Best Practice & Research Clinical Anaesthesiology
Volume 20, Issue 3 , Pages 409-427 , September 2006

Management of pulmonary aspiration

References 

  1. Rotta AT, Shiley KT, Davidson BA, et al. Gastric acid and particulate aspiration injury inhibits pulmonary bacteria clearance. Critical Care Medicine. 2004;32:747–754
  2. Ljungqvist O, Soreide E. Preoperative fasting. The British Journal of Surgery. 2003;90:400–406
  3. Mendelson C. The aspiration of stomach contents into the lungs during obstetric anesthesia. American Journal of Obstetrics and Gynecology. 1946;52:191–205
  4. Exarhos ND, Logan WJ, Abott OA, Hatcher CR. The importance of pH and volume in tracheobronchial aspiration. Diseases of the Chest. 1965;47:167–169
  5. Roberts RB, Shirley MA. Reducing the risk of acid aspiration during cesarean section. Anesthesia and Analgesia. 1974;53:859–868
  6. Knight PR, Davidson BA, Nader ND, et al. Progressive, severe lung injury secondary to the interaction of insults in gastric aspiration. Experimental Lung Research. 2004;30:535–557
  7. Knight PR, Rutter T, Tait AR, et al. Pathogenesis of gastric particulate lung injury: a comparison and interaction with acidic pneumonitis. Anesthesia and Analgesia. 1993;77:754–760
  8. James CF, Modell JH, Gibbs CP, et al. Pulmonary aspiration – effects of volume and pH in the rat. Anesthesia and Analgesia. 1984;63:665–668
  9. Porembka DT, Kier A, Sehlhorst S, et al. The pathophysiologic changes following bile aspiration in a porcine lung model. Chest. 1993;104:919–924
  10. Warner MA, Caplan RA, Epstein BS, et al. Practice guidelines for preoperative fasting and the use of pharmacological agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: a report by the American Society of Anesthesiologists Task Force on Preoperative Fasting. Anesthesiology. 1999;90:896–905
  11. Kennedy TP, Johnson KJ, Kunkel RG, et al. Acute acid aspiration lung injury in the rat: biphasic pathogenesis. Anesthesia and Analgesia. 1989;69:87–92
  12. Beck-Schimmer B, Rosenberger DS, Neff SB, et al. Pulmonary aspiration. New therapeutic approaches in the experimental model. Anesthesiology. 2005;103:556–566
  13. Davidson BA, Knight PR, Helinski JD, et al. The role of tumor necrosis factor-alpha in the pathogenesis of aspiration pneumonitis in rats. Anesthesiology. 1999;91:486–499
  14. Nemzek JA, Call DR, Ebong SJ, et al. Immunopathology of a two-hit murine model of acid aspiration lung injury. American Journal of Physiology. 2000;2778:L512–L520
  15. Knight PR, Druskovich G, Tait AR, Johnson KJ. The role of neutrophils oxidants, and proteases in the pathogenesis of acid pulmonary injury. Anesthesiology. 1992;77:772–778
  16. Nemzek JA. Mechanistic approaches to acid aspiration and pneumonia must look beyond tumor necrosis factor-α levels. Critical Care Medicine. 2005;33:1877–1878
  17. Marik PE. Aspiration pneumonitis and aspiration pneumonia. The New England Journal of Medicine. 2001;344:665–671
  18. Westerloo DJ, Knapp S, van't Veer C, et al. Aspiration pneumonitis primes the host for an exaggerated inflammatory response during pneumonia. Critical Care Medicine. 2005;33:1770–1778
  19. Lorber B, Swenson RM. Bacteriology of aspiration pneumonia. A prospective study of community- and hospital-acquired cases. Annals of Internal Medicine. 1974;81:329–331
  20. Bartlett JG, Gorbach SL, Finegold SM. The bacteriology of aspiration pneumonia. The American Journal of Medicine. 1974;56:202–207
  21. Bartlett JG, Gorbach SL. The triple threat of aspiration pneumonia. Chest. 1975;68:560–566
  22. Mackowiak PA. The normal microbial flora. The New England Journal of Medicine. 1982;307:83–86
  23. Marik PE, Careau P. The role of anaerobes in patients with ventilator-associated pneumonia and aspiration pneumonia. Chest. 1999;115:178–183
  24. Rebuck JA, Rasmussen JR, Olsen KM. Clinical aspiration-related practice patterns in the intensive care unit: a physician survey. Critical Care Medicine. 2001;21:2239–2244
