Pneumonia due to the inhalation of large volume of gastric bacteria into the lung parenchyma
Aspiration pneumonitis is due to aspiration of contents toxic to lung, independent of bact...
There is no “gold standard” test for aspiration pneumonia; radiologic, clinical, and bacteriologic criteria have all been used. Most instances of aspiration are not observed.
Diagnosis is inf...
Antibiotics are indicated for aspiration pneumonia and should be tailored to the risk profile (CAP vs HCAP) of the patient. Many patients at risk for aspiration pneumonia are also ...
NPO if reduced consciousness
Aggressive oral hygiene
Soft diet with thickened liquids
Encourage smaller bites.
Chin-down swallowing
Mechanical strategies
Elevated head 30 to 45 degrees when...
J69.0 Pneumonitis due to inhalation of food and vomit
J69.8 Pneumonitis due to inhalation of other solids and liquids
J69.1 Pneumonitis due to inhalation of oils and essences
422588002 a...
Aspiration pneumonia is usually a clinical diagnosis.
Initial antibiotic treatment is empiric. Routine coverage of anaerobes is unnecessary in absence of specific risk factors.
Typical p...
Sign up for a 10-day FREE Trial now and receive full access to all content.
FIG. 11.27. Pneumonia with large pleural effusion. This child presented with bacterial pneumonia and respiratory distress, presumed to be caused in part by the large pleural effusion. In the emergency department, a pleural catheter ("pigtail") was placed for drainage, using the Seldinger technique.
FIG. 11.27. Pneumonia with large pleural effusion. This child presented with bacterial pneumonia and respiratory distress, presumed to be ...
FIG. 11.61. Varicella pneumonia. Severe pneumonia developed in this patient shortly after she developed vesicular skin lesions that were positive for varicella-zoster virus by direct fluorescent antibody. Varicella causes a diffuse, miliary pattern.
FIG. 11.61. Varicella pneumonia. Severe pneumonia developed in this patient shortly after she developed vesicular skin lesions that were p...
FIG. 16.4. Aspiration pneumonia. A: Blood aspiration. A 3-year-old boy with tachypnea 1 day after surgery for enlarged adenoids/tonsils. The chest radiograph shows an infiltrate in the right upper and left lower lobe. B: Blood aspiration. The chest radiograph 2 days later shows clearing of the infiltrate in the right upper and left lower lobe.
FIG. 16.4. Aspiration pneumonia. A: Blood aspiration. A 3-year-old boy with tachypnea 1 day after surgery for enlarged adenoids/tonsils. T...