Aspiration syndromes: 10 clinical pearls every physician should know
Identifieur interne : 001809 ( Istex/Corpus ); précédent : 001808; suivant : 001810Aspiration syndromes: 10 clinical pearls every physician should know
Auteurs : H. S. Paintal ; W. G. KuschnerSource :
- International Journal of Clinical Practice [ 1368-5031 ] ; 2007-05.
English descriptors
- KwdEn :
- Abrupt onset, Additional details, Aerobic, Aerobic bacteria, Aerobic enteric bacteria, Airspace consolidation, Airway, Alcoholic patients, American college, American heart association, American society, Anesthesiologists task force, Antibiotic, Antimicrobial therapy, Aspirated object, Aspiration, Aspiration event, Aspiration events, Aspiration pneumonia, Aspiration pneumonitis, Aspiration syndromes, Authors journal compilation, Blackwell publishing, Blood gases, Body aspiration, Bronchoscopy, Care facility patients, Chest physicians, Chest radiograph, Chest radiographs, Clin, Clin nutr, Clin pract, Clinical condition, Clinical nutrition, Clinical practice guidelines, Common cause, Communityacquired pneumonia, Conventional bronchoscopy, Crit, Crit care, Dependent lung zones, Disease control, Dynamic lung compliance, Elderly patients, Enteral, Enteral nutrition, Espen guidelines, Foreign bodies, Foreign body, Foreign body aspiration, Guideline, Healthcare infection control practices, Healthcare providers, Heimlich manoeuvre, Imaging techniques, Large airway, Lung injury, Lung volume, Mechanical obstruction, Mechanical ventilation, Meconium aspiration syndrome, Mortality rate, Neuromuscular function, Nosocomial pneumonia, Nursing home patients, Nursing home residents, Obstruction, Obstructive pathology, Older adults, Oral decontamination, Other risk factors, Palo alto, Pneumonia, Pneumonitis, Poor dentition, Poor validity, Pract, Practice guidelines, Protective airway, Radiographic opacities, Residual volumes, Respir crit care, Respiratory failure, Respiratory tract, Rigid bronchoscopy, Risk factor, Risk factors, Speech pathologists, Sputum cultures, Subglottic secretions, Syndrome, Tract infection, Veterans affairs palo alto health care system, Virtual bronchoscopy.
- Teeft :
- Abrupt onset, Additional details, Aerobic, Aerobic bacteria, Aerobic enteric bacteria, Airspace consolidation, Airway, Alcoholic patients, American college, American heart association, American society, Anesthesiologists task force, Antibiotic, Antimicrobial therapy, Aspirated object, Aspiration, Aspiration event, Aspiration events, Aspiration pneumonia, Aspiration pneumonitis, Aspiration syndromes, Authors journal compilation, Blackwell publishing, Blood gases, Body aspiration, Bronchoscopy, Care facility patients, Chest physicians, Chest radiograph, Chest radiographs, Clin, Clin nutr, Clin pract, Clinical condition, Clinical nutrition, Clinical practice guidelines, Common cause, Communityacquired pneumonia, Conventional bronchoscopy, Crit, Crit care, Dependent lung zones, Disease control, Dynamic lung compliance, Elderly patients, Enteral, Enteral nutrition, Espen guidelines, Foreign bodies, Foreign body, Foreign body aspiration, Guideline, Healthcare infection control practices, Healthcare providers, Heimlich manoeuvre, Imaging techniques, Large airway, Lung injury, Lung volume, Mechanical obstruction, Mechanical ventilation, Meconium aspiration syndrome, Mortality rate, Neuromuscular function, Nosocomial pneumonia, Nursing home patients, Nursing home residents, Obstruction, Obstructive pathology, Older adults, Oral decontamination, Other risk factors, Palo alto, Pneumonia, Pneumonitis, Poor dentition, Poor validity, Pract, Practice guidelines, Protective airway, Radiographic opacities, Residual volumes, Respir crit care, Respiratory failure, Respiratory tract, Rigid bronchoscopy, Risk factor, Risk factors, Speech pathologists, Sputum cultures, Subglottic secretions, Syndrome, Tract infection, Veterans affairs palo alto health care system, Virtual bronchoscopy.
Abstract
Aspiration syndromes are clinically and pathologically classified into three sets of disorders: (i) large airway mechanical obstruction caused by foreign bodies; (ii) aspiration pneumonitis; and (iii) aspiration pneumonia. In this article, we discuss the common clinical presentations, risk factors, radiographic features and methods of management of these disorders. We highlight recent recommendations and controversies surrounding the prevention of aspiration pneumonia in the critically ill patient. Finally, we review ethical dilemmas surrounding feeding and aspiration risk concerns in debilitated and demented patients.
