Aspiration pneumonitis requiring intubation after procedural sedation and analgesia: a case report

Ann Emerg Med. 2007 Apr;49(4):462-4. doi: 10.1016/j.annemergmed.2006.09.004. Epub 2006 Nov 3.


Emergency department (ED) procedural sedation and analgesia is widely and routinely performed; serious complications are rare. We describe the first reported case of aspiration during procedural sedation in the ED. Although our patient required endotracheal intubation and critical care admission, there was no adverse long-term outcome. Given that there were no apparent predisposing factors, we believe it is crucial for emergency physicians to routinely anticipate the possibility of such a complication during each sedation event.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Analgesia*
  • Ankle Injuries / surgery*
  • Clinical Protocols
  • Conscious Sedation*
  • Contraindications
  • Emergency Service, Hospital
  • Female
  • Fracture Fixation, Internal
  • Fractures, Bone / surgery*
  • Humans
  • Intubation, Intratracheal*
  • Pneumonia / etiology*
  • Pneumonia / therapy*
  • Time Factors