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- W1995128483 abstract "Professor: Department of AnesthesiaResident: Department of AnesthesiaResidentDepartment of AnesthesiaResident: Department of Cardiovascular and Thoracic SurgeryAssociate ProfessorDepartment of Cardiovascular and Thoracic SurgeryStanford University Medical SchoolStanford, CaliforniaJbrodsky@leland.stanford.eduIn Reply:—We appreciate the letters by Cox and Harle et al. Because pulmonary aspiration of a milk–cream mixture is rare, our report was intended to describe the clinical course of this complication. 1Although the safe time interval for delaying anesthesia after oral ingestion of milk or cream is unknown in adult patients, Dr. Cox’s suggestion of at least 6 h seems reasonable.As we stated in our original report, we, similar to Harle et al. , believe that administration of this mixture through a jejunostomy tube is preferable because this would reduce the risk of pulmonary aspiration. Dr. Orringer has extensive experience with these patients, so it is reassuring to learn that he and his coauthors are unaware of significant cases of pulmonary aspiration in their patients after application of cricoid pressure. Based on their suggestions, we will continue to apply cricoid pressure to these patients, recognizing that even in healthy patients, this maneuver is not always effective. 2" @default.
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- W1995128483 date "2000-10-01" @default.
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- W1995128483 title "Pulmonary Aspiration of Milk and Cream: An Avoidable Complication" @default.
- W1995128483 doi "https://doi.org/10.1097/00000542-200010000-00051" @default.
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