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Of operative risk factors, surgical site is the most important predictor of risk for PPCs (aortic, thoracic, and upper abdominal surgeries being the highest-risk procedures, even in healthy patients. [16] The value of preoperative testing, such as spirometry, to estimate pulmonary risk is of controversial value and is debated in medical literature.
Also increased pneumonia risk exists in patients with esophageal dysphagia when compared to stroke patients because patients with stroke will improve as they recover from their acute injury, whereas esophageal dysphagia is likely to worsen with time. In one cohort of aspiration pneumonia patients, overall three-year mortality was 40%. [16]
The risk of OPSI is 0.23–0.42 percent per year, with a lifetime risk of 5 percent. [7] Most infections occur in the first few years following splenectomy, but the risk of OPSI is lifelong. [3] [15] The risk is greatest for children and elderly (70+ years old), but it can happen at any age.
The disease may be classified by where it was acquired, such as community- or hospital-acquired or healthcare-associated pneumonia. [18] Risk factors for pneumonia include cystic fibrosis, chronic obstructive pulmonary disease (COPD), sickle cell disease, asthma, diabetes, heart failure, a history of smoking, a poor ability to cough (such as ...
Postoperative fever refers to an elevated body temperature (≥ 38.5 °C) occurring after a recent surgical procedure. Diagnosing the cause of postoperative fever can sometimes be challenging; while fever in this context may be benign, self-limited, or unrelated to the surgical procedure, it can also be indicative of a surgical complication, such as infection.
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.
Pneumonia as seen on chest x-ray. A: Normal chest x-ray.B: Abnormal chest x-ray with shadowing from pneumonia in the right lung (left side of image).. Hospital-acquired pneumonia (HAP) or nosocomial pneumonia refers to any pneumonia contracted by a patient in a hospital at least 48–72 hours after being admitted.
Mendelson's syndrome, named in 1946 for American obstetrician and cardiologist Curtis Lester Mendelson, is a form of chemical pneumonitis or aspiration pneumonitis caused by aspiration of stomach contents (principally gastric acid) during anaesthesia in childbirth.
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