Url:
DOI: 10.1111/j.1742-1241.2007.01300.x
Links to Exploration step
ISTEX:31576E67F983B4F56AE3BA434736B415D2EA169DLe document en format XML
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Kuschner</name><affiliations><json:string>Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, Palo Alto; and U.S. Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA</json:string></affiliations></json:item></author><articleId><json:string>IJCP1300</json:string></articleId><arkIstex>ark:/67375/WNG-DMD5WTK4-V</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>reviewArticle</json:string></originalGenre><abstract>Aspiration syndromes are clinically and pathologically classified into three sets of disorders: (i) large airway mechanical obstruction caused by foreign bodies; (ii) aspiration pneumonitis; and (iii) aspiration pneumonia. In this article, we discuss the common clinical presentations, risk factors, radiographic features and methods of management of these disorders. 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S.</forename><surname>Paintal</surname></persName><affiliation>Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, Palo Alto; and U.S. Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA<address><country key="US"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">W. G.</forename><surname>Kuschner</surname></persName><affiliation>Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, Palo Alto; and U.S. Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA<address><country key="US"></country></address></affiliation></author><idno type="istex">31576E67F983B4F56AE3BA434736B415D2EA169D</idno><idno type="ark">ark:/67375/WNG-DMD5WTK4-V</idno><idno type="DOI">10.1111/j.1742-1241.2007.01300.x</idno><idno type="unit">IJCP1300</idno><idno type="toTypesetVersion">file:IJCP.IJCP1300.pdf</idno></analytic><monogr><title level="j" type="main">International Journal of Clinical Practice</title><title level="j" type="alt">INTERNATIONAL JOURNAL OF CLINICAL PRACTICE</title><idno type="pISSN">1368-5031</idno><idno type="eISSN">1742-1241</idno><idno type="book-DOI">10.1111/(ISSN)1742-1241</idno><idno type="book-part-DOI">10.1111/ijcp.2007.61.issue-5</idno><idno type="product">IJCP</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">61</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="846">846</biblScope><biblScope unit="page" to="852">852</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2007-05"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Summary</head><p>Aspiration syndromes are clinically and pathologically classified into three sets of disorders: (i) large airway mechanical obstruction caused by foreign bodies; (ii) aspiration pneumonitis; and (iii) aspiration pneumonia. In this article, we discuss the common clinical presentations, risk factors, radiographic features and methods of management of these disorders. We highlight recent recommendations and controversies surrounding the prevention of aspiration pneumonia in the critically ill patient. Finally, we review ethical dilemmas surrounding feeding and aspiration risk concerns in debilitated and demented patients.</p></abstract><textClass><keywords rend="tocHeading1"><term>Review Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/31576E67F983B4F56AE3BA434736B415D2EA169D/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1742-1241</doi><issn type="print">1368-5031</issn><issn type="electronic">1742-1241</issn><idGroup><id type="product" value="IJCP"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="INTERNATIONAL JOURNAL OF CLINICAL PRACTICE">International Journal of Clinical Practice</title></titleGroup></publicationMeta><publicationMeta level="part" position="05005"><doi origin="wiley">10.1111/ijcp.2007.61.issue-5</doi><numberingGroup><numbering type="journalVolume" number="61">61</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="2007-05">May 2007</coverDate></publicationMeta><publicationMeta level="unit" type="reviewArticle" position="22" status="forIssue"><doi origin="wiley">10.1111/j.1742-1241.2007.01300.x</doi><idGroup><id type="unit" value="IJCP1300"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">Review Articles</title></titleGroup><eventGroup><event type="firstOnline" date="2007-04-10"></event><event type="publishedOnlineFinalForm" date="2007-04-10"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.5 mode:FullText source:FullText result:FullText" date="2010-04-07"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-13"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-24"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="846">846</numbering><numbering type="pageLast" number="852">852</numbering></numberingGroup><correspondenceTo>Dr Ware G. Kuschner, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Pulmonary Section, Mail Stop 111 P, Palo Alto, CA 94304, USA
Tel.: + 1 650 493 5000 (ext. 63544)
Fax: + 1 650 852 3276
Email: <email>kuschner@stanford.edu</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:IJCP.IJCP1300.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Paper received December 2006, accepted January 2007</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="0"></count></countGroup><titleGroup><title type="main">Aspiration syndromes: 10 clinical pearls every physician should know</title><title type="short">Aspiration syndromes</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1"><personName><givenNames>H. S.</givenNames><familyName>Paintal</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1"><personName><givenNames>W. G.</givenNames><familyName>Kuschner</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1" countryCode="US"><unparsedAffiliation>Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, Palo Alto; and U.S. Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Summary</title><p>Aspiration syndromes are clinically and pathologically classified into three sets of disorders: (i) large airway mechanical obstruction caused by foreign bodies; (ii) aspiration pneumonitis; and (iii) aspiration pneumonia. In this article, we discuss the common clinical presentations, risk factors, radiographic features and methods of management of these disorders. We highlight recent recommendations and controversies surrounding the prevention of aspiration pneumonia in the critically ill patient. Finally, we review ethical dilemmas surrounding feeding and aspiration risk concerns in debilitated and demented patients.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1" numbered="no"><p>Disclosures The authors have no financial disclosures or conflicts of interest to report.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Aspiration syndromes: 10 clinical pearls every physician should know</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Aspiration syndromes</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Aspiration syndromes: 10 clinical pearls every physician should know</title></titleInfo><name type="personal"><namePart type="given">H. S.</namePart><namePart type="family">Paintal</namePart><affiliation>Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, Palo Alto; and U.S. Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">W. G.</namePart><namePart type="family">Kuschner</namePart><affiliation>Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, Palo Alto; and U.S. Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="review-article" displayLabel="reviewArticle" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-L5L7X3NF-P">review-article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2007-05</dateIssued><edition>Paper received December 2006, accepted January 2007</edition><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">0</extent></physicalDescription><abstract lang="en">Aspiration syndromes are clinically and pathologically classified into three sets of disorders: (i) large airway mechanical obstruction caused by foreign bodies; (ii) aspiration pneumonitis; and (iii) aspiration pneumonia. In this article, we discuss the common clinical presentations, risk factors, radiographic features and methods of management of these disorders. We highlight recent recommendations and controversies surrounding the prevention of aspiration pneumonia in the critically ill patient. 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