Anesthesia for a Patient With Excessive Supragastric Belching

Area of Science:

• Anesthesiology
• Gastroenterology

Background:

• Excessive supragastric belching is infrequently documented in anesthesia literature.
• Patients with a history of superior mesenteric artery syndrome (SMAS) and dental anxiety present unique anesthetic challenges.

Observation:

• A 26-year-old patient with excessive supragastric belching, SMAS, and dental anxiety required careful anesthetic planning for comprehensive dentistry.
• Preoperative assessment was crucial for managing potential complications.

Findings:

• Key anesthetic considerations included achieving anxiolysis, reducing aspiration risk, utilizing total intravenous anesthesia (TIVA), and implementing prophylaxis for postoperative nausea and vomiting (PONV).

Implications:

• This case highlights the importance of tailored anesthetic strategies for patients with rare conditions like excessive supragastric belching.
• Effective management can facilitate complex dental procedures while prioritizing patient safety and minimizing adverse events.