10,654 results match your criteria Pneumonia Aspiration


Management of Dysphagia in Patients with Parkinson's Disease and Related Disorders.

Intern Med 2019 Apr 17. Epub 2019 Apr 17.

Department of Neurology, Kochi Medical School, Kochi University, Japan.

Various methods of rehabilitation for dysphagia have been suggested through the experience of treating stroke patients. Although most of these patients recover their swallowing function in a short period, dysphagia in Parkinson's disease (PD) and Parkinson-related disorder (PRD) degenerates with disease progression. Muscle rigidity and bradykinesia are recognized as causes of swallowing dysfunction, and it is difficult to easily apply the strategies for stroke to the rehabilitation of dysphagia in PD patients. Read More

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http://dx.doi.org/10.2169/internalmedicine.2373-18DOI Listing
April 2019
1 Read

Anesthesia for peroral endoscopic myotomy in Japan.

Curr Opin Anaesthesiol 2019 Apr 15. Epub 2019 Apr 15.

Department of Anesthesiology, Nagasaki University School of Medicine, Nagasaki, Japan.

Purpose Of Review: Peroral endoscopic myotomy (POEM) was developed in Japan as a less invasive treatment for esophageal achalasia requiring general anesthesia under positive pressure ventilation. In 2018, the Japan Gastroenterological Endoscopy Society published the first guidelines describing the standard care for POEM. Based on these guidelines, we discuss the typical approach to anesthesia during POEM for the management of esophageal achalasia in Japan. Read More

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http://dx.doi.org/10.1097/ACO.0000000000000742DOI Listing

Characteristics of Nonpulmonary Organ Dysfunction at Onset of ARDS Based on the Berlin Definition.

Respir Care 2019 Apr 16. Epub 2019 Apr 16.

Department of Pulmonary and Critical Care Medicine, University of California, San Francisco at San Francisco General Hospital, San Francisco, California.

Background: The Berlin definition of ARDS does not account for nonpulmonary organ failure, which is a major determinant of outcome. We examined whether an increasing severity of hypoxemia across the Berlin definition classifications also corresponded with evidence of multiple organ dysfunction on the day of ARDS onset. We also examined the representation of major etiologies for ARDS across the Berlin definition classifications. Read More

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http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06165
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http://dx.doi.org/10.4187/respcare.06165DOI Listing
April 2019
1 Read

Noninvasive Ventilation-Facilitated Bronchofiberoscopy in Patients with Respiratory Failure.

Adv Exp Med Biol 2019 Apr 16. Epub 2019 Apr 16.

Department of Pneumology, School of Medicine in Katowice, Upper-Silesian Medical Center, Medical University of Silesia, Katowice, Poland.

Respiratory failure is one of the most important risk factors for diagnostic bronchofiberoscopy (BF), whereas therapeutic bronchoscopies are typically performed in intubated patients. Only a few published studies analyzed the outcomes of noninvasive mechanical ventilation (NIV)-facilitated BF. In this case series, we present our experiences with NIV-facilitated diagnostic and therapeutic BF performed in patients with respiratory failure that was associated with acute interstitial pulmonary disease, chronic obstructive pulmonary disease, cystic fibrosis exacerbation, foreign body aspiration, tracheal stenosis, pneumonia, and in a patient with a neuromuscular disease. Read More

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http://dx.doi.org/10.1007/5584_2019_375DOI Listing

Long-term outcome and risk factors associated with death or the need for revision surgery in dogs with permanent tracheostomies.

J Am Vet Med Assoc 2019 May;254(9):1086-1093

Objective: To evaluate long-term outcomes and identify factors associated with death or the need for revision surgery in dogs with permanent tracheostomies (PTs).

Design: Retrospective cohort study.

Animals: 69 client-owned dogs that received a PT between January 2002 and June 2016 at 1 of 4 veterinary teaching hospitals. Read More

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http://dx.doi.org/10.2460/javma.254.9.1086DOI Listing

Clinical and demographic characteristics of geriatric patients with acute poisoning in the state of Uttarakhand.

J Family Med Prim Care 2019 Feb;8(2):443-448

Department of Emergency Medicine, AIIMS Rishikesh Campus, Uttrakhand, India.

Background: Acute poisoning in geriatric age group is a clinical challenge due to multiple comorbidities and complications in this age group. There are very few studies done in the past, which have addressed this issue.

Materials And Methods: This retrospective observational study was a carried out in the Department of Emergency Medicine of a tertiary care hospital of Uttarakhand over a period of 1 year from November 2017 to October 2018. Read More

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http://dx.doi.org/10.4103/jfmpc.jfmpc_420_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436262PMC
February 2019

Evaluation of Oropharyngeal Dysphagia in Patients Who Underwent Percutaneous Endoscopic Gastrostomy: Stratification Risk of Pneumonia.

