“The trainee stated he did not have a good view, so the attending took over at that point and did the laryngoscopy. Just as the attending got a view, the entire mouth filled with thick white gastric contents.”
Patient: older adult female
Presenting diagnosis: gastric mass
Planned procedure: upper endoscopy (esophagogastroduodenoscopy)
Past medical history: non-insulin dependent diabetes; congestive heart failure, s/p cerebrovascular accident (CVA) with mild, residual leg weakness
Preoperative meds: not provided
Other pertinent details: patient lethargic but arousable, oriented; rates abdominal pain 3/10; lungs: clear to auscultation bilaterally; heart: regular rate and rhythm; airway: edentulous, Mallampati 2; npo X 24 hours; right nare NGT in situ, clamped; 20 g peripheral IV in left arm.
Anesthetic plan: MAC with conscious sedation