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samedi 22 juillet 2017

Some Best Aspiration Pneumonia Prevention Strategies

By Mary Stewart


Pneumonia is basically viewed as one of the most leading death causing disease in spite of most new potent antimicrobials. One of such most important risks of this particular disease is the aspiration of the oropharyngeal germs pathogens in the lower tract of respiration. Since there exists no accurate tests which could effectively be used to detect available micro aspirations great efforts have been made towards aspiration pneumonia prevention.

Under most circumstances this particular disease usually occurs during the normal sleep, mucociliary defense mechanisms as well as cough reflexes which actually aims at clearing the airway and therefore preventing the pulmonary complications occurrence. At the instances when some of these devices becomes compromised or in the instances when they are not available some infections from the aspiration bacteria pathogens together with the airway obstruction might occur.

So as to minimize the threat of aspiration, it therefore becomes extremely important to make use of the lowest effective sedation level. Another strategy which can be used as a prevention strategy is the assessing the tube which is basically used for feeding at close regular intervals. Most of medical experts usually recommend that the tube used for feeding needs to be verified at several regular intervals so as to reduce the risks associated with aspiration.

Sedation is actually one of such strategies which is used to prevent this particular type of an illness. This is basically a strategy which focuses on the reducing the reflexes of the gags as well as cough and can actually interfere with the patients ability to handle most of these secretions coming from both the gastric as well as oropharyngeal content.

Another measure is basically the assessment of gastrointestinal intolerance especially to the tube used for feeding. Those patients who actually rely on tube feeding and usually experience some recurrent regurgitation together with the aspiration of the gastric content are basically placed at a much higher risk associated with poor respiratory outcomes.

Fasting actually before anesthesia basically reduces the gastric volume which also helps in minimizing the risks associated with such a illness. It is actually suggested that patients need to fast for at least two hours especially after liquids and also after nine hours after a heavy meal. However it may also appear that the stomach might contain some acidic fluids especially from bilious fluids together with the secretions of gastric which in turn might be aspirated.

Another necessary strategy is by simply avoiding the bolus tube feeding especially for the patients who are at a high risk of this particular disease. Experts dealing with this particular disease have made a conclusions regarding the best formula which can offer much effective as a delivery method. It has also been suggested that there exists no clear guidelines associated with the bolus feeding.

Some of guidelines have been effectively laid down and they actually recommend that monitoring of patients is extremely important especially if this particular process is done to the enteral feeding and by taking note of complains of the pains in the abdomen, abdomen distention, monitoring of gastric volume residues as well as effective observation of both the flatus as well as the stool passage. Avoidance of the bolus feeding particularly to those patients who seem to be at a much high risk of this kind of illness is basically another recommended strategy.




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