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Criteria for immediate reintubation were cardiac or respiratory arrest, respiratory pauses with neurological deterioration, massive aspiration, uncontrollable agitation, sputum retention, and hemodynamic deterioration unresponsive to vasoactive drugs.
We excluded cases of nosocomial pneumonia or massive aspiration.
There was one death in the cohort due to cardiac arrest after a massive aspiration event.
One patient had a massive aspiration and could not be resuscitated.
Two patients died after arrival of the transport team in the referral hospital before transportation could be initiated because of massive bleeding and after massive aspiration.
Eighteen patients at risk for ALI due to massive aspiration (n = 1), sepsis (n = 16), massive transfusion (n = 1), and/or trauma (n = 2) were studied prospectively.
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"I will do everything I can to be in the mix in the autumn if I have enough time, but I've obviously got massive aspirations to play for England".
The 24-year-old told BBC Radio Manchester: "That (an England recall) is the ultimate goal but I've got massive aspirations here at Sale. "I've got to get into this team, make sure I'm a starting fixture, show my experience and show what I've learned".
My friends and family are all too familiar with my shameless -and yes, Massive! -- aspirations.
Potential ALI risk factors were scored as positive when present 48 hours prior to onset of ALI, including trauma, elective and emergency surgery, lung contusion, aspiration, massive transfusion, pancreatitis, pneumonia, sepsis and mechanical ventilation.
In a large cohort study by Gong et al. [ 15], diabetes protected against the development of ARDS in patients at risk for ARDS in association with causes such as sepsis, trauma, massive transfusion and aspiration.
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