RT Journal
A1 Greenhouse BS, Hook R, Hehre FW
T1 ASpiration pneumonia following intravenous administration of alcohol during labor
JF JAMA
JO JAMA
YR 1969
FD December 29
VO 210
IS 13
SP 2393
OP 2395
DO 10.1001/jama.1969.03160390055016
UL http://dx.doi.org/10.1001/jama.1969.03160390055016
AB A pregnant woman aspirated highly acid gastric contents during anesthesia for a cervical circlage procedure after she had received alcohol intravenously to stop premature labor. Pulmonary lavage extended and intensified the pneumonitis. She required several days of intensive pulmonary therapy with intermittent positive pressure ventilation monitored by frequent blood-gas determinations in addition to treatment with steroids and antibiotics. Alcohol is a potent gastric acid secretagogue. Patients in premature labor treated with alcohol intravenously must be considered to have stomach contents.