2021
DOI: 10.1136/bmjopen-2021-053619
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Aspiration risk in relation to Glasgow Coma Scale score and clinical parameters in patients with severe acute alcohol intoxication: a single-centre, retrospective study

Abstract: ObjectivesIn alcohol intoxicated patients, the decision for or against airway protection can be challenging and is often based on the Glasgow Coma Scale (GCS). Primary aim of this study was to analyse the aspiration risk in relation to the GCS score and clinical parameters in patients with severe acute alcohol monointoxication. Secondary aim was the association between the blood alcohol level and the GCS score.SettingSingle-centre, retrospective study of alcoholised patients admitted to a German intensive care… Show more

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“…A common concern with both drug overdose and alcohol intoxication is aspiration of oropharyngeal or gastric contents, which can lead to asphyxiation and death. 21,22 Pulmonary macroaspiration is defined as the inhalation of a large volume of oropharyngeal or gastric contents into the lower respiratory tract. 23 This can be the result of the impaired consciousness and blunting of the cough and gag reflexes seen in both drug overdose and alcohol intoxication.…”
Section: Ingestion Aspiration With Overdosementioning
confidence: 99%
“…A common concern with both drug overdose and alcohol intoxication is aspiration of oropharyngeal or gastric contents, which can lead to asphyxiation and death. 21,22 Pulmonary macroaspiration is defined as the inhalation of a large volume of oropharyngeal or gastric contents into the lower respiratory tract. 23 This can be the result of the impaired consciousness and blunting of the cough and gag reflexes seen in both drug overdose and alcohol intoxication.…”
Section: Ingestion Aspiration With Overdosementioning
confidence: 99%