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Aspiration can result in patient death through a variety of mechanisms. It is important to recognize and diagnose early in order to improve patient outcomes. Death from aspiration and aspiration-related syndromes is most common in elderly patients with known baseline risk factors, though it frequently goes unrecognized. [18]
In the elderly, dysphagia is a significant risk factor for the development of aspiration pneumonia. Aspiration pneumonia most often develops due to micro-aspiration of saliva, or bacteria carried on food and liquids, in combination with impaired host immune function. [ 30 ]
Choking victims may present very subtly, especially in the setting of long term foreign body aspiration. Cough is seen in 80% of foreign body aspiration cases, and shortness of breath is seen in 25%. [10] People may be unable to speak, attempt to use hand signals to indicate they are choking, attempt to force vomiting, or clutch at their throat.
The most common complication from a foreign body aspiration is a pulmonary infection, such as pneumonia or a lung abscess. [7] This can be more difficult to overcome in the elderly population and lead to even further complications. Patients may develop inflammation of the airway walls from a foreign body remaining in the airway. [2]
[1] [2] [3] It is the most common cause of death among nosocomial infections and is the primary cause of death in intensive care units. [1] [3] It is also one of the most common infections acquired at the hospital in children around the world. [4] Hospital acquired pneumonia typically lengthens a hospital stay by 1–2 weeks. [1] [3]
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Tracheobronchial injury is damage to the tracheobronchial tree (the airway structure involving the trachea and bronchi). [2] It can result from blunt or penetrating trauma to the neck or chest, [3] inhalation of harmful fumes or smoke, or aspiration of liquids or objects.
In one stark example, a Facebook post by UnitedHealth Group expressing sadness about UnitedHealthcare CEO Brian Thompson’s death received 62,000 reactions – 57,000 of them laughing emojis ...