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Pulmonary Aspiration: A Pathway to Prevention Throughout the Continuum of Care

Dr. Katie Nason discusses prevention of hospital associated aspiration through early identification and prevention.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Improve diagnostic skills for identifying patients who may be at risk for an aspiration event
  • Identify patient populations which may pose an increased risk for an aspiration event
  • Improve the management of the at-risk patient population and implement safeguards to minimize the threat of an aspiration event for the high-risk patient population

Reading Resources:

  1. Barker, J., Martino,R., Reichardt, B., Hickey, E.J., Ralph-Edwards, A. “Incidence and impact of dysphagia in patients receiving prolonged endotracheal intubation after cardiac surgery.” Can J Surg. 2009 April; 52(2): 119–124.
  2. Danto J, DiCapua J, Nardi D, Pekmezaris R, Moise G, Lesser M, Dimarzio P., “Multiple cervical levels: increased risk of dysphagia and dysphonia during anterior cervical discectomy.” J Neurosurg Anesthesiol. 2012 Oct;24(4):350-5.
  3. Fine, M. J., T. E. Auble, et al. (1997). "A prediction rule to identify low-risk patients with community-acquired pneumonia." N Engl J Med 336(4): 243-50.
  4. Hinchey JA, Shephard T, Furie K, Smith D, Wang D, Tonn S; (2005). “Formal Dysphagia Screening Protocols Prevent Pneumonia.” Stroke Practice Improvement Network Investigators: Stroke. 2005; 36: 1972-1976.
  5. Johnson, J. L. and C. S. Hirsch (2003). "Aspiration pneumonia. Recognizing and managing a potentially growing disorder." Postgrad Med 113(3): 99-102, 105-6, 111-2.
  6. Marik, P. E. (2001). "Aspiration pneumonitis and aspiration pneumonia." N Engl J Med 344(9): 665-71.
  7. Pennsylvania Patient Safety Advisory, Vol. 6, No. 4—December 2009: 115-121.
  8. Skoretz SA, Rebeyka DM. “Dysphagia following cardiovascular surgery: a clinical overview.” Can J Cardiovasc Nurs. 2009;19(2):10-6.

Disclosures:

Dr. Nason has no relevant relationships with proprietary entities producing health care goods or services.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.1) continuing education units (CEU) which are equivalent to 1.0 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at http://ccehs.upmc.edu and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 6/27/2013 | Last Modified On: 2/13/2017 | Expires: 2/13/2017

Transcript

Presenter

Katie S. Nason, MD, MPH

Katie S. Nason, MD, MPH University of Pittsburgh Physicians
Department of Cardiothoracic Surgery, Division of Thoracic Surgery
Office Address(es):
Shadyside Medical Building
5200 Centre Avenue, Suite 715
Pittsburgh, PA 15232
Phone: (412) 623-2025
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