aspiration pneumonitis

aspiration pneumonitis

Acute lung injury after inhalation of gastric acidic gastric content (food, gastric acid, vomitus), which causes chemical burns of the tracheobronchial tree and pulmonary parenchyma. Tissue destruction facilitates colonisation by bacteria and subsequent infection; lung parenchyma is acutely inflamed, haemorrhagic and oedematous with atelectasis and necrosis.
 
Aetiology
Altered consciousness (e.g., drug overdose), seizures, CVA, anaesthetics.

Autopsy findings
Aspiration pneumonia is not a “good” cause of death on a death certificate for a patient who dies in ITU, as patients are usually NPO (oral foods and fluids withheld).
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References in periodicals archive ?
The cause of death was stated as aspiration pneumonitis.
Child mortality due to soft porridge aspiration in healthy infants
(4) reported aspiration pneumonitis after procedural sedation.
Ascaris Worm in Vomitus Post-Abortion: Beware!
Development of aspiration pneumonitis in overdose patients has been related to poor prognosis [10,11].
Clinical Effects of Activated Charcoal Unavailability on Treatment Outcomes for Oral Drug Poisoned Patients
The ER team believed that this was blood related to a tongue laceration and suspected aspiration pneumonitis given the radiographic findings consistent with Acute Respiratory Distress Syndrome (ARDS).
Recurrent Acute Neurogenic Pulmonary Edema after Uncontrolled Seizures
c) Radiological evidence of aspiration pneumonitis (Atelectasis and/or hyperinflation).
Meconium-stained amniotic fluid and meconium aspiration syndrome--a study on risk factors and neonatal outcome
Acute complications include acute respiratory failure, acute respiratory distress syndrome (ARDS), types I and II paralysis, intermediate syndrome (IMS), sudden cardiac death, aspiration pneumonitis, and resecretions.
Clinical profile of organophosphate poisoning at a tertiary-care center
He had also developed aspiration pneumonitis and chemical oesophagitis.
Hair dye poisoning and rhabdomyolysis
Another risk: If food and water haven't been withheld beforehand, the patient can vomit and inhale them into the lungs, and develop aspiration pneumonitis.
Anesthesia presents fewer risks today: improved drugs, precise monitoring and an increase in the number of specialists all contribute to greater safety
Another risk: If food hasn't been withheld beforehand, the possibility of the patient's vomiting, then inhaling it into the lungs and developing aspiration pneumonitis can occur.
Anesthesia presents fewer risks today: improved drugs, precise monitoring and an increase in the number of specialists all contribute to greater safety
Aspiration of gastric contents into the respiratory tract reportedly causes significant morbidity and mortality and is accepted as the key initiating event for aspiration pneumonitis - a form of acute lung injury caused by the acidity of the gastric contents, and aspiration pneumonia - the consequence of the growth of pathogenic bacteria contained in the oropharynx aspirated into the tracheobronchial tree.
Aradigm Corporation secures USD260,000 NIH grant to investigate new diagnoses tests of aspirations of gastrointestinal contents into respiratory tract
This may reduce the risk of aspiration pneumonitis.
Anesthetic management of a scleroderma patient undergoing tricuspid valve replacement under cardiopulmonary bypass
(7) Aspiration pneumonitis, cardiac and neurological impairment are the other potential complications of drug overdose.
Acute drug overdose: clinical profile, etiologic spectrum and determinants of duration of intensive medical treatment

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