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Predicting the Risk of Postoperative Pulmonary Complications
https://www.aafp.org/afp/2019/1015/p499.html
American Family Physician;

Oct 14th, 2019 - The incidence of pulmonary complications following major surgery is estimated to be 1% to 23%, with the risk varying based on patient factors and the type of surgery.1 Postoperative pulmonary complications include pneumonia, tracheobronchitis, pulmonary edema, pulmonary embolism, atelectasis, pleural effusion, pneumothorax, bronchospasm, aspiration, respiratory failure, and acute respiratory di...

High tidal volume decreases adult respiratory distress syndrome, atelectasis, and venti...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4372503
Journal of the American College of Surgeons; Sousse LE, Herndon DN et. al.

Feb 28th, 2015 - Inhalation injury, which is among the causes of acute lung injury and acute respiratory distress syndrome (ARDS), continues to represent a significant source of mortality in burned patients. Inhalation injury often requires mechanical ventilation, but the ideal tidal volume strategy is not clearly defined in burned pediatric patients. The aim of this study was to determine the effects of low an...

American Geriatrics Society feeding tubes in advanced dementia position statement.
https://doi.org/10.1111/jgs.12924
Journal of the American Geriatrics Society;

Jul 21st, 2014 - When eating difficulties arise, feeding tubes are not recommended for older adults with advanced dementia. Careful hand feeding should be offered because hand feeding has been shown to be as good as tube feeding for the outcomes of death, aspiration pneumonia, functional status, and comfort. Moreover, tube feeding is associated with agitation, greater use of physical and chemical restraints, he...

Pulmonary Complications of Opioid Overdose Treated With Naloxone.
https://doi.org/10.1016/j.annemergmed.2019.04.006
Annals of Emergency Medicine; Farkas A, Lynch MJ et. al.

Jun 11th, 2019 - We aim to determine whether administration of higher doses of naloxone for the treatment of opioid overdose is associated with increased pulmonary complications. This was a retrospective, observational, cross-sectional study of 1,831 patients treated with naloxone by the City of Pittsburgh Bureau of Emergency Medical Services. Emergency medical services and hospital records were abstracted for ...

Antipsychotics and the Risk of Aspiration Pneumonia in Individuals Hospitalized for Non...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5729090
Journal of the American Geriatrics Society; Herzig SJ, LaSalvia MT et. al.

Nov 2nd, 2017 - Off-label use of antipsychotics is common in hospitals, most often for delirium management. Antipsychotics have been associated with aspiration pneumonia in community and nursing home settings, but the association in hospitalized individuals is unexplored. We aimed to investigate the association between antipsychotic exposure and aspiration pneumonia during hospitalization. Retrospective cohort...

Anesthesia Assistance in Outpatient Colonoscopy and Risk of Aspiration Pneumonia, Bowel...
https://doi.org/10.1053/j.gastro.2017.08.043
Gastroenterology Bielawska B, Hookey LC et. al.

Sep 3rd, 2017 - The increase in use of anesthesia assistance (AA) to achieve deep sedation with propofol during colonoscopy has significantly increased colonoscopy costs without evidence for increased quality and with possible harm. We investigated the effects of AA on colonoscopy complications, specifically bowel perforation, aspiration pneumonia, and splenic injury. In a population-based cohort study using a...

Screening Accuracy for Aspiration Using Bedside Water Swallow Tests: A Systematic Revie...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4980548
Chest Brodsky MB, Suiter DM et. al.

Apr 22nd, 2016 - Hospitalizations for aspiration pneumonia have doubled among older adults. Using a bedside water swallow test (WST) to screen for swallowing-related aspiration can be efficient and cost-effective for preventing additional comorbidities and mortality. We evaluated screening accuracy of bedside WSTs used to identify patients at risk for dysphagia-associated aspiration. Sixteen online databases, G...

Continuous cervical epidural block: Treatment for intractable hiccups.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944690
Medicine Kim JE, Lee MK et. al.

Feb 8th, 2018 - Intractable hiccups, although rare, may result in severe morbidity, including sleep deprivation, poor food intake, respiratory muscle fatigue, aspiration pneumonia, and death. Despite these potentially fatal complications, the etiology of intractable hiccups and definitive treatment are unknown. This study aimed to evaluate the effectiveness of continuous cervical epidural block in the treatmen...

Mechanical Insufflation-Exsufflation Versus Conventional Chest Physiotherapy in Childre...
https://doi.org/10.4187/respcare.05663
Respiratory Care; Siriwat R, Deerojanawong J et. al.

Oct 26th, 2017 - The cough mechanism is often impaired in children with quadriplegic spastic cerebral palsy, accounting for the high prevalence of pneumonia and atelectasis requiring prolonged hospitalization. Conventional chest physiotherapy (CPT) is a current technique recommended at the onset of lower-respiratory infections in cerebral palsy. Previous studies have demonstrated the usefulness of mechanical in...

Annexin A2 supports pulmonary microvascular integrity by linking vascular endothelial c...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584111
The Journal of Experimental Medicine; Luo M, Flood EC et. al.

Jul 11th, 2017 - Relative or absolute hypoxia activates signaling pathways that alter gene expression and stabilize the pulmonary microvasculature. Alveolar hypoxia occurs in disorders ranging from altitude sickness to airway obstruction, apnea, and atelectasis. Here, we report that the phospholipid-binding protein, annexin A2 (ANXA2) functions to maintain vascular integrity in the face of alveolar hypoxia. We ...

The effects of intravenous aminophylline on level of consciousness in acute intentional...
https://doi.org/10.1177/0960327116646619
Human & Experimental Toxicology; Aghabiklooei A, Sangsefidi J

May 4th, 2016 - Acute intentional benzodiazepine poisoning is marked by a significant loss of consciousness, aspiration pneumonia, and increased rates of mortality and morbidity, especially in older patients with underlying heart or lung disease. These patients may need flumazenil to reverse the respiratory effects of benzodiazepines. The positive effects of aminophylline on respiration and neonatal apnea impr...

A Meta-analysis of Intraoperative Ventilation Strategies to Prevent Pulmonary Complicat...
https://doi.org/10.1097/SLA.0000000000001443
Annals of Surgery; Yang D, Grant MC et. al.

Dec 31st, 2015 - The clinical benefits of intraoperative low tidal volume (LTV) mechanical ventilation with concomittent positive end expiratory pressure (PEEP) and intermittent recruitment maneuvers-termed "protective lung ventilation" (PLV)-have not been investigated systematically in otherwise healthy patients undergoing general anesthesia. Our group performed a meta-analysis of 16 studies (n = 1054) compari...

Long-Term Effects of Lung Volume Recruitment on Maximal Inspiratory Capacity and Vital ...
https://doi.org/10.1513/AnnalsATS.201507-475BC
Annals of the American Thoracic Society; Katz SL, Barrowman N et. al.