JPEN J Parenter Enteral Nutr 2019 Apr 14. Epub 2019 Apr 14.

Division of Pulmonary and Critical Care, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Background: Aspiration pneumonia is the most common cause of death in patients who undergo percutaneous endoscopic gastrostomy (PEG). This study aims to evaluate the severity of oropharyngeal dysphagia and predict the risk of pneumonia in such patients, using upper gastrointestinal endoscopy.

Methods: Endoscope examined the pharyngolaryngeal region in patients who underwent PEG. Read More

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http://dx.doi.org/10.1002/jpen.1592DOI Listing

Living donor liver transplantation for a patient with a history of total gastrectomy.

Biosci Trends 2019 Apr 15. Epub 2019 Apr 15.

Department of Transplantation and Pediatric Surgery, Kumamoto University Graduate School of Medical Sciences.

Adhesions due to previous upper abdominal surgery may complicate later liver transplantation. Here we report successful living donor liver transplantation (LDLT) in a patient with a history of total gastrectomy. A 32-year-old Japanese woman developed end-stage liver failure due to alcoholic cirrhosis. Read More

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http://dx.doi.org/10.5582/bst.2019.01037DOI Listing
April 2019
2 Reads

Flavin adenine dinucleotide synthase deficiency due to FLAD1 mutation presenting as multiple acyl-CoA dehydrogenation deficiency-like disease: A case report.

Brain Dev 2019 Apr 11. Epub 2019 Apr 11.

Department of Pediatrics, Shimane University, Faculty of Medicine, Izumo, Shimane, Japan.

Multiple acyl-CoA dehydrogenase deficiency (MADD), also known as glutaric acidemia type II, is classically caused by a congenital defect in electron transfer flavoprotein (ETF) or ETF dehydrogenase (ETFDH). Flavin adenine dinucleotide synthase (FADS) deficiency caused by mutations in FLAD1 was recently reported as a novel riboflavin metabolism disorder resembling MADD. Here, we describe a Japanese boy with FADS deficiency due to a novel mutation (p. Read More

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http://dx.doi.org/10.1016/j.braindev.2019.04.002DOI Listing

Evaluation of the masticatory muscle function, physiological sleep variables, and salivary parameters after electromechanical therapeutic approaches in adult patients with Down syndrome: a randomized controlled clinical trial.

Trials 2019 Apr 11;20(1):215. Epub 2019 Apr 11.

Center of Biosciences Applied to Patients with Special Health Care Needs (CEBAPE), Institute of Science and Technology, São José dos Campos Campus, São Paulo State University-UNESP, R: Esperança 265, São Paulo, SP, Brazil.

Background: There are many comorbidities associated with Down syndrome (DS), including obstructive sleep apnea (OSA) and masticatory muscle alteration. Muscular hypotonia, in particular, of the masticatory and oropharyngeal muscles is one of the main characteristics of individuals with DS, resulting in impairments of speech, swallowing, and mastication in these individuals. In addition, total or partial obstruction of the airways during sleep can occur due to pharyngeal hypotonia, leading to snoring and to OSA. Read More

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http://dx.doi.org/10.1186/s13063-019-3300-0DOI Listing
April 2019
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Cefepime challenge after piperacillin/tazobactam-induced thrombocytopenia.

J Thromb Thrombolysis 2019 Apr 9. Epub 2019 Apr 9.

Department of Anesthesiology, Virginia Commonwealth University Health/Medical College of Virginia Hospitals, 1200 E. Broad Street, 7th Floor, P.O. Box 980695, Richmond, VA, 23298-0695, USA.

Drug-induced thrombocytopenia (DITP) has been described as a sudden and severe hematologic complication of piperacillin/tazobactam. The proposed mechanism by which piperacillin/tazobactam causes DITP involves the formation of a covalent bond to platelet membrane protein thereby inducing a humoral immune response. Given the immunogenic nature of this adverse event and the structural similarities across beta-lactam antibiotics, the potential for cross-reactivity between agents within the class should be considered. Read More

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http://dx.doi.org/10.1007/s11239-019-01848-3DOI Listing
April 2019
3 Reads

Prophylactic antibiotics reduce hospitalisations and cost in locally advanced head and neck cancer patients treated with chemoradiotherapy: A randomised phase 2 study.

Eur J Cancer 2019 Apr 6;113:32-40. Epub 2019 Apr 6.

Department of Medical Oncology, Radboud University Medical Center, Postbox 9101, 6500 HB, Nijmegen, The Netherlands. Electronic address:

Background: Platinum-based chemoradiotherapy for locally advanced head and neck cancer (LAHNC) induces a high rate of acute toxicity, including dysphagia and aspiration pneumonia. We hypothesised that prophylactic antibiotics can prevent pneumonia and hospitalisations and can be cost-effective.