  25. Webb RK, van der Walt JH, Runciman WB, et al. The Australian incident monitoring study. Which monitor? An analysis of 2000 incident reports. Anaesthesia and Intensive Care. 1993;21:529–542
  26. Olsson GL, Hallen B, Hambraeus-Jonzon K. Aspiration during anaesthesia: a computer-aided study of 185358 anaesthetics. Acta Anaesthesiologica Scandinavica. 1986;30:84–92
  27. Hovi-Viander M. Death associated with anaesthesia in Finland. British Journal of Anaesthesia. 1980;52:483–489
  28. Cohen MM, Duncan PG, Pope WD, Wolkenstein C. A survey of 112.000 anaesthetics at one teaching hospital (1975–1983). Canadian Anaesthetists' Society Journal. 1986;33:22–31
  29. Warner MA, Warner ME, Weber JG. Clinical significance of pulmonary aspiration during the perioperative period. Anesthesiology. 1993;78:56–62
  30. Harrison GG. Death attributable to anaesthesia. A 10-year survey (1967–1976). British Journal of Anaesthesia. 1978;50:1041–1046
  31. Tiret L, Hatton F. Complications associated with anaesthesia – a prospective survey in France. Canadian Anaesthetists' Society Journal. 1986;33:336–344
  32. Leigh JM, Tytler JA. Admissions to the intensive care unit after complications of anaesthetic techniques over 10 years. 2. The second 5 years. Anaesthesia. 1990;45:814–820
  33. Mellin-Olsen J, Fasting S, Gisvold SE. Routine preoperative gastric emptying is seldom indicated: a study of 85,594 anaesthetics with special focus on aspiration pneumonia. Acta Anaesthesiologica Scandinavica. 1996;40:1184–1188
  34. Tiret L, Nivoche Y, Hatton F, Desmonts JM. Complications related to anaesthesia in infants and children. A prospective survey of 40.240 anaesthatics. British Journal of Anaesthesia. 1988;61:263–269
  35. Warner MA, Warner ME, Warner DO, et al. Perioperative pulmonary aspiration in infants and children. Anesthesiology. 1999;90:66–71
  36. Murat I, Constant I, Maud'Huy H. Perioperative anaesthetic morbidity in children: a database of 24165 anaesthetics over a 30-month period. Paediatric Anaesthesia. 2004;14:158–166
  37. Kozlow JH, Berenholtz SM, Garrett E, et al. Epidemiology and impact of aspiration pneumonia in patients undergoing in Maryland. Critical Care Medicine. 2003;31:1930–1937
  38. Engelhardt T, Webster NR. Pulmonary aspiration of gastric contents in anaesthesia. British Journal of Anaesthesia. 1999;83:453–460
  39. Kluger MT, Short TG. Aspiration during anaesthesia: a review of 133 cases from the Australian Anaesthetic Incident Monitoring Study (AIMS). Anaesthesia. 1999;54:19–26
  40. Kikawada M, Iwamoto T, Takasaki M. Aspiration and infection in the elderly: epidemiology, diagnosis and management. Drugs & Aging. 2005;22:115–130
  41. Vaughan RW, Bauer S, Wise L. Volume and pH of gastric juice in obese patients. Anesthesiology. 1975;43:686–689
  42. Harter RL, Kelly WB, Kramer MG, et al. A comparison of the volume and pH of gastric contents of obese and lean surgical patients. Anesthesia and Analgesia. 1998;86:147–152
  43. Zacchi P, Mearin F, Humbert P, et al. Effect of obesity on gastroesophageal resistance to flow in man. Digestive Diseases and Sciences. 1991;36:1473–1480
  44. Ishihara H, Singh H, Giesecke AH. Relationship between diabetic autonomic neuropathy and gastric contents. Anesthesia and Analgesia. 1994;78:943–947
  45. Jellish WS, Kartha V, Fluder E, Slogoff S. Effect of metoclopramide on gastric fluid volumes in diabetic patients who have fasted before elective surgery. Anesthesiology. 2005;102:904–909
  46. Lockey DJ, Coats T, Parr MJ. Aspiration in severe trauma: a prospective study. Anaesthesia. 1999;54:1097–1098
  47. Ufberg JW, Bushra JS, Karras DJ, et al. Aspiration of gastric contents: association with prehospital intubation. The American Journal of Emergency Medicine. 2005;23:379–382
  48. Borland LM, Sereika SM, Woelfel SK, et al. Pulmonary aspiration in pediatric patients during general anesthesia: incidence and outcome. Journal of Clinical Anesthesia. 1998;10:95–102