Nov 25th, 2015 - Lung volume recruitment therapy slows rate of decline of lung function in neuromuscular disease, possibly due to enhanced airway clearance, reduced atelectasis, or prevention of chest wall contractures. To determine if lung volume recruitment maintains maximal insufflation capacity (MIC), despite decline in VC. This was a retrospective cohort study (1991-2008) of individuals with Duchenne muscu...

Dysphagia in Parkinson's Disease.
https://doi.org/10.1007/s00455-015-9671-9
Dysphagia Suttrup I, Warnecke T

Nov 22nd, 2015 - More than 80 % of patients with Parkinson's disease (PD) develop dysphagia during the course of their disease. Swallowing impairment reduces quality of life, complicates medication intake and leads to malnutrition and aspiration pneumonia, which is a major cause of death in PD. Although the underlying pathophysiology is poorly understood, it has been shown that dopaminergic and non-dopaminergic...

AARC Clinical Practice Guideline: Effectiveness of Pharmacologic Airway Clearance Thera...
https://doi.org/10.4187/respcare.04165
Respiratory Care; Strickland SL, Rubin BK et. al.

Jun 26th, 2015 - Aerosolized medications are used as airway clearance therapy to treat a variety of airway diseases. These guidelines were developed from a systematic review with the purpose of determining whether the use of these medications to promote airway clearance improves oxygenation and respiratory mechanics, reduces ventilator time and ICU stay, and/or resolves atelectasis/consolidation compared with u...

CPAP and High-Flow Nasal Cannula Oxygen in Bronchiolitis.
https://doi.org/10.1378/chest.14-1589
Chest Sinha IP, McBride AKS et. al.

Apr 3rd, 2015 - Severe respiratory failure develops in some infants with bronchiolitis because of a complex pathophysiologic process involving increased airways resistance, alveolar atelectasis, muscle fatigue, and hypoxemia due to mismatch between ventilation and perfusion. Nasal CPAP and high-flow nasal cannula (HFNC) oxygen may improve the work of breathing and oxygenation. Although the mechanisms behind th...

Aspiration pneumonia after concurrent chemoradiotherapy for head and neck cancer.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4774546
Cancer Xu B, Boero IJ et. al.

Dec 29th, 2014 - Aspiration pneumonia represents an under-reported complication of chemoradiotherapy in patient with head and neck cancer. The objective of the current study was to evaluate the incidence, risk factors, and mortality of aspiration pneumonia in a large cohort of patients with head and neck cancer who received concurrent chemoradiotherapy. Patients who had head and neck cancer diagnosed between 20...

The national cost burden of bronchial foreign body aspiration in children.
https://doi.org/10.1002/lary.25002
The Laryngoscope; Kim IA, Shapiro N et. al.

Nov 4th, 2014 - Foreign body aspiration (FBA) continues to be a concerning pediatric problem, accounting for thousands of emergency room visits and more than 100 deaths each year in the United States. The costs incurred with hospitalizations and procedures following these events are the focus of this study. Retrospective review. The Nationwide Inpatient Sample from 2009 to 2011 was analyzed, and all cases with...

ACR Appropriateness Criteria® rib fractures.
https://doi.org/10.1097/RTI.0000000000000113
Journal of Thoracic Imaging; , Henry TS et. al.

Oct 23rd, 2014 - Rib fracture is the most common thoracic injury, present in 10% of all traumatic injuries and almost 40% of patients who sustain severe nonpenetrating trauma. Although rib fractures can produce significant morbidity, the diagnosis of associated complications (such as pneumothorax, hemothorax, pulmonary contusion, atelectasis, flail chest, cardiovascular injury, and injuries to solid and hollow ...

Extended use of diaphragm pacing in patients with unilateral or bilateral diaphragm dys...
https://doi.org/10.1016/j.surg.2014.07.021
Surgery Onders RP, Elmo M et. al.

Sep 22nd, 2014 - Diaphragm dysfunction (DD) can cause sleep abnormalities, dyspnea, atelectasis, and respiratory failure. Historical treatments, including positive pressure ventilation or diaphragm plication, may alleviate symptoms but do not restore physiologic diaphragm function. Diaphragm pacing (DP) is approved for spinal cord-injured patients and in amyotrophic lateral sclerosis. We report a series of DD p...

Oral health disparities in older adults: oral bacteria, inflammation, and aspiration pn...
https://doi.org/10.1016/j.cden.2014.06.005
Dental Clinics of North America; Scannapieco FA, Shay K

Sep 9th, 2014 - Poor oral hygiene has been suggested to be a risk factor for aspiration pneumonia in the institutionalized and disabled elderly. Control of oral biofilm formation in these populations reduces the numbers of potential respiratory pathogens in the oral secretions, which in turn reduces the risk for pneumonia. Together with other preventive measures, improved oral hygiene helps to control lower re...

Middle lobe syndrome in children today.
https://doi.org/10.1016/j.prrv.2014.01.002
Paediatric Respiratory Reviews; Romagnoli V, Priftis KN et. al.

Mar 18th, 2014 - Middle lobe syndrome in children is a distinct clinical and radiographic entity that has been well described in the pediatric literature. However, issues regarding its etiology, clinical presentation, and management continue to puzzle the clinical practitioner. Pathophysiologically, there are two forms of middle lobe syndrome, namely obstructive and nonobstructive. Middle lobe syndrome may pres...

AARC clinical practice guideline: effectiveness of nonpharmacologic airway clearance th...
https://doi.org/10.4187/respcare.02925
Respiratory Care; Strickland SL, Rubin BK et. al.

Nov 13th, 2013 - Airway clearance therapy (ACT) is used in a variety of settings for a variety of ailments. These guidelines were developed from a systematic review with the purpose of determining whether the use of nonpharmacologic ACT improves oxygenation, reduces length of time on the ventilator, reduces stay in the ICU, resolves atelectasis/consolidation, and/or improves respiratory mechanics, versus usual ...

Patients with chronic pulmonary disease.
https://doi.org/10.1016/j.mcna.2013.06.001
The Medical Clinics of North America; Hong CM, Galvagno SM

Nov 4th, 2013 - Chronic pulmonary disease is common among the surgical population and the importance of a thorough and detailed preoperative assessment is monumental for minimizing morbidity and mortality and reducing the risk of perioperative pulmonary complications. These comorbidities contribute to pulmonary postoperative complications, including atelectasis, pneumonia, and respiratory failure, and can pred...

Foreign body aspiration in adults and in children: advantages and consequences of a ded...
https://doi.org/10.1097/LBR.0000000000000024
Journal of Bronchology & Interventional Pulmonology; Casalini AG, Majori M et. al.

Oct 28th, 2013 - Foreign body (FB) inhalation is a potentially life-threatening emergency also in clinically stable patients as the situation could worsen at any moment. There is varying opinion regarding the urgency for removal of inhaled FBs, and there are no guidelines in the literature. The aim of our study was to present our experience with FB aspiration in children and adults from 1993, when we introduced...

