Aspiration syndromes: 10 Clinical pearls every physician should know

International Journal of Clinical Practice

Volumn 61, Issue 5, 2007, Pages 846-852

  Paintal, H S ^b   Kuschner, W G ^a  

^a VA PALO ALTO HEALTH CARE SYSTEM   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

CLINDAMYCIN; IMIPENEM; METRONIDAZOLE; PENICILLIN G; PIPERACILLIN PLUS TAZOBACTAM;

ANTIBIOTIC THERAPY; ARTIFICIAL FEEDING; ASPHYXIA; ASPIRATION PNEUMONIA; BRONCHOSCOPY; CLINICAL FEATURE; COMMUNITY ACQUIRED PNEUMONIA; CRITICALLY ILL PATIENT; DEMENTIA; ENTERIC FEEDING; ESOPHAGUS FOREIGN BODY; FOREIGN BODY; GERIATRIC PATIENT; GRAM NEGATIVE BACTERIUM; GRAM POSITIVE BACTERIUM; HEIMLICH MANEUVER; HIGH RISK PATIENT; HUMAN; INFECTION RISK; INTENSIVE CARE UNIT; LEARNING ALGORITHM; MEDICAL ETHICS; POINT OF CARE TESTING; PRACTICE GUIDELINE; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; RISK FACTOR; THORAX RADIOGRAPHY; TRACHEOBRONCHIAL TREE;

AIRWAY OBSTRUCTION; ANTI-BACTERIAL AGENTS; CONSCIOUSNESS DISORDERS; FOREIGN BODIES; HUMANS; PNEUMONIA, ASPIRATION; RISK FACTORS;

EID: 34247121825     PISSN: 13685031     EISSN: 17421241     Source Type: Journal    
DOI: 10.1111/j.1742-1241.2007.01300.x     Document Type: Review

References (59)

