Aspiration Pneumonia
Ook bekend als: Aspiration pneumonitis
Kort samengevat
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. Ernstige longontsteking door inademen van voedsel, braaksel of maagzuur; directe hulp nodig.
Vreemd materiaal passeert het strottenhoofd en ontsteekt de long.
Wat is het?
Chemical pneumonitis plus often bacterial pneumonia after inhaling food, vomit, or gastric acid. Airway protection fails (GI disease, neurology, larynx, anesthesia).
Oorzaken en risicofactoren
Almost always secondary. GI disorders >60% (megaesophagus ~26% leading). Neurologic ~18%, laryngeal ~13%; often multiple factors including recent anesthesia. Periodontal disease raises bacterial load.
Signalen
- Cough, respiratory distress, lethargy, fever, hypoxemia, crackles (common)
- Cyanosis, collapse, regurgitation, shock (occasional)
Orthopneuhouding: gestrekte nek vergemakkelijkt ademhaling.
Diagnostiek
Auscultation (may be normal), thoracic radiographs (often right middle lobe), SpO₂, arterial blood gas, tracheal wash/culture, bronchoscopy if needed.
Behandeling
Oxygen, IV fluids. Broad-spectrum antibiotics culture-guided. Glucocorticoids only with extreme caution for pure chemical pneumonitis. Nebulization and coupage when stable.
Prognose
Favorable with early aggressive care (survival ~77–82% in referral settings); worse with ARDS/ventilation. Recurrence if cause uncontrolled.
Preventie
Megaesophagus: upright feeding. Pre-anesthetic fasting. Dental care. Investigate vomiting/regurgitation early.
Wanneer de dierenarts bellen
Grade-5 emergency: severe dyspnea, moist cough, blue mucous membranes, collapse, fever with apathy.
Bronnen
- Internal Medicine, 5th Edition, pages 357, 358.
- Small Animal Critical Care Medicine, 2nd Edition, pages 151, 152.
My highlights & notes
Tekenen & symptomen
Hoe het wordt gediagnosticeerd
- Arterial blood gas analysis
- Bronchoscopy
- Pulse Oximetry
- Thoracic radiography
- Tracheal wash
Behandelbenaderingen
Behandeling moet worden voorgeschreven door een bevoegde dierenarts. Specifieke doses worden expres niet getoond.
Veelgestelde vragen
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?
Behandeling moet worden voorgeschreven door een bevoegde dierenarts. Specifieke doses worden expres niet getoond.
Bronnen
- 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
Dit artikel is algemene educatie en geen vervanging voor professioneel veterinair advies. Bij ziekte: raadpleeg een dierenarts.
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