Tracheobronchial foreign body aspiration in children.
https://doi.org/10.1177/0009922813506259
Clinical Pediatrics; Singh H, Parakh A

Oct 18th, 2013 - Tracheobronchial foreign body aspiration in children.|2013|Singh H,Parakh A,|complications,diagnosis,diagnostic imaging,therapy,

Pulmonary capillaritis in monozygotic twin boys.
https://doi.org/10.1542/peds.2013-0154
Pediatrics Kupfer O, Ridall LA et. al.

Oct 15th, 2013 - Pulmonary hemorrhage can be classified as either proximal or distal (alveolar). Causes of proximal hemorrhage include infection, foreign body aspiration, pulmonary embolus, trauma, vascular malformation, and pulmonary hypertension. Causes of distal or diffuse alveolar hemorrhage are divided by the histologic presence or absence of capillaritis, which is characterized by inflammation of the alve...

Predictors of radiolucent foreign body aspiration.
https://doi.org/10.1016/j.jpedsurg.2013.03.050
Journal of Pediatric Surgery; Mortellaro VE, Iqbal C et. al.

Sep 30th, 2013 - Children frequently present for suspected foreign body aspiration, many have mild symptoms and/or negative radiographs raising the question of a radiolucent foreign body aspiration. Retrospective review of patients having bronchoscopy for suspected radiolucent foreign body aspiration from 2000 to 2010 collecting demographics, history, hospital presentation, radiographic, and operative details. ...

Risk factors for aspiration in community-acquired pneumonia: analysis of a hospitalized...
https://doi.org/10.1016/j.amjmed.2013.07.012
The American Journal of Medicine; Taylor JK, Fleming GB et. al.

Sep 23rd, 2013 - There is a move toward finding clinically useful "phenotypes" in community-acquired pneumonia: groups of patients displaying distinct clinical characteristics, microbiology, and prognosis. Aspiration pneumonia is an intuitive clinical phenotype; however, to date there are no recognized diagnostic criteria, and data regarding outcomes in suspected aspiration are limited. An observational study o...

Foreign body aspiration in children: experience from 2624 patients.
https://doi.org/10.1016/j.ijporl.2013.07.026
International Journal of Pediatric Otorhinolaryngology; Boufersaoui A, Smati L et. al.

Aug 21st, 2013 - The objective of this study is to analyze the epidemiological, clinical, radiological and endoscopic characteristics of pediatric foreign body aspiration in Algeria. In this retrospective study, the results of 2624 children younger than 18 years admitted in our department for respiratory foreign body removal between 1989 and 2012, were presented. Most of them had an ambulatory rigid bronchoscop...

Surgical treatment of late-diagnosed bronchial foreign body aspiration: a report of 23 ...
https://doi.org/10.1111/crj.12040
The Clinical Respiratory Journal; Duan L, Chen X et. al.

Jul 15th, 2013 - Late-diagnosed bronchial foreign bodies can lead to irreversible changes in the bronchi and the lungs. To date, few reports are available concerning surgical treatment for this condition. The present report summarizes clinicopathological features and surgical treatment options for late-diagnosed bronchial foreign body aspiration. Clinical data of 23 patients who underwent surgical treatment for...

Palliative care in Parkinson's disease.
https://doi.org/10.1007/s11910-013-0367-y
Current Neurology and Neuroscience Reports; Miyasaki JM

Jun 13th, 2013 - Palliative care for Parkinson disease (PD) is a new concept in neurodegenerative care. Abundant evidence exists supporting PD as increasing risk of death, most commonly from aspiration pneumonia despite improvements in motor and non-motor symptom management. Palliative care emphasizes an interdisciplinary and holistic approach to symptom management. In the following, the timing for considering ...

Evaluation and management of pill aspiration: case discussion and review of the literat...
https://doi.org/10.1378/chest.12-1571
Chest Kinsey CM, Folch E et. al.

Jun 4th, 2013 - Pill aspiration represents a unique type of foreign body aspiration requiring a distinct diagnostic and therapeutic approach. In many cases, the "foreign body" itself may no longer be present, whereas the airway manifestations may persist for months to years. Limited data exist to guide management decisions. We report two cases of severe airway injury secondary to pill aspiration and provide a ...

Post-stroke dysphagia: progress at last.
https://doi.org/10.1111/nmo.12112
Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society; Rofes L, Vilardell N et. al.

Mar 13th, 2013 - Oropharyngeal Dysphagia (OD) is both underestimated and underdiagnosed as a cause of malnutrition and respiratory complications following stroke. OD occurs in more than 50% of stroke patients. Aspiration pneumonia (AP) occurs in up to 20% of acute stroke patients and is a major cause of mortality after discharge. Systematic screening for OD should be performed on every patient with stroke befor...

Specialized respiratory management for acute cervical spinal cord injury:: a retrospect...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584785
Topics in Spinal Cord Injury Rehabilitation; Wong SL, Shem K et. al.

Mar 5th, 2013 - In individuals with cervical spinal cord injury (SCI), respiratory complications arise within hours to days of injury. Paralysis of the respiratory muscles predisposes the patient toward respiratory failure. Respiratory complications after cervical SCI include hypoventilation, hypercapnea, reduction in surfactant production, mucus plugging, atelectasis, and pneumonia. Ultimately, the patient mu...

Effects of prednisolone on refractory mycoplasma pneumoniae pneumonia in children.
https://doi.org/10.1002/ppul.22752
Pediatric Pulmonology; Luo Z, Luo J et. al.

Feb 12th, 2013 - To prospectively evaluate prednisolone treatment in children with refractory Mycoplasma pneumonia pneumonia (MPP). Fifty-eight refractory children with MPP were enrolled to receive either azithromycin combined with prednisolone (treatment group, n = 28) or azithromycin alone (control group, n = 30). Temperature, respiratory symptoms and signs were examined at the time of study entry and every 8...

How important are anaerobic bacteria in aspiration pneumonia: when should they be treat...
https://doi.org/10.1016/j.idc.2012.11.016
Infectious Disease Clinics of North America; Bartlett JG

Feb 12th, 2013 - Anaerobic bacteria are infrequent pulmonary pathogens, and, even then they are, they are almost never recovered due to the need for specimens uncontaminated by the upper airway flora and failure to do adequate anaerobic bacteriology. These bacteria are relatively common in selected types of lung infections including aspiration pneumonia, lung abscess, necrotizing pneumonia and emphyema. Preferr...

Empyema caused by foreign body aspiration.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544960
BMJ Case Reports; Asadi Gharabaghi M, Asadi Gharabaghi M et. al.