Patient And Methods: In this multicentre randomised trial, patients with LAHNC treated with chemoradiotherapy received prophylactic amoxicillin/clavulanic acid from day 29 after the start of treatment until 14 days after completion of chemoradiotherapy or standard care without prophylaxis. Read More

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http://dx.doi.org/10.1016/j.ejca.2019.02.013DOI Listing
April 2019
2 Reads

Oral health care for patients with Alzheimer's disease: An update.

Spec Care Dentist 2019 Apr 9. Epub 2019 Apr 9.

Departments of Dentistry and Medicine, University of Rochester Medical Center, Rochester, New York.

Alzheimer's disease and related disorders (ADRD) are among the age-associated chronic conditions that are most challenging to health care systems around the globe, as patients with dementia require full-time, intensive care for multiple years. Oral health care is negatively impacted by cognitive decline, and consequently poor oral health is common among people with ADRD. Poor oral health status is linked with many undesirable consequences for the well-being of people with ADRD, from excruciating local pain to life-threatening conditions, as aspiration pneumonia. Read More

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http://dx.doi.org/10.1111/scd.12375DOI Listing
April 2019
1 Read

Sweet Potato Was Not So Sweet: Undetected Foreign-body Aspiration in a Healthy Child Leading to Acute Bronchial Asthma.

Tokai J Exp Clin Med 2019 Apr 20;44(1):1-4. Epub 2019 Apr 20.

Department of Neurology, Gunma Children's Medical Center, 779 Shimohakoda, Hokkitsu, Shibukawa, Gunma 377-8577, Japan.

Introduction: Sweet potato may contain furanoterpenoids, including ipomeamarone, which cause lung edema.

Case Presentation: A 10-year-old schoolgirl was hospitalized with asthma exacerbation and acute pneumonia. Chest radiographs showed a diffuse opacity of the left lung and hyperpermeability of the right lung. Read More

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April 2019
2 Reads

Clinical characteristics and etiologies of bronchiectasis in Korean children: A multicenter retrospective study.

Respir Med 2019 Apr 6;150:8-14. Epub 2019 Feb 6.

Department of Pediatrics, Eulji General Hospital, Eulji University School of Medicine, Seoul, Republic of Korea. Electronic address:

Background: Bronchiectasis is a chronic pulmonary disease characterized by progressive and irreversible bronchial dilatation. The aim of the present study was to investigate the etiologies and clinical features of bronchiectasis in Korean children.

Methods: We performed a retrospective review of the medical records for children diagnosed with bronchiectasis between 2000 and 2017 at 28 secondary or tertiary hospitals in South Korea. Read More

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http://dx.doi.org/10.1016/j.rmed.2019.01.018DOI Listing
April 2019
3 Reads

Pneumonia and Risk of Serious Adverse Outcomes in Hospitalized Strokes in Thailand.

J Stroke Cerebrovasc Dis 2019 Apr 4. Epub 2019 Apr 4.

Ageing Clinical and Experimental Research (ACER), Institute of Applied Health Sciences, School of Medicine, Medical Sciences & Nutrition, University of Aberdeen, Foresthill, Aberdeen, United Kingdom. Electronic address:

Background: The impact of stroke associated pneumonia (SAP) on stroke complications is not well understood; we aimed to study the association between SAP and adverse outcomes including in-hospital mortality, prolonged length of stay and the risk of developing common serious complications (sepsis, respiratory failure, and convulsions).

Methods: We retrospectively analyzed data from a cohort of 610,668 stroke patients drawn from the Universal Coverage Health Security Scheme (a national insurance database) in Thailand which covers ∼80% of the Thai population. Patients were hospitalized between October 2004 and January 2013. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.03.024DOI Listing
April 2019
3 Reads

Antimicrobial susceptibilities of clinical isolates of the anaerobic bacteria which can cause aspiration pneumonia.

Anaerobe 2019 Apr 2;57:86-89. Epub 2019 Apr 2.

Department of Infection Control and Prevention, Aichi Medical University Hospital, Aichi, Japan; Department of Clinical Infectious Diseases, Aichi Medical University Graduate School of Medicine, Aichi, Japan. Electronic address:

Aspiration pneumonia is an infectious disease of the lungs caused by inhalation of saliva or foods, associated with swallowing dysfunction. Therefore, the major causative organisms are oral or gastric bacteria. In this study, we evaluated the antimicrobial susceptibility patterns of the anaerobic bacteria which can cause aspiration pneumonia, Fusobacterium spp. Read More

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http://dx.doi.org/10.1016/j.anaerobe.2019.04.002DOI Listing
April 2019
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Trends and Development in Enteral Nutrition Application for Ventilator Associated Pneumonia: A Scientometric Research Study (1996-2018).

