What action should be taken if a patient begins to regurgitate and liquid appears in the gastric channel?
If regurgitation is suspected or noticed during anaesthesia, then it is recommended the patient head end of the operating table is tilted down and, if the timing of the surgical procedure allows, the patient is turned onto a left or right lateral position. The i-gel should then be removed, thorough suctioning of the pharynx and hypopharynx undertaken, and the patient intubated for definitive securing of the airway. If regurgitation is anticipated, then it is recommended that a naso-gastric tube is passed through the gastric channel into the patient’s stomach and the stomach emptied. The naso-gastric tube can be left in-situ until the end of the anaesthetic.
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