Aspiration syndromes: 10 clinical pearls every physician should know
Identifieur interne : 006A74 ( Main/Exploration ); précédent : 006A73; suivant : 006A75Aspiration syndromes: 10 clinical pearls every physician should know
Auteurs : H. S. Paintal [États-Unis] ; W. G. Kuschner [États-Unis]Source :
- International Journal of Clinical Practice [ 1368-5031 ] ; 2007-05.
Descripteurs français
- Wicri :
- topic : Antibiotique.
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
Affiliations:
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Le document en format XML
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<term>Aerobic bacteria</term>
<term>Aerobic enteric bacteria</term>
<term>Airspace consolidation</term>
<term>Airway</term>
<term>Alcoholic patients</term>
<term>American college</term>
<term>American heart association</term>
<term>American society</term>
<term>Anesthesiologists task force</term>
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<term>Antimicrobial therapy</term>
<term>Aspirated object</term>
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<term>Aspiration events</term>
<term>Aspiration pneumonia</term>
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<term>Aspiration syndromes</term>
<term>Authors journal compilation</term>
<term>Blackwell publishing</term>
<term>Blood gases</term>
<term>Body aspiration</term>
<term>Bronchoscopy</term>
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<term>Chest physicians</term>
<term>Chest radiograph</term>
<term>Chest radiographs</term>
<term>Clin</term>
<term>Clin nutr</term>
<term>Clin pract</term>
<term>Clinical condition</term>
<term>Clinical nutrition</term>
<term>Clinical practice guidelines</term>
<term>Common cause</term>
<term>Communityacquired pneumonia</term>
<term>Conventional bronchoscopy</term>
<term>Crit</term>
<term>Crit care</term>
<term>Dependent lung zones</term>
<term>Disease control</term>
<term>Dynamic lung compliance</term>
<term>Elderly patients</term>
<term>Enteral</term>
<term>Enteral nutrition</term>
<term>Espen guidelines</term>
<term>Foreign bodies</term>
<term>Foreign body</term>
<term>Foreign body aspiration</term>
<term>Guideline</term>
<term>Healthcare infection control practices</term>
<term>Healthcare providers</term>
<term>Heimlich manoeuvre</term>
<term>Imaging techniques</term>
<term>Large airway</term>
<term>Lung injury</term>
<term>Lung volume</term>
<term>Mechanical obstruction</term>
<term>Mechanical ventilation</term>
<term>Meconium aspiration syndrome</term>
<term>Mortality rate</term>
<term>Neuromuscular function</term>
<term>Nosocomial pneumonia</term>
<term>Nursing home patients</term>
<term>Nursing home residents</term>
<term>Obstruction</term>
<term>Obstructive pathology</term>
<term>Older adults</term>
<term>Oral decontamination</term>
<term>Other risk factors</term>
<term>Palo alto</term>
<term>Pneumonia</term>
<term>Pneumonitis</term>
<term>Poor dentition</term>
<term>Poor validity</term>
<term>Pract</term>
<term>Practice guidelines</term>
<term>Protective airway</term>
<term>Radiographic opacities</term>
<term>Residual volumes</term>
<term>Respir crit care</term>
<term>Respiratory failure</term>
<term>Respiratory tract</term>
<term>Rigid bronchoscopy</term>
<term>Risk factor</term>
<term>Risk factors</term>
<term>Speech pathologists</term>
<term>Sputum cultures</term>
<term>Subglottic secretions</term>
<term>Syndrome</term>
<term>Tract infection</term>
<term>Veterans affairs palo alto health care system</term>
<term>Virtual bronchoscopy</term>
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<keywords scheme="Teeft" xml:lang="en"><term>Abrupt onset</term>
<term>Additional details</term>
<term>Aerobic</term>
<term>Aerobic bacteria</term>
<term>Aerobic enteric bacteria</term>
<term>Airspace consolidation</term>
<term>Airway</term>
<term>Alcoholic patients</term>
<term>American college</term>
<term>American heart association</term>
<term>American society</term>
<term>Anesthesiologists task force</term>
<term>Antibiotic</term>
<term>Antimicrobial therapy</term>
<term>Aspirated object</term>
<term>Aspiration</term>
<term>Aspiration event</term>
<term>Aspiration events</term>
<term>Aspiration pneumonia</term>
<term>Aspiration pneumonitis</term>
<term>Aspiration syndromes</term>
<term>Authors journal compilation</term>
<term>Blackwell publishing</term>
<term>Blood gases</term>
<term>Body aspiration</term>
<term>Bronchoscopy</term>
<term>Care facility patients</term>
<term>Chest physicians</term>
<term>Chest radiograph</term>
<term>Chest radiographs</term>
<term>Clin</term>
<term>Clin nutr</term>
<term>Clin pract</term>
<term>Clinical condition</term>
<term>Clinical nutrition</term>
<term>Clinical practice guidelines</term>
<term>Common cause</term>
<term>Communityacquired pneumonia</term>
<term>Conventional bronchoscopy</term>
<term>Crit</term>
<term>Crit care</term>
<term>Dependent lung zones</term>
<term>Disease control</term>
<term>Dynamic lung compliance</term>
<term>Elderly patients</term>
<term>Enteral</term>
<term>Enteral nutrition</term>
<term>Espen guidelines</term>
<term>Foreign bodies</term>
<term>Foreign body</term>
<term>Foreign body aspiration</term>
<term>Guideline</term>
<term>Healthcare infection control practices</term>
<term>Healthcare providers</term>
<term>Heimlich manoeuvre</term>
<term>Imaging techniques</term>
<term>Large airway</term>
<term>Lung injury</term>
<term>Lung volume</term>
<term>Mechanical obstruction</term>
<term>Mechanical ventilation</term>
<term>Meconium aspiration syndrome</term>
<term>Mortality rate</term>
<term>Neuromuscular function</term>
<term>Nosocomial pneumonia</term>
<term>Nursing home patients</term>
<term>Nursing home residents</term>
<term>Obstruction</term>
<term>Obstructive pathology</term>
<term>Older adults</term>
<term>Oral decontamination</term>
<term>Other risk factors</term>
<term>Palo alto</term>
<term>Pneumonia</term>
<term>Pneumonitis</term>
<term>Poor dentition</term>
<term>Poor validity</term>
<term>Pract</term>
<term>Practice guidelines</term>
<term>Protective airway</term>
<term>Radiographic opacities</term>
<term>Residual volumes</term>
<term>Respir crit care</term>
<term>Respiratory failure</term>
<term>Respiratory tract</term>
<term>Rigid bronchoscopy</term>
<term>Risk factor</term>
<term>Risk factors</term>
<term>Speech pathologists</term>
<term>Sputum cultures</term>
<term>Subglottic secretions</term>
<term>Syndrome</term>
<term>Tract infection</term>
<term>Veterans affairs palo alto health care system</term>
<term>Virtual bronchoscopy</term>
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<front><div type="abstract" xml: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. Finally, we review ethical dilemmas surrounding feeding and aspiration risk concerns in debilitated and demented patients.</div>
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