Dec 21st, 2012 - Empyema caused by foreign body aspiration.|2012|Asadi Gharabaghi M,Asadi Gharabaghi M,Firoozbakhsh S,|etiology,complications,

"Fishing in the trachea": a unique case of foreign body aspiration.
https://doi.org/10.1097/LBR.0b013e3182517cd0
Journal of Bronchology & Interventional Pulmonology; Medidi S, Fountain A et. al.

Dec 4th, 2012 - A 36-year-old white man presented with hemoptysis and hematemesis. The medical history was significant for a bipolar disorder and schizophrenia. He had swallowed 3 fishhooks and aspirated 1 into his lungs. A chest x-ray showed the fishhook in the right main stem bronchus. He underwent a flexible bronchoscopy for removal of the foreign object. The technique of the removal of the fishhook is desc...

Pneumomediastinum and subcutaneous emphysema from bronchial foreign body aspiration.
https://doi.org/10.1016/j.amjoto.2012.09.005
American Journal of Otolaryngology; Hu M, Green R et. al.

Oct 29th, 2012 - Pneumomediastinum and subcutaneous emphysema are rare presentations of an airway foreign body. Only a handful of other cases have been reported in the English literature. We present a case of a 2 year old female who presented with wheezing and a dry cough. Following a breathing treatment with a non-rebreather mask, she developed right sided facial subcutaneous emphysema. The following day, afte...

Successful use of bronchoscopic lung insufflation to treat left lung atelectasis.
https://doi.org/10.1002/ppul.22616
Pediatric Pulmonology; Abu-Hasan MN, Chesrown SE et. al.

Jul 26th, 2012 - We report first use of bronchoscopic lung insufflation in a child to treat acute left lung collapse. The patient is a 6-year old male asthmatic who was hospitalized with a 2-day history of cough, chest pain, and abdominal pain. He was tachypneic and hypoxemic on room air. Chest exam revealed diminished breath sounds on the left side. Chest X-ray and Chest CT showed complete left lung collapse. ...

Asthma: the great imitator in foreign body aspiration?
https://www.ncbi.nlm.nih.gov/pubmed/22762702
Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale; Saliba J, Mijovic T et. al.

Jul 5th, 2012 - To determine the prevalence of underlying lower airway inflammatory conditions in children who underwent rigid bronchoscopy (RB) for a suspected foreign body aspiration (FBA) in the tracheobronchial tree and to identify the characteristics of patients who could benefit from a trial of antiasthma treatment prior to undergoing a diagnostic bronchoscopy. Retrospective chart review. Children with s...

Respiratory care of patients with cervical spinal cord injury: a review.
https://www.ncbi.nlm.nih.gov/pubmed/22404065
Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine; Arora S, Flower O et. al.

Mar 12th, 2012 - Respiratory complications following cervical spinal cord injury are common and are the leading cause of morbidity and mortality after this type of injury. Impaired mechanics of ventilation, poor cough, increased secretions and bronchospasm predispose to atelectasis, pneumonia and exacerbations of respiratory failure. Prolonged mechanical ventilation and tracheostomy are often required. This rev...

Dysphagia in severe anorexia nervosa: a case report.
https://doi.org/10.1002/eat.20971
The International Journal of Eating Disorders; Holmes SR, Gudridge TA et. al.

Jan 18th, 2012 - The purpose of this case report is to increase awareness among clinicians that oropharyngeal dysphagia occurs in patients with severe anorexia nervosa, placing them at risk for aspiration and impeding nutritional rehabilitation. We describe a patient with severe anorexia nervosa who manifested symptoms of dysphagia, with resultant aspiration pneumonia, at the time of her admission for medical s...

Ultrasonographic lung sliding sign in confirming proper endotracheal intubation during ...
https://doi.org/10.1016/j.resuscitation.2011.11.010
Resuscitation Sim SS, Lien WC et. al.

Dec 5th, 2011 - Unrecognized one-lung intubations (also known as main-stem intubation) can lead to hypoventilation, atelectasis, barotrauma, and even patient death. Many traditional methods can be employed to detect one-lung intubation; however, each of these methods has limitations and is not consistently reliable in emergency settings. This study aimed to assess the accuracy and timeliness of ultrasound to c...

Clinical practice: swallowing problems in cerebral palsy.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284655
European Journal of Pediatrics; Erasmus CE, van Hulst K et. al.

Sep 20th, 2011 - Cerebral palsy (CP) is the most common physical disability in early childhood. The worldwide prevalence of CP is approximately 2-2.5 per 1,000 live births. It has been clinically defined as a group of motor, cognitive, and perceptive impairments secondary to a non-progressive defect or lesion of the developing brain. Children with CP can have swallowing problems with severe drooling as one of t...

Safety and potential anticoagulant effects of nebulised heparin in burns patients with ...
https://doi.org/10.1016/j.burns.2011.07.006
Burns : Journal of the International Society for Burn Injuries; Yip LY, Lim YF et. al.

Aug 5th, 2011 - Nebulised heparin, N-acetylcysteine (NAC) and salbutamol were shown to decrease reintubation rates, incidence of atelectasis and mortality in paediatric patients and reduce lung injury scores in adult burns patients with inhalational lung injury (ILI). Nebulised heparin, NAC and salbutamol treatment protocol was introduced in Singapore General Hospital (SGH) Burns Centre in 2006. However, safet...

Pulmonary high-resolution computed tomography findings in nephropathia epidemica.
https://doi.org/10.1016/j.ejrad.2011.04.049
European Journal of Radiology; Paakkala A, Järvenpää R et. al.

May 23rd, 2011 - To evaluate lung high-resolution computed tomography (HRCT) findings in patients with Puumala hantavirus-induced nephropathia epidemica (NE), and to determine if these findings correspond to chest radiograph findings. HRCT findings and clinical course were studied in 13 hospital-treated NE patients. Chest radiograph findings were studied in 12 of them. Twelve patients (92%) showed lung parenchy...

Gastric sonography in the fasted surgical patient: a prospective descriptive study.
https://doi.org/10.1213/ANE.0b013e31821b98c0
Anesthesia and Analgesia; Perlas A, Davis L et. al.

May 20th, 2011 - Aspiration pneumonia remains a serious anesthetic-related complication. A reliable diagnostic tool to assess gastric volume is currently lacking. We recently demonstrated that gastric sonography can provide reliable qualitative and quantitative information about gastric content and volume in healthy volunteers. In the current study, we performed a prospective qualitative and quantitative analys...

Expanding upon the unilateral hyperlucent hemithorax in children.
https://doi.org/10.1148/rg.313105132
Radiographics : a Review Publication of the Radiological Society of North America, Inc; Dillman JR, Sanchez R et. al.

May 16th, 2011 - Unilateral hyperlucent hemithorax is a common pediatric chest radiographic finding that may also be seen at computed tomography. It may result from congenital or acquired conditions involving the pulmonary parenchyma, airway, pulmonary vasculature, pleural space, and chest wall, as well as from technical factors such as patient rotation. Unilateral hyperlucent hemithorax has a broad differentia...

