title: [Life threatening situations caused by bolus aspiration in psychiatric inpatients--clinical aspects, risk factors, prevention, therapy].
abstract: Five cases of life-threatening bolus aspiration are described. Four patients could be rescued; an 48 year old woman died of an reflectoric bolus death, also called "cafe coronary". A review of the literature and the special conditions of our examples allow to define different predisposing factors for bolus aspiration: severe psychiatric illness, abnormal eating behaviour, local or spread brain lesions, dysphagia, old age, multimorbidity and newly institutionalised persons. Possible risk exacerbations by psychotropic drugs are discussed. The special threat to psychiatric patients is shown. Prevention of these dangerous situations consists of an individual dysphagia risk screening and of following certain rules concerning eating and medication. All staff members in psychiatric hospitals should be trained in life-saving techniques in bolus incidents.
authors.affiliation: Psychiatrische Klinik am Zentralinstitut für Seelische Gesundheit, Mannheim.
authors.forename: M F
authors.initials: MF
authors.lastname: Schmitt
authors.forename: W
authors.initials: W
authors.lastname: Hewer
mesh_terms: D000328:Adult; D000368:Aged; D000402:Airway Obstruction / Q000209:etiology / Q000401:mortality* / Q000523:psychology; D002423:Cause of Death; D004630:Emergencies; D005247:Feeding Behavior; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000401:mortality* / Q000523:psychology; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000150:complications / Q000401:mortality / Q000523:psychology; D012151:Resuscitation; D012307:Risk Factors
vernacular_title: Lebensbedrohliche Situationen durch Bolusaspiration bei stationär behandelten psychisch Kranken--Klinik, Risikofaktoren, Prophylaxe, Therapie.