12,189 results match your criteria Pneumonia Aspiration


Resident-Driven Dysphagia Screening Protocol for Expedited Antithrombotic Delivery in Acute Ischemic Stroke.

Neurohospitalist 2022 Jul 6;12(3):467-475. Epub 2022 May 6.

Cooper Neurological Institute, Cooper University Hospital, Camden, NJ, USA.

Background: We implemented a multi-disciplinary process improvement intervention at our Comprehensive Stroke Center with speech/language pathologists to expedite oral medication delivery in stroke patients. Following a failed nursing dysphagia screen, trained neurology physicians screened dysphagia further to approve use of oral medications. We analyzed the safety and efficacy of this intervention. Read More

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Shorter Intensive Care Unit Stay (12 Hours) Post Thrombolysis Is Safe and Reduces Length of Stay for Minor Stroke Patients.

Neurohospitalist 2022 Jul 23;12(3):504-507. Epub 2022 Feb 23.

Division of Neurology, Neuroscience Institute, Spectrum Health, Grand Rapids, MI, USA.

The current standard of practice for patients with acute ischemic stroke treated with intravenous tissue-type plasminogen activator (tPA) requires critical monitoring for 24-hours post-treatment due to the risk of symptomatic intracranial hemorrhage (sICH). This is a costly and resource intensive practice. In this study, we evaluated the safety and efficacy of this standard 24-hour ICU monitoring period compared with a shorter 12-hour ICU monitoring period for minor stroke patients (NIHSS 0-5) treated with tPA only. Read More

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Pulmonary atelectasis in a young dog with Cor pulmonale: clinical and radiographic follow-up.

Rev Bras Med Vet 2022 14;44:e004921. Epub 2022 Apr 14.

Veterinarian, DSc., DMCV, IV, UFRRJ, Seropédica, RJ, Brazil.

Pulmonary atelectasis is a disease characterized by the collapse of the pulmonary alveoli, leading to partial or total loss of function in the affected lung, and is mostly described in older dogs. It occurs due to chronic inflammatory and obstructive processes such as pneumonia. In infants who do not feed directly from the mother, it is common to develop aspiration pneumonia due to inhalation of a milk replacer. Read More

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Biclonal Gammopathy as a Misleading Indicator to Diagnose POEMS Syndrome: An Autopsy Case Report and a Review of the Literature.

Cureus 2022 May 20;14(5):e25153. Epub 2022 May 20.

Department of General Internal Medicine, Kobe University Hospital, Kobe, JPN.

A 76-year-old man presented with a four-month history of progressive bilateral lower limb muscle weakness and dysesthesia. The patient had extravascular volume overload, and laboratory findings confirmed hypothyroidism, renal dysfunction, and chronic inflammation. Serum protein and immunofixation electrophoresis revealed biclonality of immunoglobulin A (IgA)-kappa and IgA-lambda, which was attributed to chronic inflammation. Read More

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Effects of Oral Health Interventions in People with Oropharyngeal Dysphagia: A Systematic Review.

J Clin Med 2022 Jun 19;11(12). Epub 2022 Jun 19.

Department Special Needs Education, Faculty of Educational Sciences, University of Oslo, 0318 Oslo, Norway.

People with oropharyngeal dysphagia (OD) are at risk of developing aspiration pneumonia. However, there is no "best practice" for oral health interventions to improve swallowing-related outcomes, the incidence of aspiration pneumonia, and oral health in people with OD. Systematic literature searches were conducted for oral health interventions in OD in PubMed, Embase, CINAHL, and PsycINFO until July 2021. Read More

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3D Food Printing Applications Related to Dysphagia: A Narrative Review.

Foods 2022 Jun 17;11(12). Epub 2022 Jun 17.

School of Human Nutrition, McGill University, Montreal, QC H9X 3V9, Canada.

Dysphagia is a condition in which the swallowing mechanism is impaired. It is most often a result of a stroke. Dysphagia has serious consequences, including choking and aspiration pneumonia, which can both be fatal. Read More

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Relationship between Post-Stroke Cognitive Impairment and Severe Dysphagia: A Retrospective Cohort Study.