Foreign body aspiration and language spoken at home: 10-year review.
https://doi.org/10.1017/S0022215111000727
The Journal of Laryngology and Otology; Choroomi S, Curotta J

May 3rd, 2011 - To review foreign body aspiration cases encountered over a 10-year period in a tertiary paediatric hospital, and to assess correlation between foreign body type and language spoken at home. Retrospective chart review of all children undergoing direct laryngobronchoscopy for foreign body aspiration over a 10-year period. Age, sex, foreign body type, complications, hospital stay and home language...

Pulmonary aspiration syndromes.
https://doi.org/10.1097/MCP.0b013e32834397d6
Current Opinion in Pulmonary Medicine; Marik PE

Feb 11th, 2011 - Pulmonary aspiration syndromes are a common cause of morbidity and mortality. These syndromes are often misdiagnosed and their management is frequently suboptimal. This paper reviews the clinical features and management of the most common aspiration syndromes. Pulmonary aspiration syndromes refer to a group of pulmonary diseases resulting from aspiration of foreign material into the lung. The t...

Preoxygenation with 20º head-up tilt provides longer duration of non-hypoxic apnea than...
https://doi.org/10.1007/s00540-011-1098-3
Journal of Anesthesia; Ramkumar V, Umesh G et. al.

Feb 4th, 2011 - Failed airway is the anesthesiologist's nightmare. Although conventional preoxygenation can provide time, atelectasis occurs in the dependent areas of the lungs immediately after anesthetic induction. Therefore, alternatives such as positive end-expiratory pressure (PEEP) and head-up tilt during preoxygenation have been explored. We compared the conventional preoxygenation technique (group C) w...

Diagnostic use of serum procalcitonin levels in pulmonary aspiration syndromes.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3102149
Critical Care Medicine; El-Solh AA, Vora H et. al.

Feb 1st, 2011 - To assess the predictive accuracy of serum procalcitonin in distinguishing bacterial aspiration pneumonia from aspiration pneumonitis. Prospective observational study. Intensive care unit of a university-affiliated hospital. Sixty-five consecutive patients admitted with pulmonary aspiration and seven control subjects intubated for airway protection. None. Quantitative cultures from bronchoalveo...

Lung tumors treated with percutaneous radiofrequency ablation: computed tomography imag...
https://doi.org/10.1007/s00270-010-0048-z
Cardiovascular and Interventional Radiology; Palussière J, Marcet B et. al.

Dec 3rd, 2010 - To describe the morphologic evolution of lung tumors treated with radiofrequency ablation (RFA) by way of computed tomography (CT) images and to investigate patterns of incomplete RFA at the site of ablation. One hundred eighty-nine patients with 350 lung tumors treated with RFA underwent CT imaging at 2, 4, 6, and 12 months. CT findings were interpreted separately by two reviewers with consens...

Postoperative pulmonary complications following thoracic surgery: are there any modifia...
https://doi.org/10.1136/thx.2009.123083
Thorax Agostini P, Cieslik H et. al.

Sep 1st, 2010 - Postoperative pulmonary complications (PPC) are the most frequently observed complications following lung resection, of which pneumonia and atelectasis are the most common. PPCs have a significant clinical and economic impact associated with increased observed number of deaths, morbidity, length of stay and associated cost. The aim of this study was to assess the incidence and impact of PPCs an...

The anesthetic considerations of tracheobronchial foreign bodies in children: a literat...
https://doi.org/10.1213/ANE.0b013e3181ef3e9c
Anesthesia and Analgesia; Fidkowski CW, Zheng H et. al.

Aug 30th, 2010 - Asphyxiation by an inhaled foreign body is a leading cause of accidental death among children younger than 4 years. We analyzed the recent epidemiology of foreign body aspiration and reviewed the current trends in diagnosis and management. In this article, we discuss anesthetic management of bronchoscopy to remove objects. The reviewed articles total 12,979 pediatric bronchoscopies. Most aspira...

Three children with plastic bronchitis associated with 2009 H1N1 influenza virus infect...
https://doi.org/10.1097/INF.0b013e3181f10fff
The Pediatric Infectious Disease Journal; Terano C, Miura M et. al.

Aug 5th, 2010 - We report the cases of 3 children with plastic bronchitis associated with 2009 H1N1 influenza virus infection. These 3 children shared common clinical and radiologic features: rapid and progressive respiratory distress with whole lung atelectasis on chest radiograph. In children with severe respiratory symptoms accompanied by H1N1 influenza, plastic bronchitis should be considered.

Tracheostomy decannulation.
https://www.ncbi.nlm.nih.gov/pubmed/20667155
Respiratory Care; O'Connor HH, White AC

Jul 29th, 2010 - Tracheostomy tubes are placed for a variety of reasons, including failure to wean from mechanical ventilation, inability to protect the airway due to impaired mental status, inability to manage excessive secretions, and upper-airway obstruction. A tracheostomy tube is required in approximately 10% of patients receiving mechanical ventilation and allows the patient to move to a step-down unit or...

A 4-year-old boy presenting with recurrent croup.
https://doi.org/10.1007/s00431-009-1088-8
European Journal of Pediatrics; Lin CY, Chi H et. al.

Oct 27th, 2009 - Croup is common in children but recurrent croup is unusual. A 4-year-11-month-old boy presented with recurrent croup. Physical examination revealed decreased breath sounds over left lower chest. Chest x-ray disclosed segmental atelectasis over left lower chest and a mass shadow over mediastinum.

Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese ...
https://doi.org/10.1213/ANE.0b013e3181ba7945
Anesthesia and Analgesia; Talab HF, Zabani IA et. al.

Oct 21st, 2009 - Atelectasis occurs regularly after induction of general anesthesia, persists postoperatively, and may contribute to significant postoperative morbidity and additional health care costs. Laparoscopic surgery has been reported to be associated with an increased incidence of postoperative atelectasis. It has been shown that during general anesthesia, obese patients have a greater risk of atelectas...

Restoration of pulmonary compliance after laparoscopic surgery using a simple alveolar ...
https://doi.org/10.1016/j.jclinane.2009.08.001
Journal of Clinical Anesthesia; Cakmakkaya OS, Kaya G et. al.

Oct 16th, 2009 - To test the hypothesis that a pulmonary maneuver designed to recruit additional alveoli (thereby decreasing atelectasis) applied before extubation can restore pulmonary compliance to baseline values. Cohort study. Operating room of a university hospital. 20 ASA physical status I and II patients scheduled to undergo laparoscopic radical nephrectomy. Participants received a balanced general anest...

Prevention of atelectasis in morbidly obese patients during general anesthesia and para...
https://doi.org/10.1097/ALN.0b013e3181b87edb
Anesthesiology Reinius H, Jonsson L et. al.

