Aspiration Pneumonia and Pneumonitis
Aspiration is defined as the misdirection of oropharyngeal or gastric contents into the larynx and the lower respiratory tract.1 An assortment of pulmonary syndromes may occur following aspiration depending on the quantity and nature of the aspirated material, the frequency of aspiration, as well as the nature of the host defense mechanisms and the host’s response to the aspirated material. The most important syndromes include aspiration pneumonitis or Mendelson’s syndrome, which is a chemical pneumonitis caused by the aspiration of gastric contents and aspiration pneumonia, an infectious process caused by the aspiration of oropharyngeal secretions colonized by pathogenic bacteria.1 While there is some overlap between these two syndromes, they are distinct clinical entities.
KeywordsAcute Lung Injury Percutaneous Endoscopic Gastrostomy Gastric Content Aspiration Pneumonia Percutaneous Endoscopic Gastrostomy Tube
- 22.Tang BM, Craig JC, Eslick GD, et al. Use of corticosteroids in acute lung injury and acute respiratory distress syndrome: a systematic review and meta-analysis. Crit Care Med. 2009;37:1595–1603.Google Scholar