Brain Sci 2022 Jun 19;12(6). Epub 2022 Jun 19.

Department of Rehabilitation Medicine, the Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Tianhe District, Guangzhou 510630, China.

: To investigate the relationship between post-stroke cognitive impairment (PSCI) and severe post-stroke dysphagia (PSD) and explore the risk factors related to PSCI combined with severe PSD. : Data from patients were collated from the rehabilitation-specific disease database. The Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Videofluoroscopy Swallowing Study (VFSS), Penetration-aspiration Scale (PAS), and Functional Oral Intake Scale (FOIS) were used to evaluate cognitive and swallowing functions. Read More

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THE DYSPHAGIA INVESTIGATION: IS THERE STILL SPACE FOR THE VIDEOFLUOROSCOPIC METHOD?

Arq Bras Cir Dig 2022 17;35:e1650. Epub 2022 Jun 17.

Federal University of Rio de Janeiro, Digestive Motility Laboratory - Gastroenterology Division of HUCFF-UFRJ, Rio de Janeiro, RJ, Brazil.

Aim: Dysphagia can lead to aspiration pneumonia, impacting the nutritional status and quality of life of the patient. The videofluoroscopy is highlighted for allowing both a real-time evaluation and the recording of the images for later review and analysis. This study aimed to describe the characteristics of the population referred for videofluoroscopy and its value as an investigation method. Read More

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Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China.

Front Pediatr 2022 26;10:873182. Epub 2022 May 26.

Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Chongqing Medical University, Chongqing, China.

Objective: To analyze the clinical characteristics of tracheobronchial foreign body (FB) cases in a pediatric Chinese population.

Methods: The clinical data of pediatric patients aged 0-18 years old diagnosed with a tracheobronchial FB in the Children's Hospital of Chongqing Medical University between September 2018 and August 2021 were analyzed retrospectively.

Results: Among 1,328 included cases, 92. Read More

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Septic Aspiration Pneumonia After Laparoscopic Adjustable Gastric Banding for Morbid Obesity.

Cureus 2022 May 17;14(5):e25074. Epub 2022 May 17.

Internal Medicine, Baptist Memorial Union County Hospital, New Albany, USA.

The laparoscopic adjustable gastric banding (LAGB) surgery is a minimally invasive procedure performed to help with weight loss in patients with advanced obesity with a body mass index (BMI) of >40 kg/m² or above 35 kg/m² with comorbid obesity-related health conditions (hypertension, type two diabetes mellitus, obstructive sleep apnea, etc). Although this surgery is effective for weight loss, it is imperative that close follow-up and aftercare are conducted in order to circumvent severe and rare esophageal and pulmonary complications. We report a case of systemic pulmonary and esophageal complications associated with LAGB that required immediate medical and surgical intervention in a female patient. Read More

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Japanese clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care.

Jpn J Nurs Sci 2022 Jun 18:e12496. Epub 2022 Jun 18.

Department of Speech and Hearing Sciences, International University of Health and Welfare, Narita, Japan.

Aim: This clinical practice guideline aims to provide and recommend methods of assessing aspiration and pharyngeal residue during eating and swallowing and methods of selecting and implementing nursing care for adults to prevent the development of aspiration pneumonia through early and appropriate management of oropharyngeal dysphagia.

Methods: In April 2018, the Japan Academy of Nursing Science established the Supervisory Committee in Nursing Care Development/Standardization Committee to develop clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care. This clinical practice guideline was developed according to the Minds Manual for Guideline Development 2017, with the aim of providing a specific pathway for nurses to determine the policy for selecting management for oropharyngeal dysphagia based on research evidence and multifaceted factors including the balance of benefits and harms and patients' values. Read More

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Bronchoalveolar lavage (BAL) amylase and pepsin levels as potential biomarkers of aspiration pneumonia.

Pulmonology 2022 Jun 14. Epub 2022 Jun 14.