Oct 7th, 2009 - Morbidly obese patients show impaired pulmonary function during anesthesia and paralysis, partly due to formation of atelectasis. This study analyzed the effect of general anesthesia and three different ventilatory strategies to reduce the amount of atelectasis and improve respiratory function. Thirty patients (body mass index 45 +/- 4 kg/m) scheduled for gastric bypass surgery were prospective...

Pediatric airway foreign body retrieval: surgical and anesthetic perspectives.
https://doi.org/10.1111/j.1460-9592.2009.03006.x
Paediatric Anaesthesia; Zur KB, Litman RS

Jul 3rd, 2009 - Airway foreign body aspiration most commonly occurs in young children and is associated with a high rate of airway distress, morbidity, and mortality. The presenting symptoms of foreign body aspiration range from none to severe airway obstruction, and may often be innocuous and nonspecific. In the absence of a choking or aspiration event, the diagnosis may be delayed for weeks to months and con...

Tracheobronchial foreign body aspiration in adults.
https://doi.org/10.1097/SMJ.0b013e318193c9c8
Southern Medical Journal; Boyd M, Chatterjee A et. al.

Jan 13th, 2009 - Tracheobronchial foreign body (TFB) aspiration is rare in adults, although incidence rates increase with advancing age. Risk factors for TFB aspiration in adults are a depressed mental status or impairment in the swallowing reflex. Symptoms associated with TFB aspiration may range from acute asphyxiation with or without complete airway obstruction, to cough, dyspnea, choking, or fever. In adult...

Impact of fundoplication versus gastrojejunal feeding tubes on mortality and in prevent...
https://doi.org/10.1542/peds.2007-1740
Pediatrics Srivastava R, Downey EC et. al.

Jan 1st, 2009 - Aspiration pneumonia is the most common cause of death in children with neurologic impairment who have gastroesophageal reflux disease. Fundoplications and gastrojejunal feeding tubes are frequently employed to prevent aspiration pneumonia in this population. Which of these approaches is more effective in preventing aspiration pneumonia and/or improving survival is unknown. The objective of thi...

Paralysis in the left phrenic nerve after living-donor liver transplantation for biliar...
https://doi.org/10.1002/lt.21583
Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society; Sanada Y, Mizuta K et. al.

Oct 31st, 2008 - A 7-month-old boy with biliary atresia accompanied by situs inversus and absent inferior vena cava (IVC) underwent living-donor liver transplantation (LDLT). Because a constriction in the recipient hepatic vein (HV) was detected during the preparation of the HV in LDLT, a dissection in the cranial direction and a total clamp of the suprahepatic IVC was performed, and the suprahepatic IVC and th...

Continuous positive airway pressure for treatment of respiratory complications after ab...
https://doi.org/10.1097/SLA.0b013e3181675829
Annals of Surgery; Ferreyra GP, Baussano I et. al.

Mar 25th, 2008 - We evaluated the potential benefit of continuous positive airway pressure (CPAP) to prevent postoperative pulmonary complications (PPCs), atelectasis, pneumonia, and intubation in patients undergoing major abdominal surgery. PPCs are common during the postoperative period and may be associated with a high morbidity rate. Efficacy of CPAP to prevent PPCs occurrence is controversial. Medical lite...

The effect of lung expansion and positive end-expiratory pressure on respiratory mechan...
https://doi.org/10.1213/ane.0b013e318162c20a
Anesthesia and Analgesia; Kaditis AG, Motoyama EK et. al.

Feb 22nd, 2008 - Imaging studies have shown that general anesthesia in children results in atelectasis. Lung recruitment total lung capacity (TLC) maneuvers plus positive end-expiratory pressure (PEEP) are effective in preventing atelectasis. However, physiological changes in children during general anesthesia have not been elucidated. In eight anesthetized and mechanically ventilated children (median age: 3.5 ...

Fulminating deep tissue space infection with Streptococcus constellatus presenting init...
https://doi.org/10.1136/bcr-2019-233971
BMJ Case Reports; Glover J, Kovacevic G et. al.

Mar 30th, 2020 - Management of sore throat requires robust decision-making to balance successfully the conflicting risks of unnecessary antibiotic use against those of untreated bacterial infection. We present a case of fulminant sepsis caused by Streptococcus constellatus, presenting as a sore throat, initially managed conservatively. Despite subsequent appropriate anti-microbial therapy and surgical drainage,...

Effect of the "Recruitment" Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Ga...
https://doi.org/10.1007/s11695-020-04551-y
Obesity Surgery; Sümer I, Topuz U et. al.

Mar 22nd, 2020 - LSG surgery is used for surgical treatment of morbid obesity. Obesity, anesthesia, and pneumoperitoneum cause reduced pulmoner functions and a tendency for atelectasis. The alveolar "recruitment" maneuver (RM) keeps airway pressure high, opening alveoli, and increasing arterial oxygenation. The aim of our study is to research the effect on respiratory mechanics and arterial blood gases of perfo...

Salivary gland ablation: introducing an interventional radiology treatment alternative ...
https://doi.org/10.1007/s00247-020-04649-6
Pediatric Radiology; Begley KA, Braswell LE et. al.

Mar 20th, 2020 - Sialorrhea is common in children with neurological disorders and leads to social isolation, aspiration pneumonia and increased caregiver burden. Sialorrhea management includes anticholinergic medications and a variety of surgeries, but these are limited by side effects, recurrence and risks. We present our method of salivary gland ablation, an interventional radiology treatment for sialorrhea, ...

Obstruction-related dysphagia in inclusion body myositis: Cricopharyngeal bar on videof...
https://doi.org/10.1016/j.jns.2020.116764
Journal of the Neurological Sciences; Taira K, Yamamoto T et. al.

Mar 16th, 2020 - To show the predictive risk factors for aspiration pneumonia and prognostic importance of a cricopharyngeal bar (CPB) on videofluoroscopic examination of swallowing (VFS) in inclusion body myositis (IBM). In this retrospective study, we examined a consecutive series of 37 patients with clinico-pathologically defined IBM based on the European Neuromuscular Center diagnostic criteria for IBM from...

Pneumothorax and Pneumomediastinum Complicating Pediatric Foreign Body Aspiration.
https://doi.org/10.1177/0145561318824225
Ear, Nose, & Throat Journal; Jahshan F, Sela E et. al.

Mar 12th, 2020 - Pneumothorax and Pneumomediastinum Complicating Pediatric Foreign Body Aspiration.|2020|Jahshan F,Sela E,Gruber M,|

Inflammatory Activity in Atelectatic and Normally Aerated Regions During Early Acute Lu...
https://doi.org/10.1016/j.acra.2019.12.022
Academic Radiology; Hinoshita T, Ribeiro GM et. al.

Mar 11th, 2020 - Pulmonary atelectasis presumably promotes and facilitates lung injury. However, data are limited on its direct and remote relation to inflammation. We aimed to assess regional 2-deoxy-2-[18F]-fluoro-D-glucose (18F-FDG) kinetics representative of inflammation in atelectatic and normally aerated regions in models of early lung injury. We studied supine sheep in four groups: Permissive Atelectasis...

