Scientific paperAspiration pneumonia: Incidence of aspiration with endotracheal tubes
References (4)
- et al.
Aspiration pneumonia. Prevention of aspiration in patients with tracheostomies
Ann Thorac Surg
(1974) - et al.
Aspiration pneumonia. Magnitude and frequency of the problem
JAMA
(1972)
Cited by (142)
Cuffed endotracheal tubes in infants and children: A technique to continuously measure the intracuff pressure
2013, International Journal of Pediatric OtorhinolaryngologyCitation Excerpt :These include a reduced incidence of exchange of the cuffed endotracheal tube, better airway seal providing improved respiratory mechanics, a more accurate ETCO2 tracing, and a decreased use of inhalational agents resulting in improved economics and less pollution of the operating rooms [1,4–6]. In certain intraoperative scenarios and in the ICU settings, the use of a cuffed endotracheal tube may also reduce the incidence and severity of aspiration in mechanically ventilated patients [7–9]. Despite these advantages, it has been demonstrated that the intracuff pressure should be maintained at approximately 25 cmH2O to prevent underinflation and aspiration of dye past the large-diameter, thin-walled cuff [7–10].
The Difficult Airway in Pediatrics
2013, Advances in AnesthesiaCitation Excerpt :The concerns regarding increased resistance of a smaller endotracheal have been virtually eliminated by the new generation of ICU ventilators, which are able to compensate for the smaller ID of cuffed endotracheal tubes by providing pressure support, thereby overcoming the increased work of breathing that they may impose. In specific intraoperative scenarios and in the ICU setting, the use of cuffed endotracheal tubes may also reduce the incidence and severity of aspiration in mechanically ventilated patients [36,37]. However, when cuffed endotracheal tubes are used, attention should be directed toward monitoring of the intracuff pressure [38].
Anesthesia and pain management
2012, Oral and Maxillofacial Surgery in Dogs and CatsHypothermia: An unusual indication for gastric lavage
2011, Journal of Emergency MedicineThe Association of Functional Oral Intake and Pneumonia in Patients With Severe Traumatic Brain Injury
2008, Archives of Physical Medicine and RehabilitationClinical and economic burden of postoperative pulmonary complications: Patient safety summit on definition, risk-reducing interventions, and preventive strategies
2011, Critical Care MedicineCitation Excerpt :PP and VAP are initiated by the introduction of micro-organisms from the mouth and digestive tract into the distal airways (39, 58–60). Factors contributing to the development of PP after aspiration include the predominant organism(s), a large inoculum, and compromised host defenses (61–63). PP from other potential routes—such as hematogenous spread, contiguous spread from the pleural cavity, or infection from contaminated respiratory equipment—occurs relatively rarely (64) and is not discussed here.
- 1
From the Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, Maryland.