Front Pharmacol 2019 20;10:246. Epub 2019 Mar 20.

State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau, China.

This study aimed to explore the intellectual landscape of the studies investigating the clinical application of enteral nutrition (EN) in patients with ventilator associated pneumonia (VAP), and to identify thematic development trends and research frontiers in this area. Scientometric research was conducted by analyzing bibliographic records retrieved from the Web of Science Core Collection Database dated between 1996 and 2018. Reference co-citation analysis, key words co-occurrence analysis and cooperation network analysis were performed using CiteSpace software. Read More

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http://dx.doi.org/10.3389/fphar.2019.00246DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436481PMC
March 2019
1 Read

Change in tongue pressure and the related factors after esophagectomy: a short-term, longitudinal study.

Esophagus 2019 Apr 2. Epub 2019 Apr 2.

Department of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.

Background: Dysphagia is a prominent symptom after esophagectomy and may cause aspiration pneumonia. Swallowing evaluation after esophagectomy can predict and help control the incidence of postoperative pneumonia. The aim of this study was to clarify whether the change in tongue pressure was associated with any related factor and postoperative dysphagia/pneumonia in patients with esophageal cancer after esophagectomy. Read More

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http://link.springer.com/10.1007/s10388-019-00668-x
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http://dx.doi.org/10.1007/s10388-019-00668-xDOI Listing
April 2019
3 Reads

Predictors of Penetration-Aspiration in Parkinson's Disease Patients With Dysphagia: A Retrospective Analysis.

Ann Otol Rhinol Laryngol 2019 Apr 2:3489419841398. Epub 2019 Apr 2.

4 Department of Cognitive Neurolinguistics, Swallowing Research Lab, University of Potsdam, Potsdam, Germany.

Objective:: Penetration-aspiration is considered the most severe sign of dysphagia, with aspiration pneumonia as one of its consequences. More than half of Parkinson's disease (PD) patients suffer from dysphagia, and aspiration pneumonia is among the primary causes of mortality in PD patients. However, the identification of predictors of penetration-aspiration in PD patients remains an understudied topic. Read More

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http://dx.doi.org/10.1177/0003489419841398DOI Listing
April 2019
2 Reads

The perils of 'risk feeding'.

Age Ageing 2019 Apr 2. Epub 2019 Apr 2.

Department of Geriatric Medicine, Galway University Hospitals, Galway, Ireland.

'Risk feeding' policies, for when people continue to eat and drink despite a perceived risk of choking or aspiration have become common in recent years. We argue that 'feeding' is demeaning language if referring to a person who is eating and drinking rather than to a healthcare technique and that 'risk-anything' is not how decisions are reached. It is true that patients with dysphagia are often unnecessarily designated nil-by-mouth (NBM), especially after a decision has been made that tube feeding is not indicated or is unwanted. Read More

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http://dx.doi.org/10.1093/ageing/afz027DOI Listing
April 2019
3 Reads

The accuracy of the modified Evan's blue dye test in detecting aspiration in tracheostomised patients.

J Laryngol Otol 2019 Apr 1:1-4. Epub 2019 Apr 1.

Department of Phonoaudiology and Physiotherapy,Hospital Regional Norte,Sobral,Brazil.

Objectives: To evaluate the sensitivity and specificity of the modified Evans blue dye test compared to the fibre-optic endoscopic evaluation of swallowing to detect aspiration in tracheostomised patients.

Methods: This observational accuracy study included 17 patients hospitalised for respiratory complications, subjected to prolonged intubation, and for this reason, tracheostomised.

Results: Mean patient age was 60. Read More

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http://dx.doi.org/10.1017/S0022215119000471DOI Listing
April 2019
1 Read

Chronic granulomatous pneumonia and lung rupture secondary to aspiration of activated charcoal in a French Bulldog.

Vet Clin Pathol 2019 Mar;48(1):67-70

Department of Pathology, University of Georgia, Athens, Georgia.

A 4-year-old, spayed female French Bulldog was presented for respiratory distress and suspected aspiration pneumonia after oral administration of activated charcoal for possible ingestion of a suspected toxic dose of trazodone. The patient had a moderate volume of pleural effusion, which contained free and intracellular black particulate matter consistent with charcoal. Due to presumed charcoal aspiration with subsequent lung rupture, the right middle and right caudal lung lobes were surgically removed. Read More

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http://dx.doi.org/10.1111/vcp.12700DOI Listing
March 2019
1 Read

Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management.

Crit Care 2019 Mar 28;23(1):103. Epub 2019 Mar 28.

Department of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, 3010, Bern, CH, Switzerland.

