Aspiration Pneumonia
Također poznato kao: Aspiration pneumonitis
Ukratko
Aspiration pneumonia is a serious, life-threatening lung infection in dogs and cats caused by inhaling foreign material like food or stomach acid. Learn the symptoms, risk factors, and treatment options.
TL;DR. Teška plućna infekcija nakon udisanja hrane, povraćanja ili želučane kiseline; potrebna hitna skrb.
Strano tijelo zaobilazi grkljan i jako upali pluća.
Što je to?
Chemical pneumonitis plus often bacterial pneumonia after inhaling food, vomit, or gastric acid. Airway protection fails (GI disease, neurology, larynx, anesthesia).
Uzroci i čimbenici rizika
Almost always secondary. GI disorders >60% (megaesophagus ~26% leading). Neurologic ~18%, laryngeal ~13%; often multiple factors including recent anesthesia. Periodontal disease raises bacterial load.
Znakovi na koje treba paziti
- Cough, respiratory distress, lethargy, fever, hypoxemia, crackles (common)
- Cyanosis, collapse, regurgitation, shock (occasional)
Ortopnoični položaj: ispružen vrat olakšava disanje.
Kako veterinari dijagnosticiraju
Auscultation (may be normal), thoracic radiographs (often right middle lobe), SpO₂, arterial blood gas, tracheal wash/culture, bronchoscopy if needed.
Mogućnosti liječenja
Oxygen, IV fluids. Broad-spectrum antibiotics culture-guided. Glucocorticoids only with extreme caution for pure chemical pneumonitis. Nebulization and coupage when stable.
Prognoza
Favorable with early aggressive care (survival ~77–82% in referral settings); worse with ARDS/ventilation. Recurrence if cause uncontrolled.
Prevencija
Megaesophagus: upright feeding. Pre-anesthetic fasting. Dental care. Investigate vomiting/regurgitation early.
Kada zvati veterinara
Grade-5 emergency: severe dyspnea, moist cough, blue mucous membranes, collapse, fever with apathy.
Izvori
- Internal Medicine, 5th Edition, pages 357, 358.
- Small Animal Critical Care Medicine, 2nd Edition, pages 151, 152.
My highlights & notes
Znakovi i simptomi
Kako se dijagnosticira
- Arterial blood gas analysis
- Bronchoscopy
- Pulse Oximetry
- Thoracic radiography
- Tracheal wash
Pristupi liječenju
Liječenje mora propisati licencirani veterinar. Specifične doze namjerno nisu prikazane.
Česta pitanja
What is Aspiration Pneumonia?
Aspiration pneumonia is a serious, life-threatening lung infection in dogs and cats caused by inhaling foreign material like food or stomach acid. Learn the symptoms, risk factors, and treatment options.
What are the symptoms of Aspiration Pneumonia?
Abnormal lung sounds、Loss of appetite、Cough、Crackles、Low mood and dullness、Low blood oxygen、Lethargy、Pyrexia
How is Aspiration Pneumonia diagnosed?
Arterial blood gas analysis、Bronchoscopy、Pulse Oximetry、Thoracic radiography、Tracheal wash
How is Aspiration Pneumonia treated?
Liječenje mora propisati licencirani veterinar. Specifične doze namjerno nisu prikazane.
Izvori
- Internal Medicine 5th · p. 358
- Internal Medicine 5th · p. 357
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 151
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 152
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