigested stomach contents.His nasopharynx was suctioned and cleared,intubation was achieved,and a nasogastric tube was inserted and connected to suction.Rigo experienced respiratory distress on extubation and was transferred to ICU with acute respiratory distress syndrome.Based on his preanesthetic history,aspiration could have been prevented by which measure?

Question

Quizplus · Accepted Answer

The perioperative nurse assists the anesthesia provider in emergent procedures and when a surgical patient is at risk for aspiration (as in cases of a full stomach,intestinal obstruction,hiatal hernia,or significant esophageal reflux).The perioperative nurse must be ready to assist by applying cricoid pressure-exerting downward pressure on the cricoid cartilage with the thumb and index finger of one hand (Sellick maneuver).

Rigo Vegas,a 24-Year-Old Tennis Coach,was Scheduled for an Arthroscopy for Recurrent