Syndrome of Mendelson
The syndrome of Mendelson , or bronchial syndrome of inhalation , is a Syndrome which results from the penetration in the Bronche S and the Poumon S of gastric liquid. It is one of main concerns of the Libération of the air routes.
On the one hand, the liquid obstructs the air flow until the vacuoles and thus the breathing (Noyade). In addition, the liquid being acid, it attacks the Muqueuse S, causing inflammatory lesions serious very difficult to look after, with in particular the formation of a pulmonary edema and an infection.
This risk is very important in the case of an unconscious victim dish-back: if the Muscle closing the Estomac (the Cardia) does not have any more tonicity, it does not retain any more the gastric liquid; this one runs out until in the throat, and arrived at the Pharynx (aéro-digestive crossroads), it penetrates in the bronchi. This is done in an entirely passive way, without noise nor movement of the victim, and well before one can see the least liquid in the content of the throat while observing by the mouth.
This is why in the case of a programmed operation, one requires of the patient to come to jeun; it is also the reason for which one says nothing to give to drink nor to eat with a casualty.
There exist two techniques to prevent the syndrome of Mendelson:
- for a patient dealt with by medical team (or ancillary medical formed): the Intubation trachéale
- for a victim dealt with by person alone or a team of First-aid worker S: the setting in side Position of safety.
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