Preoperative administration of antacids to prevent Mendelson's syndrome in pregnant women receiving general anesthesia
Marti, J.J.; Ammann, C.; de Gasparo, D.
Geburtshilfe und Frauenheilkunde 39(12): 1069-1078
1979
ISSN/ISBN: 0016-5751 PMID: 520789 Document Number: 139891
Preoperative administration of 15 mls of the antacid Andursil to women undergoing surgical procedures in GA during pregnancy does reduce the risk of aspiration pneumonitis (Mendelson-Syndrome) from 1:3,5 to 1:15,5. The data show that the number of risk patients is increased in early stages of pregnancy and--surprisingly--in patients undergoing elective surgery. Pains and costs of prophylactic antacids are negligible. Neonates of LSCS patients receiving an antacid are not at an increased risk. As a conclusion the prophylactic administration of oral antacids to all pregnant women having a GA is recommended.