0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Anesthesia on an Other Than Empty Stomach-Reply

Ronald M. Meyer, MD
JAMA. 1990;264(1):33-34. doi:10.1001/jama.1990.03450010037014.
Text Size: A A A
Published online

ABSTRACT

In Reply.—  I appreciate the opportunity to reply to the thoughtful comments by Dr Gevirtz. I tend to agree with him on all counts. To address them in reverse order, it certainly is worth reminding the surgical staff that patients may aspirate gastric contents during surgery, even without general anesthesia. For example, the patient could convulse or lose protective airway reflexes following an unintended intravenous injection of local anesthetic. At my hospital, the office of the physician scheduling surgery is, unfortunately, often the only place that anyone has an opportunity to warn hard-to-contact patients to fast preoperatively.I take little comfort from defensive notes that I write in patients' charts. I believe that I have a duty to discuss the situation and the options with the patient to arrive at a feeling for what is in her or his best interests. For example, delaying anesthesia on the grounds of minimal

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Figures

Tables

References

CME
Also 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.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
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.

Multimedia

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

11 Views
0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

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

Jobs
×
brightcove.createExperiences();