Aspiration pneumonia primary prevention
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Effective measures for the primary prevention of aspiration pneumonia include dietary habit changes, maintaining oral hygiene, postural maneuvers, and medications such as H2 antagonists, metoclopramide, mosapride, amantadine, or cilostazol.
- Effective measures for the primary prevention of aspiration pneumonia include:
- Bed positioning
- Dietary habit changes such as:
- Eating small meals at a slow pace and consistent
- Elevated position at least 1 to 2 hours after meals
- Elemental diets in bedridden PEG patients
- Good oral hygiene such as:
- Postural maneuvers and swallowing training to improve swallowing difficulties
- Checking feeding tubes regularly to prevent displacement
- Administrating postpyloric feeding than gastric feeding
- Medications such as:
- El Solh AA, Saliba R (December 2007). "Pharmacologic prevention of aspiration pneumonia: a systematic review". Am J Geriatr Pharmacother. 5 (4): 352–62. doi:10.1016/j.amjopharm.2007.12.005. PMID 18179994.
- Sarin J, Balasubramaniam R, Corcoran AM, Laudenbach JM, Stoopler ET (February 2008). "Reducing the risk of aspiration pneumonia among elderly patients in long-term care facilities through oral health interventions". J Am Med Dir Assoc. 9 (2): 128–35. doi:10.1016/j.jamda.2007.10.003. PMID 18261707.
- Takatori K, Yoshida R, Horai A, Satake S, Ose T, Kitajima N, Yoneda S, Adachi K, Amano Y, Kinoshita Y (October 2013). "Therapeutic effects of mosapride citrate and lansoprazole for prevention of aspiration pneumonia in patients receiving gastrostomy feeding". J. Gastroenterol. 48 (10): 1105–10. doi:10.1007/s00535-012-0725-6. PMID 23238778.