Pulmonary aspiration of gastric contents during deep sedation for first and second trimester abortion: a systematic review
Authors' conclusion
Deep sedation without intubation appears to be a safe approach for uterine evacuation procedures with pulmonary aspiration and other anesthesia-related adverse events reported rarely.
Study context
- Population
- Patients undergoing uterine evacuation procedures (first and second trimester abortion) under deep sedation without intubation
- Participants
- 81,120 patients · 6 cohort studies
- Outcome
- Pulmonary aspiration
Methodological detailsPRISMA guidelines, Databases searched January 1, 2000 to April 13, 2026
- PRISMA guidelines
- Databases searched January 1, 2000 to April 13, 2026
Pooled result
As reported in the abstract
Pulmonary aspiration under deep sedation without intubation
Total cases of pulmonary aspiration reported
2
Aspiration of gastric contents
1
Safety
Conversion to intubation (most common secondary anesthesia-related adverse event)
- Individuals converted to intubation
- 5
Original publication
Pulmonary aspiration of gastric contents during deep sedation for first and second trimester abortion: a systematic review. Int J Obstet Anesth. Published 1 July 2026. doi:10.
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