Dysphagia may present in all critically ill patients and large-scale clinical data show that e.g. post-extubation dysphagia (PED) is commonly observed in intensive care unit (ICU) patients. Read More

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https://ccforum.biomedcentral.com/articles/10.1186/s13054-01
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http://dx.doi.org/10.1186/s13054-019-2400-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438038PMC
March 2019
9 Reads

Safety of High-Flow Nasal Cannula Outside Intensive Care Units for Previously Healthy Children With Bronchiolitis.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine Bronx, New York.

Background: High-flow nasal cannula (HFNC), a form of noninvasive respiratory support, is effective for the treatment of respiratory distress in ICUs. Although HFNC has been used outside of the ICU, there is little research that examines its safety in this less-monitored setting.

Methods: Children ≤ 24 months old admitted with bronchiolitis to a pediatric floor at a tertiary care center from April 1 2013, to March 31 2015, were identified by using standard diagnostic codes. Read More

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http://dx.doi.org/10.4187/respcare.06352DOI Listing
March 2019
1 Read

pneumonia: An unusual presentation of nontuberculous mycobacterial infection requiring a novel multidisciplinary approach to management.

Respir Med Case Rep 2019 28;26:307-309. Epub 2019 Feb 28.

Department of Respiratory Medicine, Galway University Hospital, Ireland.

Background: is a rapidly growing nontuberculous mycobacterium which has been associated with several infections including cellulitis, osteomyelitis, lymphadenitis, infected pacemakers and bursitis but it is a rare cause of respiratory infection.

Case Presentation: In this case report we describe a 51-year-old woman who presented with a 6-week history of non-productive cough, pleuritic chest pain and weight loss. She had a history of gastric adenocarcinoma managed with a distal oesophagectomy and total gastrectomy and consequentially suffered severe post-operative gastric reflux. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.02.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404650PMC
February 2019
3 Reads

Effectiveness and safety of perioperative enteral feeding in patients with burn injuries: a systematic review protocol.

JBI Database System Rev Implement Rep 2019 Mar 18. Epub 2019 Mar 18.

State Adult Burns Unit, Fiona Stanley Hospital, Murdoch, Australia.

Review Question/objective: The question of this review is: What is the effectiveness and safety of perioperative enteral nutrition in patients with burn injuries?More specifically, this systematic review will aim to determine whether short fasting (nasogastric feeding up to two hours prior to theater and immediately thereafter) or nil fasting (nasogastric feeding in ventilated patients or post-pyloric feeding in non-ventilated patients) in patients with burn injuries will improve outcomes such as length of stay, wound infection and mortality. In addition, the research will investigate whether perioperative nutrition can be safely administered in patients with burn injuries without increasing the adverse event of perioperative aspiration pneumonia. Read More

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http://dx.doi.org/10.11124/JBISRIR-2017-004013DOI Listing
March 2019
1 Read

Respiratory dysfunction following initiation of mirabegron: A case report.

Respir Med Case Rep 2019 16;26:304-306. Epub 2019 Feb 16.

Northwestern University Feinberg School of Medicine, Division of Pulmonary and Critical Care Medicine, 240 East Huron Street, McGaw Pavilion, Suite M-349 Chicago, Illinois 60611, USA.

Background: Mirabegron, a β3 adrenergic receptor agonist, is FDA approved for treatment of overactive bladder. Approved in 2012 in the US, there have been no reports of any effects of mirabegron on pulmonary function.

Case Presentation: We report the case of a 65 year old male with a history of Parkinson's disease, OSA, and aspiration pneumonia presenting with subacute worsening dyspnea and found to have worsening restrictive ventilatory defect with a pattern consistent with neuromuscular weakness. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.02.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402286PMC
February 2019
1 Read

Validation of the Persian version of dysphagia in multiple sclerosis questionnaire for the assessment of dysphagia in multiple sclerosis.

Iran J Neurol 2018 Jul;17(3):99-104

Multiple Sclerosis Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

About one third of patients with multiple sclerosis (MS) experience dysphagia. Dysphagia can cause complications such as malnutrition, lung infections, aspiration pneumonia and dehydration, thus it is very helpful to diagnose dysphagia as soon as possible. The aim in this study was to translate dysphagia in multiple sclerosis (DYMUS) questionnaire into Farsi and and validate it. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420693PMC
July 2018
1 Read

[A case of lipid pneumonia induced by gasoline aspiration].

Authors:
L Zhang Z Y Liu

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2019 Jan;37(1):65-66

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http://dx.doi.org/10.3760/cma.j.issn.1001-9391.2019.01.016DOI Listing
January 2019
2 Reads

Image-Guided Percutaneous Gastrostomy Tube Placement is Safe in Patients Requiring Aspirin 325 mg.

Acad Radiol 2019 Mar 14. Epub 2019 Mar 14.

Department of Radiology, Duke University School of Medicine, Durham, North Carolina.

