Authors' objectives: Identify and summarize evidence on interventions to prevent aspiration.

Authors' results and conclusions: ▪ There were four guidelines and sixteen systematic reviews included in this report. ▪ Dysphagia and aspiration recommendations from guidelines for non-ventilated patients spanned screening, oral intake, medications, supportive care and other interventions for various adult inpatient populations. ▪ There was support to use an aspiration screening tool early for all hospitalized adult inpatients, however, not one specific tool is recommended ▪ The American Society of Anesthesiologists (ASA) strongly recommended clear liquids may be ingested up to two hours before procedures requiring general or regional anesthesia or procedural sedation or analgesia in healthy inpatients. ▪ Some recommendations include the use of texture modification, carbonated liquids and specific medications to contribute to a reduction in aspiration pneumonia. ▪ The use of aspiration prevention bundles that include some combination of oral hygiene, bed positioning, dysphagia management, mobilizing patients, nasal hygiene, sedation restrictions, and incentive spirometry are supported in both guidelines and reviews, however the exact combination of these components that produces the most benefit is unknown.

Project Status: Completed

Year Published: 2024

URL for published report: https://www.med.upenn.edu/CEP/external-request-form.html

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: United States

Organisation Name: Penn Medicine Center for Evidence-based Practice

Contact Address: Penn Medicine Center for Evidence-based Practice, University of Pennsylvania Health System, 3600 Civic Center Blvd, 3rd Floor West, Philadelphia PA 19104

Contact Name: Nikhil Mull

Contact Email: cep@pennmedicine.upenn.edu

Copyright: <p>Center for Evidence-based Practice (CEP)</p>