1. Centers for Disease Control and Prevention (CDC). Nonfatal choking-related episodes among children - United States, 2001. MMWR Morb Mortal Wkly Rep 2002; 51: 945-8.
2. Haugen RK. The café coronary: sudden deaths in restaurants. JAMA 1963; 186: 142-3 (The original JAMA café coronary paper).
3. Wick R, Gilbert JD, Byard RW. Café coronary syndrome - fatal choking on food: an autopsy approach. J Clin Forensic Med 2006; 13: 135-8 (Epub 13 December 2005).
4. Berzlanovich AM, Fazeny-Dorner B, Waldhoer T, Fasching P. Foreign body asphyxia: a preventable cause of death in the elderly. Am J Prev Med 2005; 28: 65-9.
5. The Heimlich Institute. How to Do the Heimlich Maneuver. http:// www.heimlichinstitute.org/page.php?id=34 (accessed 23 March 2007).
6. Soysal O, Kuzucu A, Ulutas H. Tracheobronchial foreign body aspiration: a continuing challenge. Otolaryngol Head Neck Surg 2006; 135: 223-6.
7. Ibrahim Sersar S, Hamza UA, AbdelHameed WA, AbulMaaty RA. Inhaled foreign bodies: management according to early or late presentation. Eur J Cardiothorac Surg 2005; 28: 369-74.
8. Rafanan AL, Mehta AC. Adult airway foreign body removal. What's new? Clin Chest Med 2001; 22: 319-30.
9. Baharloo F, Veyckemans F, Francis C et al. Tracheobronchial foreign bodies: presentation and management in children and adults. Chest 1999; 115: 1357-62.
10. Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest 2003; 124: 328-36.
11. Langmore SE, Terpenning MS, Schork A et al. Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia 1998; 13: 69-81.
12. Tablan OC, Anderson LJ, Besser R et al. Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of the CDC and the Healthcare Infection Control Practices Advisory Committee. Healthcare Infection Control Practices Advisory Committee; Centers for Disease Control and Prevention (U.S.). MMWR Recomm Rep 2004; 53: 1-36
13. and also Respir Care 2004; 49: 926-39.
14. Sherman JM, Davis S, Albamonte-Petrick S et al. Care of the child with a chronic tracheostomy. This official statement of the American Thoracic Society was adopted by the ATS Board of Directors, July 1999. Am J Respir Crit Care Med 2000; 161: 297-308.
15. Eisen GM, Baron TH, Dominitz JA et al. Complications of upper GI endoscopy. Gastrointest Endosc 2002; 55: 784-93.
16. Mehta AC, Prakash UB, Garland R et al. American College of Chest Physicians and American Association for Bronchology [corrected] consensus statement: prevention of flexible bronchoscopy-associated infection. Chest 2005; 128: 1742-55.
17. ECC Committee, Subcommittees and Task Forces of the American Heart Association. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005; 112S: IV1-203.
18. Heyland DK, Dhaliwal R, Drover JW et al. Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. JPEN J Parenter Enteral Nutr 2003; 27: 355-73.
19. American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003; 98: 1269-77.
20. McClave SA, Lukan JK, Stefater JA et al. Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients. Crit Care Med 2005; 33: 324-30.
21. Madjdpour L, Kneller S, Booy C et al. Acid-induced lung injury: role of nuclear factor-kappaB. Anesthesiology 2003; 99: 1323-32.
22. Vuichard D, Ganter MT, Schimmer RC et al. Hypoxia aggravates lipopolysaccharide-induced lung injury. Clin Exp Immunol 2005; 141: 248-60.
23. Beck-Schimmer B, Rosenberger DS, Neff SB et al. Pulmonary aspiration: new therapeutic approaches in the experimental model. Anesthesiology 2005; 103: 556-66.
24. Kennedy TP, Johnson KJ, Kunkel RG et al. Acute acid aspiration lung injury in the rat: biphasic pathogenesis. Anesth Analg 1989; 69: 87-92.
25. Marik PE. Aspiration pneumonitis and aspiration pneumonia. N Engl J Med 2001; 344: 665-71.
26. Mylotte JM, Goodnough S, Naughton BJ. Pneumonia versus aspiration pneumonitis in nursing home residents: diagnosis and management. J Am Geriatr Soc 2003; 51: 1-7.
27. Mylotte JM, Goodnough S, Gould M. Pneumonia versus aspiration pneumonitis in nursing home residents: prospective application of a clinical algorithm. J Am Geriatr Soc 2005; 53: 755-61.
28. Reza Shariatzadeh M, Huang JQ, Marrie TJ. Differences in the features of aspiration pneumonia according to site of acquisition: community or continuing care facility. J Am Geriatr Soc 2006; 54: 296-302.
29. Fernandez-Sabe N, Carratalà J, Rosón B et al. Community-acquired pneumonia in very elderly patients: causative organisms, clinical characteristics, and outcomes. Medicine (Baltimore) 2003; 82: 159-69.
30. El-Solh AA, Pietrantoni C, Bhat A et al. Microbiology of severe aspiration pneumonia in institutionalized elderly. Am J Respir Crit Care Med 2003; 167: 1650-4.
31. Happel KI, Nelson S. Alcohol, immunosuppression, and the lung. Proc Am Thorac Soc 2005; 2: 428-32.