Department of Infectious Disease and Pulmonary Medicine, Aizu Medical Center, Fukushima Medical University, Fukushima, Japan.

Background And Objective: There are currently no established markers for aspiration pneumonia. We hypothesized that bronchoalveolar lavage (BAL) amylase and pepsin might be candidate biomarkers for aspiration pneumonia.

Methods: This cross-sectional study reviewed consenting adults who underwent clinically-indicated bronchoscopy at Aizu Medical Center. Read More

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Delayed diagnosis of foreign body aspiration in children.

Arch Pediatr 2022 Jun 12. Epub 2022 Jun 12.

Hôpital des enfants de Toulouse, 330 Av. de Grande Bretagne, 31300, Toulouse.

Aims: To assess the diagnostic and therapeutic difficulties as well as the long-term complications of prolonged endobronchial foreign body retention.

Method: Between January 2000 and May 2021, 794 patients with suspected foreign body aspiration (FBA) were hospitalized in our department. A total of 12 patients with a delayed diagnosis of over 1 month were included. Read More

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Safety and performance of oropharyngeal muscle strength training in the treatment of post-stroke dysphagia during oral feeding: protocol for a systematic review and meta-analysis.

BMJ Open 2022 Jun 15;12(6):e061893. Epub 2022 Jun 15.

Department of Rehabilitation, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China

Introduction: Dysphagia is a common functional disorder after stroke. Most patients post-stroke are incapable of oral feeding, which often leads to complications such as malnutrition, aspiration pneumonia and dehydration that seriously affect the quality of life of patients. Oropharyngeal muscle strength training is a major method of swallowing training, and recent studies have focused on healthy adults, elderly persons, and patients with head and neck cancer or neurodegenerative diseases; but there have been few studies on such training in patients with post-stroke dysphagia. Read More

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Efficacy of dexmedetomidine on postoperative pain in patients undergoing gastric and esophageal endoscopic submucosal dissection: a study protocol for a randomized controlled prospective trial.

Trials 2022 Jun 13;23(1):491. Epub 2022 Jun 13.

Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.

Background: Endoscopic submucosal dissection (ESD) is widely used as an effective treatment of early gastric and esophageal tumors, as it is minimally invasive, safe, and convenient. Epigastric pain is a common complication of ESD. In the traditional cognition, the postoperative pain of ESD is not serious and does not attach too much attention. Read More

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INCEPTUS Natural History, Run-in Study for Gene Replacement Clinical Trial in X-Linked Myotubular Myopathy.

J Neuromuscul Dis 2022 Jun 7. Epub 2022 Jun 7.

Astellas Gene Therapies (formerly Audentes Therapeutics), San Francisco, CA, USA.

BackgroundX-linked myotubular myopathy (XLMTM) is a life-threatening congenital myopathy that, in most cases, is characterized by profound muscle weakness, respiratory failure, need for mechanical ventilation and gastrostomy feeding, and early death.ObjectiveWe aimed to characterize the neuromuscular, respiratory, and extramuscular burden of XLMTM in a prospective, longitudinal study.MethodsThirty-four participants <  4 years old with XLMTM and receiving ventilator support enrolled in INCEPTUS, a prospective, multicenter, non-interventional study. Read More

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Sphingomonas Paucimobilis Pneumonia Complicated by Empyema in an Immunocompetent Patient: A Case Report and Concise Review of Literature.

Cureus 2022 May 8;14(5):e24820. Epub 2022 May 8.

Internal Medicine, Miller School of Medicine, University of Miami, Miami, USA.

is an aerobic, Gram-negative bacterium that is found widely in the environment and on hospital equipment. Although this organism usually causes infection in immunocompromised patients, it may cause pulmonary disease in immunocompetent patients, in rare cases. We report a case of pneumonia complicated by empyema in an immunocompetent patient. Read More

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Mitochondrial Encephalopathy, Lactic Acidosis and Stroke-Like Episodes/Leigh Overlap Syndrome Due to Variant m.13513G>A in MT-ND5.

Cureus 2022 May 5;14(5):e24746. Epub 2022 May 5.

