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Canadian Journal of Anesthesia, Vol 19, 351-359, Copyright © 1972 by Canadian Anesthesiologists' Society

Mendelson'S Syndrome and its Sequelae

M. HEDDEN F.F.A.R.C.S.1 and G. J. MILLER M.R.C.P.2

1 University of Pittsburgh
2 British Medical Research Council Pneumoconiosis Research Unit, Penarth

The history is described of a 27-year-old primipara who developed Mendelson's Syndromme, following aspiration of liquid gastric contents on induction of anaesthesia for a Caesarean section. The progress of the Syndrome was documented by X-rays, vital signs, blood gases, cardiac output, pulmonary shunting and lung function tests. Lung function tests included an index of distribution of venilation and the single breath carbon dioxide transfer factor.

In spite of seriously deranged cardiorespiratory parameters during the first few days following aspiration, all measurements were normal by the 126th post-operative day. It is suggested that the sequelae seen by others following aspiration may have resulted from a more severe initial lung response and/or complications of therapy.






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Copyright © 1972 by the Canadian Anesthesiologists' Society.