{"title":"Perioperative management of patients with aspiration risk","authors":"Jeffrey Y.C. Ip, Kai-Ming Lo","doi":"10.1016/j.mpaic.2024.06.020","DOIUrl":null,"url":null,"abstract":"<div><p>Pulmonary aspiration<span><span> is an important complication of airway management that can result in serious morbidity and mortality. Inhalation of foreign substances can cause airway obstruction, chemical injury or secondary infections. Proper assessment of aspiration risk identifies patients at risk, allowing proper precautions to be performed. Point-of-care ultrasound can help with </span>risk stratification<span><span>. Premedication and </span>rapid sequence induction<span> should be considered in high-risk patients. Caution should be extended to the postoperative period.</span></span></span></p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 8","pages":"Pages 550-554"},"PeriodicalIF":0.2000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029924001255","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Pulmonary aspiration is an important complication of airway management that can result in serious morbidity and mortality. Inhalation of foreign substances can cause airway obstruction, chemical injury or secondary infections. Proper assessment of aspiration risk identifies patients at risk, allowing proper precautions to be performed. Point-of-care ultrasound can help with risk stratification. Premedication and rapid sequence induction should be considered in high-risk patients. Caution should be extended to the postoperative period.
期刊介绍：
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
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