{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:59:53Z","timestamp":1740175193887,"version":"3.37.3"},"reference-count":13,"publisher":"The Korean Society of Anesthesiologists","issue":"3","license":[{"start":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T00:00:00Z","timestamp":1705363200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["anesth-pain-med.org"],"crossmark-restriction":true},"short-container-title":["Anesth Pain Med"],"published-print":{"date-parts":[[2024,7,31]]},"abstract":"<jats:p>Background: Supraglottic airways (SGAs) are used during general anesthesia (GA) due to comfort. Certain complications are possible, such as gastric distension. The incidence of pulmonary aspiration of regurgitated gastric contents was found to be 0.02%. A difference in the incidence of gastric regurgitation was not identified between the use of SGAs and endotracheal intubation. We report a case of gastric distension and atelectasis in a patient in whom an I-gel\u00ae was used for GA.Case: A 63-year-old female patient underwent triple arthrodesis on her ankle under GA using an SGA (I-gel\u00ae size 3). After surgery, she suffered from nausea and abdominal bloating. A chest radiograph revealed that a large amount of air in her stomach had caused gastric distention, which resulted in left hemidiaphragm elevation and atelectasis.Conclusions: This case illustrates that the use of I-gel\u00ae in prolonged surgeries may result in malposition of the SGA and gastric insufflation and atelectasis.<\/jats:p>","DOI":"10.17085\/apm.23108","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T06:11:30Z","timestamp":1713161490000},"page":"261-265","update-policy":"https:\/\/doi.org\/10.17085\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gastric distension and atelectasis after using a supraglottic airway - A case report -"],"prefix":"10.17085","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0486-0652","authenticated-orcid":true,"given":"Yundo","family":"Jung","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8640-349X","authenticated-orcid":true,"given":"Sungyeon","family":"Jung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3483-8069","authenticated-orcid":true,"given":"Seungcheol","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8560-0838","authenticated-orcid":true,"given":"Mi Ae","family":"Jeong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7091-0910","authenticated-orcid":true,"given":"Cho Long","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2573","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/eja.0b013e328345a413"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/bf03011075"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2016.10.004"},{"key":"ref4","first-page":"313","volume-title":"Gastric insufflation pressure, air leakage and respiratory mechanics in the use of the laryngeal mask airway (LMA) in children","author":"Wahlen","year":"2004"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199804000-00035"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/0952-8180(95)00026-e"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199403000-00011"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/aln.0000000000004002"},{"key":"ref9","first-page":"151","volume-title":"Complications of using laryngeal mask airway during anaesthesia in patients undergoing major ear surgery","author":"Taheri","year":"2009"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2014.02.009"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeh234"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2016.06.019"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes309"}],"container-title":["Anesthesia and Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-23108.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.23108","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-23108.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T07:46:13Z","timestamp":1731915973000},"score":1,"resource":{"primary":{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.23108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,31]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,7]]}},"URL":"https:\/\/doi.org\/10.17085\/apm.23108","relation":{},"ISSN":["1975-5171","2383-7977"],"issn-type":[{"type":"print","value":"1975-5171"},{"type":"electronic","value":"2383-7977"}],"subject":[],"published":{"date-parts":[[2024,7,31]]},"assertion":[{"value":"2023-09-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-16","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}