  49. Brimacombe JR, Berry A. The incidence of aspiration associated with the laryngeal mask airway: a meta-analysis of published literature. Journal of Clinical Anesthesia. 1995;7:297–305
  50. Bulat RS, Orlando RC. Oropharyngeal dysphagia. Current Treatment Options in Gastroenterology. 2005;8:269–274
  51. Spiroglou K, Xinias I, Karatzas N, et al. Gastric emptying in children with cerebral palsy and gastroesophageal reflux. Pediatric Neurology. 2004;31:177–182
  52. Ng A, Schmith G. Gastroesophageal reflux and aspiration of gastric contents in anesthetic practice. Anesthesia and Analgesia. 2001;93:494–513
  53. Soreide E, Bjornestad E, Steen PA. An audit of perioperative aspiration pneumonitis in gynaecological and obstetric patients. Acta Anaesthesiologica Scandinavica. 1996;40:14–19
  54. Kalinowski CPH, Kirsch JR. Strategies für prophylaxis and treatment for aspiration. Best Practice & Research. Clinical Anaesthesiology. 2004;18:719–737
  55. Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet. 1961;2:404–406
  56. Vanner RG, Pryle BJ, O'Dwyer JP, Reynold F. Upper oesophageal sphincter pressure and the intravenous induction of anaesthesia. Anaesthesia. 1992;47:371–375
  57. Chassard D, Tournadre JP, Berrada K, Boulétreau P. Cricoid pressure decrease lower oesophageal sphincter tone in anaesthetized pigs. Canadian Journal of Anaesthesia. 1996;43:414–417
  58. Tournadre JP, Chassard D, Berrada K, Boulétreau P. Lower oesophageal sphincter pressure during application of cricoid pressure in conscious volunteers. British Journal of Anaesthesia. 1996;76:A50
  59. Vanner RG, Pryle BJ. Regurgitation and oesophageal rupture with cricoid pressure: a cadaver study. Anaesthesia. 1992;47:732–735
  60. Brimacombe JR, Berry AM. Cricoid pressure. Canadian Journal of Anaesthesia. 1997;44:414–425
  61. MacG Palmer JH, Ball DR. The effect of cricoid pressure on the cricoid cartilage and vocal cords: an endoscopic study in anaesthetized patients. Anaesthesia. 2000;55:263–268
  62. Turgeon AF, Nicole PC, Trépanier CA, et al. Cricoid pressure does not increase the rate of failed intubation by direct laryngoscopy in adults. Anesthesiology. 2005;102:315–319
  63. Engelhardt T, Strachan L, Johnston G. Aspiration and regurgitation prophylaxis in paediatric anaesthesia. Paediatric Anaesthesia. 2001;11:147–150
  64. Moynihan RJ, Brock-Utne JG, Archer JH, et al. The effect of cricoid pressure on preventing gastric insufflation in infants and children. Anesthesiology. 1993;78:652–656
  65. Notcutt W. Oesophageal rupture and cricoid pressure. Anaesthesia. 1991;46:424–425
  66. Ralph SJ, Wareham CA. Rupture of the oesophagus during cricoid pressure. Anaesthesia. 1991;46:40–41
  67. The oesophagus. In:  Harding-Rains AJ,  Mann CV editor. Bailey and Love's Short Practice of Surgery. 20th edn. London: H.K. Lewis & Co Ltd; 1988;p. 827–854
  68. Heath KJ, Palmer M, Fletcher SJ. Fracture of the cricoid cartilage after Sellick's manoeuvre. British Journal of Anaesthesia. 1996;76:877–878
  69. Benhamou D. French obstetric anaesthesists and acid aspiration prophylaxis. European Journal of Anaesthesiology. 1993;10:27–32
  70. Meek T, Gittins N, Duggan JE. Cricoid pressure: knowledge and performance amongst anaesthetic assistants. Anaesthesia. 1999;54:59–62
  71. Morris J, Cook TM. Rapid sequence induction: a national survey of practice. Anaesthesia. 2001;56:1090–1097
  72. Schmidt A, Akeson J. Practice and knowledge of cricoid pressure in southern Sweden. Acta Anaesthesiologica Scandinavica. 2001;45:1210–1214
  73. Gaba DM, Fish KJ, Howard SK. Crisis Management in Anesthesiology. New York – Edinburgh – London- Melbourne – Madrid – Tokyo: Churchill Livingstone Inc; 1994;pp. 18–25
  74. Kluger MT, Visvanathan T, Myburgh JA, Westhorpe RN. Crisis management during anaesthesia: regurgitation, vomiting, and aspiration. Quality & Safety in Health Care. 2005;14:e4