Clinical Pathology, The University of Melbourne, Melbourne, AUS.

Mitochondrial disorders are caused due to variants in genes located on the mitochondrial DNA or the nuclear DNA. Here, we report a case with mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS)/Leigh overlap syndrome due to variant m.13513G>A in ND5. Read More

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Analysis of surgical mortality in rural South Australia: a review of four major rural hospital in South Australia.

ANZ J Surg 2022 Jun 8. Epub 2022 Jun 8.

Discipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.

Background: One-third of Australia's population reside in rural and remote areas. This audit aims to describe all-causes of mortality in rural general surgical patients, and identify areas of improvement.

Methods: This is a retrospective multi-centre study involving four South Australian hospitals (Mt Gambier, Whyalla, Port Augusta, and Port Lincoln). Read More

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Pseudo-intestinal obstruction after transsphenoidal surgery for craniopharyngioma.

J Surg Case Rep 2022 May 31;2022(5):rjac254. Epub 2022 May 31.

Department of Anesthesiology, Gunma University Graduate School of Medicine, Maebashi City, Japan.

Craniopharyngioma surgery is frequently associated with the occurrence of central diabetes insipidus, and oral rehydration therapy is reliable for postoperative management if the patient's thirst is normal. A 61-year-old Japanese male patient underwent extended endoscopic transsphenoidal surgery for craniopharyngioma. He was undergoing acute treatment for postoperative central diabetes insipidus and hypopituitarism in the intensive care unit. Read More

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Salivary Alpha Amylase Bronchial Measure for Early Aspiration Pneumonia Diagnosis in Patients Treated With Therapeutic Hypothermia After Out-of-hospital Cardiac Arrest.

Front Med (Lausanne) 2022 13;9:880803. Epub 2022 May 13.

Réanimation des Urgences, Timone University Hospital APHM, Marseille, France.

Background: Aspiration pneumonia is the most common respiratory complication following out-of-hospital cardiac arrests (OHCA). Alpha-amylase (α-amylase) in pulmonary secretions is a biomarker of interest in detecting inhalation. The main goal of this study is to evaluate the performance of bronchoalveolar levels of α-amylase in early diagnosis of aspiration pneumonia, in patients admitted to intensive care unit (ICU) after OHCA. Read More

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Oral Microbes in Hospital-Acquired Pneumonia: Practice and Research Implications.

Crit Care Nurse 2022 Jun;42(3):47-54

Mary Lou Sole is dean, professor, and Orlando Health Endowed Chair in Nursing at the University of Central Florida College of Nursing.

Background: Hospital-acquired pneumonia accounts for 25% of all health care-associated infections and is classified as either ventilator-associated or non-ventilator-associated pneumonia. Hospital-acquired pneumonia most frequently results from aspiration of oropharyngeal secretions into the lungs. Although preventive measures for ventilator-associated pneumonia are well established, few preventive measures exist for the nonventilator type. Read More

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Review of the effect of amylase-resistant dysphagia products on swallowing safety.

Curr Opin Otolaryngol Head Neck Surg 2022 Jun;30(3):169-176

University of Canterbury, New Zealand.

Purpose Of Review: Thickened fluids are a widely utilised compensatory management strategy for people with impaired swallowing (dysphagia). Over recent years there has been a shift in practice to offer gum-based instead of starch-based products. A key marketing message has been that gum-based thickeners with amylase-resistant properties are superior in promoting 'safer swallowing'. Read More

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Experienced Respiratory Symptoms and the Impact on Daily Life from the Perspective of People with Parkinson's Disease: A Grounded Theory.

J Parkinsons Dis 2022 May 27. Epub 2022 May 27.

Radboud University Medical Center, Donders Institute for Brain, Cognition and Behavior, Department of Rehabilitation, Nijmegen, The Netherlands.

Background: Abnormal respiratory function tests can be observed early in the course of Parkinson's disease (PD). A better understanding of the impact of respiratory dysfunction on daily life in PD is needed to prevent later occurring complications as a (aspiration) pneumonia.