32. Fuxench-Lopez Z, Ramirez-Ronda CH. Pharyngeal flora in ambulatory alcoholic patients: prevalence of gram-negative bacilli. Arch Intern Med 1978; 138: 1815-6.
33. Happel KI, Odden AR, Zhang P et al. Acute alcohol intoxication suppresses the interleukin 23 response to Klebsiella pneumoniae infection. Alcohol Clin Exp Res 2006; 30: 1200-7.
34. Yeh TF, Lilien LD, Barathi A, Pildes RS. Lung volume, dynamic lung compliance, and blood gases during the first 3 days of postnatal life in infants with meconium aspiration syndrome. Crit Care Med 1982; 10: 588-92.
35. Gupta AK, Shashi S, Lamba IM, Anand NK. Do insults to the developing lung increase the incidence of wheezing in infants. J Trop Pediatr 1994; 40: 29-31.
36. Adaletli I, Kurugoglu S, Ulus S et al. Utilization of low-dose multidetector CT and virtual bronchoscopy in children with suspected foreign body aspiration. Pediatr Radiol 2007; 37: 33-40 (Epub 11 Oct 2006 ).
37. Voice and Swallowing Center, College of Physicians and Surgeons, Columbia University at New York Presbyterian Hospital. Candidates for a Swallowing Evaluation. http://voiceandswallowing.com/swall_caneval.htm (accessed 23 March 2007).
38. Drakulovic MB, Torres A, Bauer TT et al. Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial. Lancet 1999; 354: 1851-8.
39. Van Nieuwenhoven CA, Vandenbroucke-Grauls C, van Tiel FH et al. Feasibility and effects of the semirecumbent position to prevent ventilator-associated pneumonia: a randomized study. Crit Care Med 2006; 34: 396-402.
40. Loeb MB, Becker M, Eady A, Walker-Dilks C. Interventions to prevent aspiration pneumonia in older adults: a systematic review. J Am Geriatr Soc 2003; 51: 1018-22.
41. Koeman M, van der Ven AJ, Hak E et al. Oral decontamination with chlorhexidine reduces the incidence of ventilator-associated pneumonia. Am J Respir Crit Care Med 2006; 173: 1348-55
42. and also in ACP J Club 2006; 145: 68.
43. Pineda LA, Saliba RG, El Solh AA. Effect of oral decontamination with chlorhexidine on the incidence of nosocomial pneumonia: a meta-analysis. Crit Care 2006; 10: R35. http://ccforum.com/content/10/1/R35 (accessed 23 March 2007).
44. Kollef MH, Skubas NJ, Sundt TM. A randomized clinical trial of continuous aspiration of subglottic secretions in cardiac surgery patients. Chest 1999; 116: 1339-46.
45. Kees Smulders M, van der Hoeven H, Weers-Pothoff I, Vandenbroucke-Grauls C. A randomized clinical trial of intermittent subglottic secretion drainage in patients receiving mechanical ventilation. Chest 2002; 121: 858-62.
46. Laheij RJ, Sturkenboom MC, Hassing RJ et al. Risk of community-acquired pneumonia and use of gastric acid-suppressive drugs. JAMA 2004; 292: 1955-60.
47. Messori A, Trippoli S, Vaiani M et al. Bleeding and pneumonia in intensive care patients given ranitidine and sucralfate for prevention of stress ulcer: meta-analysis of randomised controlled trials. BMJ 2000; 321: 1-7.
48. Canani RB, Cirillo P, Roggero P et al. Therapy with gastric acidity inhibitors increases the risk of acute gastroenteritis and community-acquired pneumonia in children. Pediatrics 2006; 117: e817-20.
49. CAG Clinical Affairs Committee. Community-acquired pneumonia and acid-suppressive drugs: position statement. Can J Gastroenterol 2006; 20: 123-5.
50. Ohrui T. Preventative strategies for aspiration pneumonia in elderly disabled persons. Tohoku J Exp Med 2005; 207: 3-12.
51. Yamaya M, Yanai M, Ohrui T et al. Interventions to prevent pneumonia among older adults. J Am Geriatr Soc 2001; 49: 85-90.
52. McClave SA, Lukan JK, Stefater JA et al. Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients. Crit Care Med 2005; 33: 324-30.
53. Heyland DK, Drover JW, MacDonald S et al. Effect of postpyloric feeding on gastroesophageal regurgitation and pulmonary microaspiration: results of a randomized controlled trial. Crit Care Med 2001; 29: 1495-501.
54. Kreymann KG, Berger MM, Deutz NE et al. ESPEN Guidelines on Enteral Nutrition: intensive care. Clin Nutr 2006; 25: 210-23.
55. Volkert D, Berner YN, Berry E et al. ESPEN Guidelines on Enteral Nutrition: geriatrics. Clin Nutr 2006; 25: 330-60.
56. Slomka J. Withholding nutrition at the end of life: clinical and ethical issues. Cleve Clin J Med 2003; 70: 548-52.
57. Gillick MR. Rethinking the role of tube feeding in patients with advanced dementia. N Engl J Med 2000; 342: 206-10.
58. Finucane TE, Christmas C, Travis K. Tube feeding in patients with advanced dementia: a review of the evidence. JAMA 1999; 282: 1365-70.
59. Casarett D, Kapo J, Caplan A. Appropriate use of artificial nutrition and hydration - fundamental principles and recommendations. N Engl J Med 2005; 353: 2607-12.