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In intensive care, sitting patients upright reduces the risk of pulmonary aspiration and ventilator-associated pneumonia. Measures to prevent aspiration depend on the situation and the patient. In patients at imminent risk of aspiration, tracheal intubation by a trained health professional provides the best protection.
Cricoid pressure, also known as the Sellick manoeuvre or Sellick maneuver, is a technique used in endotracheal intubation to try to reduce the risk of regurgitation.The technique involves the application of pressure to the cricoid cartilage at the neck, thus occluding the esophagus which passes directly behind it.
The main hypothesized benefit of preoperative fasting is to prevent pulmonary aspiration of stomach contents while under the effects of general anesthesia. Aspiration of as little as 30–40 mL can be a significant cause of suffering and death during an operation and therefore fasting is performed to reduce the volume of stomach contents as much as possible.
Laryngospasm is a primitive protective airway reflex that functions to protect against aspiration. However, it may be detrimental if there is sustained closure of the glottis resulting in blockage of respiration that hinders the free flow of air.
In anaesthesia and advanced airway management, rapid sequence induction (RSI) – also referred to as rapid sequence intubation or as rapid sequence induction and intubation (RSII) or as crash induction [1] – is a special process for endotracheal intubation that is used where the patient is at a high risk of pulmonary aspiration.
It is also recommended during gastric feeding to reduce the risk of regurgitation and aspiration. [4] During childbirth , the semi-Fowler's position is preferred over the full-Fowler's as it is generally more comfortable for the mother, and reduces the need for analgesics and surgical interventions such as operative vaginal delivery or cesarean ...
The ingestion and aspiration of foreign objects pose a common and dangerous problem in young children. It remains one of the leading cause of death in children under the age of 5. [ 20 ] Common food items (baby carrots, peanuts, etc.) and household objects (coins, metals, etc.) may lodge in various levels of the airway tract and cause ...
In the frail elderly good oral health care may lower the risk of aspiration pneumonia, [104] even though there is no good evidence that one approach to mouth care is better than others in preventing nursing home acquired pneumonia. [105] Zinc supplementation in children 2 months to five years old appears to reduce rates of pneumonia. [106]