Objective: To explain which respiratory symptoms people with PD or a form of atypical parkinsonism experience and how these symptoms impact on their daily lives. Read More

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Planned Peri-Extubation Fasting in Critically Ill Children: An International Survey of Practice.

Front Pediatr 2022 11;10:905058. Epub 2022 May 11.

Pediatric Intensive Care, Lyon University Children Hospital, Hospices Civils de Lyon, Lyon, France.

Introduction: Cumulative energy/protein deficit is associated with impaired outcomes in pediatric intensive care Units (PICU). Enteral nutrition is the preferred mode, but its delivery may be compromised by periods of feeding interruptions around procedures, with peri-extubation fasting the most common procedure. Currently, there is no evidence to guide the duration of the peri-extubation fasting in PICU. Read More

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The Value of Lung Ultrasound Score in Neonatology.

Front Pediatr 2022 11;10:791664. Epub 2022 May 11.

Neonatal Intensive Care Unit, Affiliated Shenzhen Maternity & Child Healthcare Hospital, Southern Medical University, Shenzhen, China.

Point-of-care lung ultrasound (LUS) is increasingly applied in the neonatal intensive care unit (NICU). Diagnostic applications for LUS in the NICU contain the diagnosis of many common neonatal pulmonary diseases (such as Respiratory distress syndrome, Transient tachypnea of the newborn, Meconium aspiration syndrome, Pneumonia, Pneumothorax, and Pleural effusion) which have been validated. In addition to being employed as a diagnostic tool in the classical sense of the term, recent studies have shown that the number and type of artifacts are associated with lung aeration. Read More

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Oropharyngeal Dysphagia as the Main Expression of Amyotrophic Lateral Sclerosis.

Medicina (Kaunas) 2022 May 9;58(5). Epub 2022 May 9.

Department of Otorhinolaryngology, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.

Amyotrophic lateral sclerosis (ALS) is the most common form of motor neuron disease. Only about 10% of ALS patients survive more than 10 years. Clinical studies show that multidisciplinary care statistically significantly improves survival compared to neurological care. Read More

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Fatal Infection in an Alpaca () Caused by Pathogenic .

Animals (Basel) 2022 May 19;12(10). Epub 2022 May 19.

Chemical and Veterinary Analysis Agency Stuttgart (CVUAS), Schaflandstr. 3/3, 70736 Fellbach, Germany.

() is a pathogen primarily known for infections in equine foals, but is also present in numerous livestock species including New World camelids. Moreover, is considered an emerging zoonotic pathogen. In this report, we describe in detail a fatal rhodococcal infection in an alpaca (), to our best knowledge, for the first time. Read More

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Second update of a systematic review and evidence-based recommendations on texture modified foods and thickened liquids for adults (above 17 years) with oropharyngeal dysphagia.

Clin Nutr ESPEN 2022 06 6;49:551-555. Epub 2022 Apr 6.

Department of Clinical Research, Copenhagen University Hospital Amager and Hvidovre, 2650, Hvidovre, Denmark; Research Unit Nursing and Health Care, Health, Aarhus University, 8000, Aarhus C, Denmark.

Background & Aims: It is well known that oropharyngeal dysphagia (OD) challenges eating, drinking, and swallowing by penetration to the airway. In clinical practice, thickening agents in liquid and texture modified diets are used to reduce pneumonia and secure nutritional status. The scientific evidence on this OD management is, however, limited. Read More

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Serial evaluation of thoracic radiographs and acute phase proteins in dogs with pneumonia.

J Vet Intern Med 2022 May 26. Epub 2022 May 26.

Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.

Background: Acute phase proteins (APP) may guide treatment of pneumonia in dogs but correlations with radiographic abnormalities are poorly characterized.

Objectives: Develop a thoracic radiographic severity scoring system (TRSS), assess correlation of radiographic changes with APP concentrations, and compare time to APP and radiograph normalization with duration of antimicrobials treatment.

Animals: Sixteen client-owned dogs, 12 with aspiration pneumonia, and 4 with community-acquired pneumonia. Read More

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