Prevention and Treatment Algorithm for Pulmonary Aspiration - Flowchart
Prevention and Treatment Algorithm for Pulmonary Aspiration - Flowchart Aspiration Pneumonia Aspiration Pneumonia
«Flowchart»

HIGH-RISK PULMONARY ASPIRATION PATIENT

HIGH-RISK PULMONARY ASPIRATION PATIENT

HIGH-RISK PULMONARY ASPIRATION PATIENT

PREVENTIVE


Meticulous nursing care
Elevated head of bed
Monitoring of feeding tubes
Jejunal enteral nutrition

PREVENTIVE


Meticulous nursing care
Elevated head of bed
Monitoring of feeding tubes
Jejunal enteral nutrition

PREVENTIVE


Meticulous nursing care
Elevated head of bed
Monitoring of feeding tubes
Jejunal enteral nutrition


Meticulous nursing care
Elevated head of bed
Monitoring of feeding tubes
Jejunal enteral nutrition

THERAPEUTIC


Humidified O2
Discontinue tube feedings
Airway suctioning

THERAPEUTIC


Humidified O2
Discontinue tube feedings
Airway suctioning

THERAPEUTIC


Humidified O2
Discontinue tube feedings
Airway suctioning


Humidified O2 2
Discontinue tube feedings
Airway suctioning

Consider intubation if the patient continues to deteriorate

Consider intubation if the patient continues to deteriorate

Consider intubation if the patient continues to deteriorate

Aggressive pulmonary care

Aggressive pulmonary care

Aggressive pulmonary care

Bronchoscopy and lavage

Bronchoscopy and lavage

Bronchoscopy and lavage

Particulate matter

Particulate matter

Particulate matter

Yes

Yes

Yes

No

No

No

BAL and appropriate antibiotic coverage

BAL and appropriate antibiotic coverage

BAL and appropriate antibiotic coverage

Treat according to ARDS clinical management guidelines

Treat according to ARDS clinical management guidelines

Treat according to ARDS clinical management guidelines

Ongoing clinical assessment

Ongoing clinical assessment

Ongoing clinical assessment

Secondary pneumonia

Secondary pneumonia

Secondary pneumonia

Worsening/refractory ARDS

Worsening/refractory ARDS

Worsening/refractory ARDS

End

End

End