Recent studies have demonstrated that elderly patients taking ACE inhibitors have significantly decreased rates of aspiration pneumonia and may have decreased mortality [ 3- 5].
There was a trend to decreased frequency of aspiration in patients with larger tubes (size 9 vs 8.5: P = 0.062).
In the past decade, some investigators showed a decreased number of aspiration pneumonia in patients receiving sucralfate compared with receiving ranitidine or a control group.
Early identification of swallowing disorders enables early oral rehabilitation (i.e. compensatory strategies, diet modification), which in turn could decrease the risk of aspiration pneumonia.
7 Also, if possible, an "asleep" FFB is recommended if airway maneuverability is required to ensure a smooth endotracheal intubation and to decrease the risk of aspiration.
Surrogate outcomes that had a direct link to decreasing the incidence of aspiration pneu- monia were considered.
Study Objective: To investigate whether oral omeprazole 20 mg decreases the risk of aspiration pneumonia in patients with gastric tube reconstruction.
In summary, our results suggest that cisapride decreases the risk of aspiration of gastric contents in intubated and mechanically ventilated patients who are kept in a semirecumbent position.
Airway management can be divided into the following: performing intubation, providing effective ventilation and oxygenation to prevent a desaturation event, and decreasing the risk of aspiration.
Because the presented results are based on preliminary data, assumptions had to be made regarding the utilities and no empirical data was yet available regarding decrease of e.g. aspiration, which can be a life threatening problem in case of severe swallowing problems resulting from CCRT.
1 6 7 8 A plethora of diabetes associated conditions such as an increased risk of aspiration, decreased immunity, impaired lung function, and pulmonary microangiopathy, are assumed to link diabetes and community acquired pneumonia.
