Abstract
Patients undergoing an esophagogastroduodenoscopy (EGD) require vigilance from the anesthesia provider regarding the status of their airway. These procedures are typically performed utilizing sedation anesthesia and the use of an endoscope inserted orally to inspect the esophagus and the stomach. This creates a scenario where the airway can be compromised by the presence of the endoscope. In patients who have an active gastrointestinal (GI) bleed, the risk of aspiration increases significantly. In this specific case, the patient developed a hemorrhage from an ulcer that was biopsied during the EGD. Multiple hemostatic sprays were used on the hemorrhaging ulcer, but neither were successful in achieving tamponade. The decision to intubate this patient in the GI suite was made to control the airway and prepare the patient for emergent surgery. The patient’s airway was patent throughout this process while maintained under sedation anesthesia, but it was no longer deemed safe to have the patient’s airway unprotected. In adult patients undergoing an EGD with sedation anesthesia who develop significant bleeding, when should induction of general anesthesia with intubation be performed?
Sigma Membership
Non-member
Type
DNP Capstone Project
Format Type
Text-based Document
Study Design/Type
Case Study/Series
Research Approach
Translational Research/Evidence-based Practice
Keywords:
Esophagogastroduodenoscopy, EGD, Hemorrhage, Aspiration
Advisor
Lisa Herbinger
Degree
DNP
Degree Grantor
Samford University
Degree Year
2025
Recommended Citation
Thetford, Peyton C. Jr. and Herbinger, Lisa, "Airway Management for Esophagogastroduodenoscopy with Hemorrhage" (2025). Group: Samford University Moffett & Sanders School of Nursing. 190.
https://www.sigmarepository.org/samford/190
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Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Full Text of Presentation
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