0
Other Articles |

Aspiration Pneumonitis—Mendelson's Syndrome

David E. Dines, M.D.; William G. Baker, M.D.; Willard A. Scantland, M.D.
JAMA. 1961;176(3):229-231. doi:10.1001/jama.1961.63040160013013b.
Text Size: A A A
Published online

MENDELSON'S syndrome, or peptic-aspiration pneumonia, was first described in obstetrical cases by Mendelson1 in 1946. Classically, there is a history of vomiting after inhalation anesthesia, either during the operation or in the early postoperative period. Two to five hours after aspiration there is a dramatic onset of cyanosis, dyspnea, tachycardia, and shock.2 Examination of the patient shows no localized signs of lung disease but generalized adventitious sounds and bronchospasm. The condition simulates pulmonary edema with rales, wheezes, and rhonchi throughout both lungs. There is a bloody, frothy sputum and marked pulmonary congestion. A very high pulse and respiratory rate are common, and gross pulmonary edema may supervene, with a rapidly deteriorating course resulting in death from cardiac failure. X-ray of the chest shows soft patchy mottling scattered through the lung fields but no evidence of lung collapse. Postmortem examination of the lungs will show gross swelling of

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();