Effect of regular alveolar recruitment on intraoperative atelectasis in paediatric pati...
https://doi.org/10.1016/j.bja.2020.01.022
British Journal of Anaesthesia; Jang YE, Ji SH et. al.

Mar 9th, 2020 - Desaturation frequently occurs in infants after general anaesthesia in the prone position. We aimed to evaluate the effect of regular alveolar recruitment in preventing atelectasis in infants and children after general anaesthesia in the prone position. Children (<3 yr) undergoing general anaesthesia (>2 h) in the prone position were randomised to either receive regular alveolar recruitment or ...

Association between swallowing function and oral bacterial flora in independent communi...
https://doi.org/10.1007/s40520-020-01521-3
Aging Clinical and Experimental Research; Hida Y, Nishida T et. al.

Mar 8th, 2020 - Increasing incidences of swallowing dysfunction, or dysphagia, a risk factor for aspiration pneumonia, are being reported in aging populations. To investigate the relationship between swallowing function and oral bacteria in independent, community-dwelling elderly. This study recruited 139 community-dwelling individuals aged ≥ 70 years with poor swallowing function. The presence of anaerobic (P...

Diagnosis of foreign body aspiration with ultralow-dose CT using a tin filter: a compar...
https://doi.org/10.1007/s10140-020-01764-7
Emergency Radiology; Gordon L, Nowik P et. al.

Mar 8th, 2020 - Suspected airway foreign body aspiration (FBA) is a common event in paediatric emergency units, especially in children under 3 years of age. It can be a life-threatening event if not diagnosed promptly and accurately. The purpose of this study is to compare the diagnostic performance of an ultralow-dose CT (DLP of around 1 mGycm) with that of conventional radiographic methods (fluoroscopy and c...

Emergence and Postoperative Atelectasis: Comment.
https://doi.org/10.1097/ALN.0000000000003204
Anesthesiology Priebe HJ

Mar 6th, 2020 - Emergence and Postoperative Atelectasis: Comment.|2020|Priebe HJ,|

Risk factors for aspiration pneumonia during concurrent chemoradiotherapy or bio-radiot...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057640
BMC Cancer; Shirasu H, Yokota T et. al.

Mar 6th, 2020 - Aspiration pneumonia is one of the most important side effects of chemoradiotherapy (CRT) and bio-radiotherapy (BRT) in patients with head and neck cancer (HNC). Aspiration pneumonia can lead to cancer-related mortality in HNC patients. However, the relationship between aspiration pneumonia occurring during CRT or BRT for HNC and treatment outcomes in HNC patients is not well characterized. In ...

Oral colonisation by antimicrobial-resistant Gram-negative bacteria among long-term car...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057508
Antimicrobial Resistance and Infection Control; Le MN, Kayama S et. al.

Mar 6th, 2020 - For residents of long-term care facilities (LTCFs), antimicrobial-resistant bacteria (ARB) are a risk factor, yet their oral colonisation, potentially leading to aspiration pneumonia, remains unclear. This study was undertaken to survey the prevalence, phenotypic characteristics, and molecular epidemiology of antimicrobial-resistant Gram-negative bacteria in the oral cavity of LTCF residents, a...

Emergence and Postoperative Atelectasis: Reply.
https://doi.org/10.1097/ALN.0000000000003205
Anesthesiology Östberg E, Edmark L

Mar 2nd, 2020 - Emergence and Postoperative Atelectasis: Reply.|2020|Östberg E,Edmark L,|

Handheld Cough Testing: A Novel Tool for Cough Assessment and Dysphagia Screening.
https://doi.org/10.1007/s00455-020-10097-z
Dysphagia Curtis JA, Troche MS

Feb 23rd, 2020 - Aspiration pneumonia is a leading cause of death in Parkinson's disease (PD), occurring as a result of impaired cough and swallowing function. However, portable diagnostic tools for cough assessment and dysphagia screening are limited. Therefore, the aims of this study were to determine if: (1) 'Handheld Cough Testing' (HCT), a novel tool developed for cough assessments, could detect difference...

Implementing a flexible endoscopic evaluation of swallowing at elderly care facilities ...
https://doi.org/10.1016/j.anl.2020.02.004
Auris, Nasus, Larynx; Imaizumi M, Suzuki T et. al.

Feb 23rd, 2020 - The risk of aspiration pneumonia has been reported to increase with age, especially in elderly residents of nursing homes. However, the characteristics of those with swallowing impairments at elderly care facilities have not yet been evaluated using reliable instrumental examinations. The aims of the current study were to investigate the frequency of swallowing impairment and determine the char...

Utility of the blood urea nitrogen to serum albumin ratio as a prognostic factor of mor...
https://doi.org/10.1016/j.ajem.2020.02.045
The American Journal of Emergency Medicine; Ryu S, Oh SK et. al.

Feb 23rd, 2020 - This study aimed to determine whether the blood urea nitrogen to serum albumin (B/A) ratio is a useful prognostic factor of mortality in patients with aspiration pneumonia. The study included patients with aspiration pneumonia who had been admitted to our hospital via the emergency department (ED) between January 1, 2014 and December 31, 2018. The 28-day mortality after the ED visits was the pr...

Is it possible to discriminate pulmonary carcinoids from hamartomas based on CT features?
https://doi.org/10.1016/j.clinimag.2020.02.001
Clinical Imaging; Coruh AG, Kul M et. al.

Feb 17th, 2020 - The purpose of this study was to determine whether the computed tomography (CT) features might be used in distinguishing pulmonary carcinoids from hamartomas. Ninety solid pulmonary nodules (43 carcinoids and 47 hamartomas) in 90 patients were evaluated. The following CT scan features were evaluated: size, location (peripheral/central), contour (lobulated/nodular), number of lobulation, attenua...

Utilization of Marginal Lung Donors with Low PaO2/FiO2 ratio and High Body Mass Index.
https://doi.org/10.1016/j.athoracsur.2019.12.072
The Annals of Thoracic Surgery; Okamoto T, Omara M et. al.

Feb 13th, 2020 - Lungs of donors with high body mass index (BMI) have more atelectasis and lower PaO2/FiO2 (P/F) ratio than those with normal BMI. This study prospectively evaluated outcomes of a new approach for these lungs in our lung transplant program. From 2/2016-12/2018, 336 lung transplants were performed at Cleveland Clinic. Of these, 58 met criteria for our aggressive approach to donors with P/F ratio ...

Effect of an ultrasound-guided lung recruitment manoeuvre on postoperative atelectasis ...
https://doi.org/10.1097/EJA.0000000000001175
European Journal of Anaesthesiology; Lee JH, Choi S et. al.

