Aspiration pneumonia. A threat when deglutition is compromised.
Aspiration results from abnormal structure or from dysfunction during the oral, pharyngeal, or esophageal stage of deglutition. Chemically induced inflammation of the lungs and obstruction of the airways may ensue. Feeding and swallowing problems may occur at any age, but they are particularly prevalent in the elderly, and the morbidity and mortality that result from impaired oral intake are now recognized as a major geriatric problem. Aspiration pneumonitis and/or pneumonia has a high morbidity and mortality rate. Medical management is mainly aimed at supportive care with the hope of resolution over time. Complications demand aggressive measures. Prevention of aspiration is apt to be more rewarding than treatment of consequences. All predisposing factors should be carefully assessed by the physician and modified whenever possible.
Khawaja
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IT
New Rochelle Hospital Medical Center, NY 10802.
Buffa
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SD
Brandstetter
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RD
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001999:Bronchoscopy; D005194:Family Practice / Q000379:methods*; D005440:Fluid Therapy; D006801:Humans; D010102:Oxygen Inhalation Therapy; D011015:Pneumonia, Aspiration / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D013902:Radiography, Thoracic; D012307:Risk Factors
D000900:Anti-Bacterial Agents