Pulmonary Emergencies, NOVA Publications , ss.97-106, 2024
Inhaling gastroesophageal or oropharyngeal contents is defined as aspiration. Aspiration pneumonitis and aspiration pneumonia are similar but distinct clinical syndromes. Aspiration pneumonia is caused by bacterial infection while aspiration pneumonitis causes lung injury due to gastric acid. Risk factors for aspiration include impaired consciousness, dysphagia, anatomical abnormality of the airway, and advanced age. Known risk factors, clinical presentation, and radiographical imaging guide the diagnosis and differentiation of the two syndromes. Treatment is mostly supportive in aspiration pneumonitis but antibiotics are essential to treat aspiration pneumonitis.