Feb 12th, 2020 - Ultrasound-guided alveolar recruitment, regardless of the technique, could be more effective because it facilitates real-time monitoring of the expansion of collapsed alveoli. To evaluate and compare the effects of an ultrasound-guided lung recruitment manoeuvre with those of a conventional recruitment manoeuvre on the occurrence of postoperative atelectasis and clinical outcomes in children. A...

Risk factors for the development of aspiration pneumonia in elderly patients with femor...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035080
Medicine Higashikawa T, Shigemoto K et. al.

Feb 12th, 2020 - Aspiration pneumonia (AP) has been recognized as one of the most common postoperative complications after hip surgery in elderly. The objective of the present study was to evaluate risk for postoperative complications of AP in elderly patients with femoral neck fractures.We recruited 426 patients (age 84.9 ± 7.4 years) with a history of hip surgery carried out at Toyama Municipal Hospital. AP o...

Role of injection laryngoplasty in preventing post-stroke aspiration pneumonia, case se...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035062
Medicine Han YJ, Jang YJ et. al.

Feb 12th, 2020 - Injection laryngoplasty is a common procedure for patients with vocal fold dysfunction, but the literature on its benefits has been mainly focused on those related to structural lesions or laryngeal nerve involvement. Stroke patients may be at increased risk of aspiration due to insufficient vocal fold motion. However, how injection laryngoplasty can be of benefit in stroke patients has not bee...

Effects of Manual Rib Cage Compressions on Mucus Clearance in Mechanically Ventilated P...
https://doi.org/10.4187/respcare.07249
Respiratory Care; Ouchi A, Sakuramoto H et. al.

Feb 10th, 2020 - Manual rib cage compression is a chest physiotherapy technique routinely used in clinical practice. However, scientific evidence remains scarce on the effects of manual rib cage compression on airway clearance and oxygenation in mechanically ventilated patients. Anesthetized pigs were intubated via the trachea and mechanically ventilated. To create atelectasis, artificial mucus was infused into...

Individualized prediction of late-onset dysphagia in head and neck cancer survivors.
https://doi.org/10.1002/hed.26039
Head & Neck REFERENCES; Aylward A, Park J et. al.

Feb 7th, 2020 - Limited data exist regarding which head and head and neck cancer (HNC) survivors will suffer from long-term dysphagia. From a population-based cohort of 1901 Utah residents with HNC and ≥3 years follow-up, we determined hazard ratio for dysphagia, aspiration pneumonia, or gastrostomy associated with various risk factors. We tested prediction models with combinations of factors and then assessed...

Foreign body aspiration in a child with cardiac arrest.
https://doi.org/10.1097/01.JAA.0000615480.69807.99
JAAPA : Official Journal of the American Academy of Physician Assistants; George TR

Jan 28th, 2020 - Foreign body aspiration is a true medical emergency and is the fifth most common cause of mortality due to unintentional injury in the United States. Children who have aspirated a foreign body may present with a variety of symptoms, from mild irritation and cough to respiratory failure. Treatment is removal of the foreign body, often via rigid bronchoscopy. Clinicians must have a high degree of...

Benzodiazepine Toxicity 
https://emedicine.medscape.com/article/813255-print

Jan 22nd, 2020 - Practice Essentials Oral benzodiazepine (BZD) overdoses, without co-ingestions, rarely result in significant morbidity (eg, aspiration pneumonia, rhabdomyolysis) or mortality. In mixed overdoses, they can potentiate the effect of alcohol or other sedative-hypnotics. Acute intravenous administration of BZDs is associated with greater degrees of respiratory depression. Patients receiving prolonge...

Benzodiazepine Toxicity
https://emedicine.medscape.com/article/813255-overview

Jan 22nd, 2020 - Practice Essentials Oral benzodiazepine (BZD) overdoses, without co-ingestions, rarely result in significant morbidity (eg, aspiration pneumonia, rhabdomyolysis) or mortality. In mixed overdoses, they can potentiate the effect of alcohol or other sedative-hypnotics. Acute intravenous administration of BZDs is associated with greater degrees of respiratory depression. Patients receiving prolonge...

Not all abolished lung sliding are pneumothorax: the case of a particular lung atelecta...
https://doi.org/10.1007/s40477-020-00427-0
Journal of Ultrasound; Boccatonda A, Primomo G et. al.

Jan 21st, 2020 - Lung ultrasound (LUS) is expanding from the field of emergency medicine, also to the pneumological specialist field, becoming part of the diagnostic procedure of lung consolidation. A 78-year-old male was admitted to our emergency department for exertional dyspnea. LUS was performed, thus showing at right hemitorax air interface, A lines pattern, pleural sliding abolished on the whole hemitorax...

Interaction between regional lung volumes and ventilator-induced lung injury in the nor...
https://doi.org/10.1152/ajplung.00492.2019
American Journal of Physiology. Lung Cellular and Molecular Physiology; Yen S, Preissner M et. al.

Jan 15th, 2020 - Both overdistension and atelectasis contribute to lung injury and mortality during mechanical ventilation. It has been proposed that combinations of tidal volume and end-expiratory lung volume exist that minimize lung injury linked to mechanical ventilation. The aim of this study was to examine this at the regional level in the healthy and endotoxemic lung. Adult female BALB/c mice were injecte...

A Comparative Study of Two Tube Feeding Methods in Patients with Dysphagia After Stroke...
https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104602
Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association; Juan W, Zhen H et. al.

Jan 11th, 2020 - Dysphagia is a common symptom seen in stroke patients, it not only affects patients' nutrition supply, but also causes aspiration pneumonia. To solve the problem of nutritional support for patients with dysphagia after stroke, nasogastric tubes are routinely indwelling to provide nutrition in China. However, this feeding method sometimes causes food reflux, aspiration, pneumonia, and often affe...

Higher age and obesity limit atelectasis formation during anaesthesia: an analysis of c...
https://doi.org/10.1016/j.bja.2019.11.026
British Journal of Anaesthesia; Hedenstierna G, Tokics L et. al.

Jan 10th, 2020 - General anaesthesia is increasingly common in elderly and obese patients. Greater age and body mass index (BMI) worsen gas exchange. We assessed whether this is related to increasing atelectasis during general anaesthesia. This primary analysis included pooled data from previously published studies of 243 subjects aged 18-78 yr, with BMI of 18-52 kg m-2. The subjects had no clinical signs of ca...

Aspiration pneumonia after antireflux surgery among neurologically impaired children wi...
https://doi.org/10.1016/j.jpedsurg.2019.12.024
Journal of Pediatric Surgery; Maret-Ouda J, Santoni G et. al.

Jan 9th, 2020 - Aspiration pneumonia is a common and serious complication to gastroesophageal reflux disease (GERD) among neurologically impaired children. Medication of GERD does not effectively prevent aspiration pneumonia, and whether antireflux surgery with fundoplication is better in this respect is uncertain. The objective was to determine whether fundoplication prevents aspiration pneumonia among childr...