Rationale And Objectives: Requests for gastrostomy tube placement in patients on aspirin (ASA) 325 mg are common, particularly in patients following reconstructive surgery for head and neck cancer, but periprocedural guidelines and recommendations regarding management of high dose aspirin are inconsistent. The purpose of this study was to assess the bleeding risk of percutaneous gastrostomy tube placement in patients on ASA 325 mg.

Materials And Methods: This retrospective study of 213 patients who underwent image-guided "push" percutaneous gastrostomy tube placement compared rates of significant bleeding and other secondary outcomes (including all-cause mortality within 30 days, procedure-related mortality, bowel perforation, abdominal abscess, peritonitis, aspiration pneumonia, intraprocedural airway complications, and tube dislodgement) between patients maintained on ASA 325 mg and patients not on antiplatelet or anticoagulation therapy. Read More

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http://dx.doi.org/10.1016/j.acra.2019.02.008DOI Listing
March 2019
1 Read

Acute respiratory distress syndrome.

Nat Rev Dis Primers 2019 Mar 14;5(1):18. Epub 2019 Mar 14.

Cardiovacular Research Institute, University of California-San Francisco, San Francisco, CA, USA.

The acute respiratory distress syndrome (ARDS) is a common cause of respiratory failure in critically ill patients and is defined by the acute onset of noncardiogenic pulmonary oedema, hypoxaemia and the need for mechanical ventilation. ARDS occurs most often in the setting of pneumonia, sepsis, aspiration of gastric contents or severe trauma and is present in ~10% of all patients in intensive care units worldwide. Despite some improvements, mortality remains high at 30-40% in most studies. Read More

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http://dx.doi.org/10.1038/s41572-019-0069-0DOI Listing

Pneumonia in severely injured patients with thoracic trauma: results of a retrospective observational multi-centre study.

Scand J Trauma Resusc Emerg Med 2019 Mar 14;27(1):31. Epub 2019 Mar 14.

Department of Trauma and Reconstructive Surgery, University Hospital RWTH Aachen, Pauwelsstraße 30, D-52074, Aachen, Germany.

Background: While the incidence and aspects of pneumonia in ICU patients has been extensively discussed in the literature, studies on the occurrence of pneumonia in severely injured patients are rare. The aim of the present study is to elucidate factors associated with the occurrence of pneumonia in severely injured patients with thoracic trauma.

Setting: Level-I University Trauma Centres associated with the TraumaRegister DGU®. Read More

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http://dx.doi.org/10.1186/s13049-019-0608-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419484PMC
March 2019
1 Read

[Dysphagia in Tracheostomized Patients after Long-Term Mechanical Ventilation - Become Sensitive to Reduced Pharyngo-Laryngeal Sensitivity].

Anasthesiol Intensivmed Notfallmed Schmerzther 2019 Mar 13;54(3):218-222. Epub 2019 Mar 13.

Independent of the type of critical illness, tracheostomized patients have a high risk of developing a dysphagia. This is potentially life-threatening as it can lead to aspiration and pneumonia. It is therefore essential to perform swallowing diagnostics by means of a bolus dyeing test and/or FEES before oral feeding. Read More

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http://dx.doi.org/10.1055/a-0769-6551DOI Listing
March 2019
6 Reads

Continuous liquid-suction catheter attachment for endoscope reduces volume of liquid reflux to the mouth in esophageal endoscopic submucosal dissection.

Dig Endosc 2019 Mar 12. Epub 2019 Mar 12.

Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.

Background And Aim: Pooling of liquid in the esophageal lumen can worsen the field of vision and cause liquid reflux to the mouth, which leads to aspiration pneumonia, in esophageal endoscopic submucosal dissection (ESD). We developed a continuous liquid-suction catheter attachment for the endoscope (CLCA) that has multiple tiny holes and can suction the liquid without causing mucosal injury. Thus, we aim to show the efficacy of CLCA in esophageal ESD. Read More

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http://dx.doi.org/10.1111/den.13392DOI Listing
March 2019
3 Reads

Risk factors, characteristics, and outcomes of acute respiratory distress syndrome in dogs and cats: 54 cases.

J Vet Emerg Crit Care (San Antonio) 2019 Mar 12;29(2):173-179. Epub 2019 Mar 12.

Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis, Davis, CA.

Objective: To characterize the clinical features of the acute respiratory distress syndrome (ARDS), risk factors, and outcome in dogs and cats. The study also aimed to evaluate the current veterinary criteria for the diagnosis of ARDS by comparison of clinical diagnostic criteria with necropsy findings.

Design: Retrospective study. Read More

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http://doi.wiley.com/10.1111/vec.12819
Publisher Site
http://dx.doi.org/10.1111/vec.12819DOI Listing
March 2019
8 Reads

The Mortality and the Risk of Aspiration Pneumonia Related with Dysphagia in Stroke Patients.

