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Recent reviews on intraop aspiration show that it does happen (relatively) frequently, and the associated mortality is almost 'nil.
Judgement call, sorry this happened. I've personally extended my "trauma" NPO to at least 24h in most circumstances. The issue is what defines a "trauma". Herein lies more judgement.
I think it is important to point out the early bronch findings versus late. The pneumonitis takes a little while to fully manifest. A clean bronch early on doesn't mean a healthy lung in an hour or two.
How many of you are routinely bronching, lavaging or starting abx after suspected aspiration?
Judgement call, sorry this happened. I've personally extended my "trauma" NPO to at least 24h in most circumstances. The issue is what defines a "trauma". Herein lies more judgement.
I think it is important to point out the early bronch findings versus late. The pneumonitis takes a little while to fully manifest. A clean bronch early on doesn't mean a healthy lung in an hour or two.
How many of you are routinely bronching, lavaging or starting abx after suspected aspiration?