RESPIRATORY
ASPIRATION PNEUMONIA
PromptAspiration pneumonia vs aspiration pneumonitis
ResponsePneumonitis
Acute chemical injury to lung parenchyma after aspiration of stomach contents. Rapid onset (hours). Clinically ranges from mild cough/wheeze to severe (ARDS). Improves quickly and does not require antibiotics
Aspiration Pneumonia
Bacterial infection caused by aspiration of organisms from oropharynx. Can follow aspiration pneumonitis. Delayed onset. Clinically similar to standard pneumonia. Dependent on patient, severity and correct treatment. Requires antibiotics.
Acute chemical injury to lung parenchyma after aspiration of stomach contents. Rapid onset (hours). Clinically ranges from mild cough/wheeze to severe (ARDS). Improves quickly and does not require antibiotics
Aspiration Pneumonia
Bacterial infection caused by aspiration of organisms from oropharynx. Can follow aspiration pneumonitis. Delayed onset. Clinically similar to standard pneumonia. Dependent on patient, severity and correct treatment. Requires antibiotics.
PromptEscilating management of hypoxia in pneumonia
ResponseNon invasive - low flow hudson mask - if unable to maintain oxygen levels on room air, hybercarbia not worsening.
Non invasive - HFNP - severe respiratory failure unable to maintain saturaions on low flow oxygen.
Intubation and ventilation - severe respiratory failure unable to maintain saturation on non invasive methods or unable to protect airway due to ALOC or ongoing aspiration
Non invasive - HFNP - severe respiratory failure unable to maintain saturaions on low flow oxygen.
Intubation and ventilation - severe respiratory failure unable to maintain saturation on non invasive methods or unable to protect airway due to ALOC or ongoing aspiration