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2017 ; 17
(1
): 1-12
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Pneumonitis and pneumonia after aspiration
#MMPMID28879323
Son YG
; Shin J
; Ryu HG
J Dent Anesth Pain Med
2017[Mar]; 17
(1
): 1-12
PMID28879323
show ga
Aspiration pneumonitis and aspiration pneumonia are clinical syndromes caused by
aspiration. These conditions are clinically significant due to their high
morbidity and mortality. However, aspiration as a preceding event are often
unwitnessed, particularly in cases of asymptomatic or silent aspiration.
Furthermore, despite the difference in treatment approaches for managing
aspiration pneumonitis and aspiration pneumonia, these two disease entities are
often difficult to discriminate from one another, resulting in inappropriate
treatment. The use of unclear terminologies hinders the comparability among
different studies, making it difficult to produce evidence-based conclusions and
practical guidelines. We reviewed the most recent studies to define aspiration,
aspiration pneumonitis, and aspiration pneumonia, and to further assess these
conditions in terms of incidence and epidemiology, pathophysiology, risk factors,
diagnosis, management and treatment, and prevention.