Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content + • Aspiration of gastric contents• Hypoxemia +++ Epidemiology + • Occurs in patients unable to protect airway• Post trauma• Anesthetized patient• Obtunded patient +++ Symptoms and Signs + • Vomiting• Shortness of breath• Gastric contents in airway on bronchoscopy +++ Laboratory Findings + • Hypoxemia +++ Imaging Findings + • Localized infiltrate on chest film + • May occur in settings with other potential causes of hypoxemia (acute respiratory distress syndrome, sepsis, trauma)• Patient often with altered level of consciousness + • ABG measurements• Chest film• Bronchoscopy + • Pulmonary hygiene• Supplemental oxygen• Intubation and mechanical ventilation• Bronchoscopy +++ Complications + • Pneumonitis• Pneumonia +++ Prognosis + • Determined by patient's overall health +++ Prevention + • Aspiration precautions• Avoid oversedation +++ References ++Bulger EM et al. Current clinical options for the treatment and management of acute respiratory distress syndrome. J Trauma. 2000;48:562. [PubMed: 10744307] ++The Acute Respiratory Distress Syndrome Network: Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342:1301. Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Download the Access App: iOS | Android Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.