  75. Peitzman AB, Shires GT, Illner H, Shires GT. Pulmonary acid injury: effects of positive end-expiratory pressure and crystalloid vs colloid fluid resuscitation. Archives of Surgery. 1982;117:662–668
  76. Nader-Djalal N, Knight PR, Bacon MF, et al. Alterations in the course of acid-induced lung injury in rats after general anesthesia: volatile anesthetics versus ketamine. Anesthesia and Analgesia. 1998;86:141–146
  77. American Thoracic Society & Infectious Diseases Society of America . Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. American Journal of Respiratory and Critical Care Medicine. 2005;171:388–416
  78. Bynum LJ, Pierce AK. Pulmonary aspiration of gastric content. The American Review of Respiratory Disease. 1976;114:1129–1136
  79. LeFrock JL, Clark TS, Davies B, Klainer AS. Aspiration pneumonia: a ten-year review. The American Surgeon. 1979;45:305–313
  80. In:  Hall JB,  Schmidt GA,  Wood LDH editor. Principles of Critical Care. Aspiration Syndromes. New York: McGraw-Hill; 1992;
  81. DePaso WJ. Aspiration pneumonia. Clinics in Chest Medicine. 1991;12:269–284
  82. Hickling KG, Howard R. A retrospective survey of treatment and mortality in aspiration pneumonia. Intensive Care Medicine. 1988;14:617–622
  83. Janknegt R, Wijnands WJA, Stobberingh EE. Antimicrobial practice. Antibiotic policies in Dutch hospitals for treatment of pneumonia. The Journal of Antimicrobial Chemotherapy. 1994;34:431–442
  84. Allewelt M, Schuler P, Boleskei PL, et al. Ampicillin + sulbactam vs. clindamycin +/− cephalosporin for the treatment of aspiration pneumonia and primary lung abscess. Clinical Microbiology and Infection. 2004;10:163–170
  85. Jacobson SJ, Griffiths K, Diamond S, et al. A randomized controlled trial of penicillin vs clindamycin for the treatment of aspiration pneumonia in children. Archives of Pediatrics & Adolescent Medicine. 1997;151:701–704
  86. Wynne JW, Reynolds JC, Hood I, et al. Steroid therapy for pneumonitis induced in rabbits by aspiration of foodstuff. Anesthesiology. 1979;51:11–19
  87. Sukumaran M, Granada MJ, Berger HW, et al. Evaluation of corticosteroid treatment in aspiration of gastric contents: a controlled clinical trial. The Mount Sinai Journal of Medicine, New York. 1980;47:335–340
  88. Wolfe JE, Bone RC, Ruth WE. Effects of corticoids in the treatment of patients with gastric aspiration. The American Journal of Medicine. 1977;63:719–722
  89. Gates S, Huang T, Cheney FW. Effects of methylprednisolone on resolution of acid-aspiration pneumonitis. Archives of Surgery. 1983;118:1262–1265
  90. Peitzman AB, Shires GT, Illner H, Shires GT. The effect of intravenous steroids on alveolar-capillary membrane permeability in pulmonary acid injury. The Journal of Trauma. 1982;22:347–352
  91. Bone RC, Fisher CJ, Clemmer TP, et al. A controlled clinical trial of high-dose methylprednisolone in the treatment of severe sepsis and septic shock. The New England Journal of Medicine. 1987;317:653–658
  92. Lefering R, Neugebauer AEM. Steroid controversy in sepsis and septic shock: a meta analysis. Critical Care Medicine. 1995;23:1294–1303
  93. Pawlik MT, Schreyer AG, Ittner KP, et al. Early treatment with pentoxifylline reduces lung injury induced by acid aspiration in rats. Chest. 2005;127:613–621
  94. Isik AF, Kati I, Bayram I, Ozbek H. A new agent for treatment of acute respiratory distress syndrom: thymoquinone. An experimental study in a rat model. European Journal of Cardio-thoracic Surgery. 2005;28:301–305
  95. Australian Patient Safety Foundation . Crisis Management Manual: COVER ABCD A SWIFT CHECK. Adelaide: Australian Patient Safety Foundation; 1996;74 pp. Available at http://www.apsf.net.au/anaesthesia.htm

PII: S1521-6896(06)00023-1

doi: 10.1016/j.bpa.2006.02.006

Best Practice & Research Clinical Anaesthesiology
Volume 20, Issue 3 , Pages 409-427 , September 2006

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