J Stroke Cerebrovasc Dis 2019 May 9;28(5):1381-1387. Epub 2019 Mar 9.

Department of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Pediatrics, Faculty of Pediatrics, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Pediatrics, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan; Research Center for Environmental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

Background: Dysphagia may result in poor outcomes in stroke patients due to aspiration pneumonia and malnutrition.

Goal: The aim of the study was to investigate aspiration pneumonia and the mortality rate in stroke patients with dysphagia in Taiwan.

Methods: We selected 1220 stroke patients, divided them into dysphagia and nondysphagia groups, and matched them according to age; covariates and comediations from 2000 to 2005 were identified from the NHIRD 2000 database. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10523057193005
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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.02.011DOI Listing
May 2019
5 Reads

The Value of Different Radiological Modalities in Assessment of Spontaneous Pneumomediastinum: Case Review and Diagnostic Perspective.

AJP Rep 2019 Jan 7;9(1):e72-e75. Epub 2019 Mar 7.

Department of Pediatrics, University of Saskatchewan, Saskatoon, Canada.

Pneumomediastinum (PM), or a mediastinal air leak, is a known morbidity in neonates. Among predisposing factors, the most significant are mixed lung diseases, such as pneumonia or meconium aspiration syndrome, with coexisting atelectasis and airway obstruction. We report an unusual presentation of significant spontaneous pneumomediastinum in a term newborn delivered by elective cesarean section with no history of active resuscitation at birth. Read More

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http://dx.doi.org/10.1055/s-0039-1683862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406024PMC
January 2019
1 Read

Meconium aspiration pneumonia and otitis media in two goat kids.

J Vet Diagn Invest 2019 Mar 11:1040638719834602. Epub 2019 Mar 11.

Long Island University CW Post, College of Veterinary Medicine, Brookville, NY (Newman).

We report meconium aspiration in 2 sibling goat kids, and characterize the expected lesions of aspiration pneumonia in conjunction with the rare lesion of otitis media. Grossly, the lungs were multifocally consolidated, and there was yellow-green exudate within the middle ear. Histologically, the lung was characterized by pyogranulomatous pneumonia and foreign-body reaction around aspirated debris. Read More

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http://dx.doi.org/10.1177/1040638719834602DOI Listing
March 2019
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Injectable basic fibroblast growth factor-loaded alginate/hyaluronic acid hydrogel for rejuvenation of geriatric larynx.

Acta Biomater 2019 Apr 5;89:104-114. Epub 2019 Mar 5.

Department of Otorhinolaryngology-Head and Neck, Seoul National University Hospital, Seoul 03080, Republic of Korea; Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea. Electronic address:

Increase in the geriatric population has led to an increase in the number of elderly patients with laryngeal atrophy and dysfunction. Symptoms of voice change, dysphagia, and aspiration pneumonia negatively influence patient's health status, quality of life, and life span. Injection laryngoplasty used to treat laryngeal dysfunctions does not recover intrinsic functions of the larynx. Read More

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http://dx.doi.org/10.1016/j.actbio.2019.03.005DOI Listing
April 2019
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Clinical and radiographic findings in cats with aspiration pneumonia: retrospective evaluation of 28 cases.

J Small Anim Pract 2019 Mar 6. Epub 2019 Mar 6.

Department of Small Animal Clinical Sciences, Michigan State University, East Lansing, Michigan 48824, USA.

Objectives: To describe the clinical syndrome of aspiration pneumonia in cats and record potential predisposing factors.

Materials And Methods: A retrospective medical records search for cats with a diagnosis of "aspiration pneumonia" or "bronchopneumonia" was performed. Cases were included if they had a complete medical record and three-view thoracic radiographs with pulmonary changes consistent with aspiration pneumonia and no other radiographic or physical examination findings suggestive of another cause of pulmonary or cardiac disease. Read More

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http://dx.doi.org/10.1111/jsap.12990DOI Listing
March 2019
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Estimating nutrition intake status of community-dwelling elderly people requiring care in disaster settings: A preliminary cross-sectional survey.

J Rehabil Med 2019 Apr;51(4):312-316

Department of Rehabilitation Medicine, Ichikawa City Rehabilitation Hospital, Ichikawa city, Japan.

Objective: There are a lack of disaster preparedness measures that target populations with dysphagia. In particular, disaster response plans frequently overlook differences in textures between emergency foods and regularly consumed foods. The aim of this study was to estimate the number of community-dwelling elderly care recipients requiring specific food preparations, including the population at risk of aspiration when solely consuming common emergency foods. Read More

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http://dx.doi.org/10.2340/16501977-2542DOI Listing
April 2019
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Calcified mucinous adenocarcinoma of the stomach metastatic to the iris: a case report.

