Pulmonary aspiration

Aspiration is inhalation of foreign material below the vocal cords. In anesthesia practice, the inhalation of gastric content is rare 1 per 2000-3000 cases occurrence, however the consequences of the complication can be detrimental (Raghavendran, Nemzek, Napolitano, Knight, 2011). Presentation of the pulmonary aspiration ranges from silent aspiration, where the patient does not experience any symptoms, to the development of acute lung injury (ALI). The mortality rate after development of ALI reaches 44% (Richter, Bergmann, Knels, Hofheinz, Kasper,…Koch, 2013). Patients that undergo emergency surgery should be considered to be at risk for aspiration, due to decreased gastric motility, as a result of pain, stress, and opioid administration.…

committee" of anesthesia and intensive care department, Ain Shams University. Informative consent was obtained from the parents before enrolling in the study. 100 Patients were enrolled in the study (divided into two groups 50 patients in each), with a range of age between 2 and 6 years old. All patients were with American society of anesthesiology (ASA) physical status of 1 or 2 and were undergoing tonsillectomy operations. Group A : Fifty patients for whom modified pediatric Magill forceps…

TERMINOLOGY CLINICAL CLARIFICATION • Acute respiratory distress syndrome {ARDS) is a condition of dysfunctional gas exchange {i.e., pulmonary interstitial and alveolar edema progressing to advanced fibrosis) that is characterized by acute onset, bilateral pulmonary infiltrates, severe hypoxia, the absence of evidence of left atrial hypertension, and a significant risk of mortality.25 DIAGNOSIS CLINICAL PRESENTATION • History o The patient may be in present with complaints of acute dyspnea and…

Utility of Fine Needle Aspiration in Diagnosing Breast lesions among Sudanese Females. A Cyto - Histological correlation. Aghapy E. Siddig, Emmanuel E. Siddig, Ali Edreis, Ahmed H. Fahal. Introduction: Dramatically, Breast cancer is the most commonly diagnosed cancer among women worldwide, and is ranked second only to lung cancer as the leading cause of cancer deaths (Jemal et al., 2009). Although, the incidence of breast cancer in Sub-Saharan African counties is low compared that in developed…

Bone marrow aspiration and bone marrow biopsy are invasive procedures that involve the collection of the blood cell forming soft tissue. The bone marrow assists in forming bone cells, and is a spongy tissue that is found within the hollow areas in bones. Bone marrow biopsy and aspiration are performed for individuals with a variety of conditions. These are commonly done for people with ranges of anemia, suspected tumors that may have spread to this region, or blood disorders such as…

Priority 1. Impaired gas exchange r/t altered blood flow to alveoli secondary to pulmonary embolus -Patient’s c/c -Patient has difficulty answering questions because of dyspnea and pain. -Patient is pale which demonstrates lack of oxygenation. - She is restless, agitated, slightly disoriented; decrease LOC. -Sputum is blood streaked; damage to lung tissue. -Respiratory rates in order; 28,30,36 showing that his body is not receiving enough oxygen. - ABG: Uncompensated respiratory alkalosis with…

Studies have established significant diabetes-related abnormalities in coagulability and endothelial function. Diabetes mellitus has been considered as a potential risk factor for idiopathic (unknown cause of disease) Deep Vein Thrombosis (DVT) (karim Gariani, 2016). Moreover, DVT is a frequent and potentially fatal complication of patients with COPD. Deep Vein Thrombosis account for many deaths in patients with chronic obstructive pulmonary disease (COPD) (Victor F. Trapson, 2005). The…

outflow resistance, will ultimately lead to developing gangrene in 50% of patients and Circulatory Shock in 1/3. If not shock or gangrene, there is the ever existing risk that the thrombus may travel, causing 1/3 of patients to die due to Pulmonary Embolism (PE). The preceding signs and symptoms of PCD may either occur gradually or immediately. If proper measures are taken, phases of thrombosis, fluid buildup and cyanosis are fortunately all reversible, up until gangrene develops. As soon as PCD…

that I made it through this operation and I did. As I was recovering I knew that I would be immobile for awhile so I had to have compression socks on to prevent blood clots from developing in my legs. At that time I wasn’t aware of what or how those work so I didn 't think anything of it when the right compression sock was not pulled all the way up on my leg. Upon leaving the hospital my doctor 's cleared me to go home and said everything had went great and smoothly or so I thought. When I got…

it occurring deep in the veins. The Factors that Impact the Pathophysiology of CVI and DVT The age and gender of a person plays a crucial role in the development of CVI and DVT. CVI and DVT occurs most often in the elderly population ,which majority are women. There is predominance of CVI and DVT in patients older than 80 years (one in 100) each year as compared to the general population (one to two per one thousand) each year (CDC data 2012 P.1). Diagnosis and Treatment of CVI and DVT…