J Med Case Rep 2019 Mar 7;13(1):64. Epub 2019 Mar 7.

Third Department of Internal Medicine, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.

Background: Gastric cancer has a wide spectrum of clinical features, imaging manifestations, and pathology. Punctate calcifications in gastric cancer are infrequent but are usually found in mucinous adenocarcinoma. However, there have only been a few autopsy case reports describing the correlation between the radiology and pathology findings of calcified mucinous adenocarcinoma of the stomach. Read More

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http://dx.doi.org/10.1186/s13256-019-1977-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404271PMC
March 2019
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The Clarus Video System (Trachway) and direct laryngoscope for endotracheal intubation with cricoid pressure in simulated rapid sequence induction intubation: a prospective randomized controlled trial.

BMC Anesthesiol 2019 Mar 4;19(1):33. Epub 2019 Mar 4.

Department of Anesthesiology, Chang Gung Memorial Hospital, No.5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan.

Background: During an emergency endotracheal intubation, rapid sequence induction intubation (RSII) with cricoid pressure (CP) is frequently implemented to prevent aspiration pneumonia. We evaluated the CVS in endotracheal intubation in RSII with CP, in comparison with a direct laryngoscope (DL).

Methods: One hundred fifty patients were randomly assigned to one of three groups: the CVS as a video stylet (CVS-V) group, the CVS as a lightwand (CVS-L) group and DL group. Read More

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http://dx.doi.org/10.1186/s12871-019-0703-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399974PMC
March 2019
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A cost effective custom dental guard for transoral robotic surgery.

J Robot Surg 2019 Mar 2. Epub 2019 Mar 2.

Department of Otolaryngology, George Washington University Medical Faculty Associates, 2300 M St. NW, 4th Floor, Washington, DC, 20037, USA.

There has been an increasing use of transoral robotic surgery (TORS) as studies have demonstrated its effectiveness for treating a variety of conditions. Postoperative complications of TORS include hemorrhage, tooth injury, dehydration, aspiration pneumonia, and prolonged percutaneous endoscopic gastrostomy (PEG) tube dependency. Dental injury has not been adequately discussed although it has been reported to be a common complication in multiple studies, with repair costs ranging from $700 to $3000 and average time spent to address the injury estimated to be 2. Read More

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http://dx.doi.org/10.1007/s11701-019-00942-1DOI Listing
March 2019
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Congenital Zika Syndrome: The Main Cause of Death and Correspondence Between Brain CT and Postmortem Histological Section Findings From the Same Individuals.

Top Magn Reson Imaging 2019 Feb;28(1):29-33

Federal University of Pernambuco, Recife, Brazil.

In the present case series, the cause of death of infants diagnosed with congenital Zika syndrome (CZS) was lung disease (pneumonia and sepsis with massive pulmonary aspiration), probably secondary to dysphagia and reflux. The main findings in infants with a confirmed diagnosis of CZS who died were as follows: (1) calcification and hypoplasia of the lentiform nuclei, hypoplasia of the caudate nuclei, and calcification at the cortical-subcortical junction was noted in all cases (100%) and calcification of the caudate nuclei was noted in 66.7% of cases; (2) calcification in the brainstem and along the lateral wall of the lateral ventricles was noted in only the case with arthrogryposis (33. Read More

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http://dx.doi.org/10.1097/RMR.0000000000000194DOI Listing
February 2019
5 Reads

[A case of swallow syncope associated with Parkinson disease].

Rinsho Shinkeigaku 2019 Mar 28;59(3):149-152. Epub 2019 Feb 28.

Department of Internal Medicine, Imari Arita Kyoritsu Hospital.

A 73-year-old woman with Parkinson disease (PD) was admitted to our hospital because of aspiration pneumonia. She presented with recurrent episodes of loss of consciousness with bradycardia while swallowing solid foods or fluids. Upper endoscopy revealed a normal esophagus without hiatus hernia, cancer, diverticulum, stenosis, or achalasia. Read More

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http://dx.doi.org/10.5692/clinicalneurol.cn-001249DOI Listing
March 2019
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Factors Influencing Contamination of Domestic Household Showers.

Pathogens 2019 Feb 26;8(1). Epub 2019 Feb 26.

College of Science and Engineering, Flinders University, GPO Box 2100, Adelaide 5001, Australia.

Legionnaires' disease is a potentially fatal pneumonia like infection caused by inhalation or aspiration of water particles contaminated with pathogenic spp. Household showers have been identified as a potential source of sporadic, community-acquired Legionnaires' disease. This study used qPCR to enumerate spp. Read More

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http://dx.doi.org/10.3390/pathogens8010027DOI Listing
February 2019
5 Reads