Pneumonia: Factors Beyond Aspiration Aspiration and its potential danger to the respiratory system were described by Hippocrates in 400 B.C. Later, Hunter in 1781, Simpson in 1898, and Mendelson in 1946 described more clearly the clinical and pathological conditions associated with aspiration, including the potential for death (Chokshi, Asper, & Khandheria, 1986). Clinically, ... Article
Article  |   March 01, 2005
Pneumonia: Factors Beyond Aspiration
Author Affiliations & Notes
  • John R. Ashford
    VA Tennessee Valley Health Care System, Nashville, TN
Article Information
Swallowing, Dysphagia & Feeding Disorders / Special Populations / Articles
Article   |   March 01, 2005
Pneumonia: Factors Beyond Aspiration
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), March 2005, Vol. 14, 10-16. doi:10.1044/sasd14.1.10
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), March 2005, Vol. 14, 10-16. doi:10.1044/sasd14.1.10
Aspiration and its potential danger to the respiratory system were described by Hippocrates in 400 B.C. Later, Hunter in 1781, Simpson in 1898, and Mendelson in 1946 described more clearly the clinical and pathological conditions associated with aspiration, including the potential for death (Chokshi, Asper, & Khandheria, 1986). Clinically, speech-language pathologists are asked to determine the efficiency and safety of the oropharyngeal swallow mechanism and to assist in determining the potential for pneumonia development. A perplexing question, however, is, “Why do some patients with dysphagia who aspirate develop pneumonia and others do not?” The purpose of this paper is to examine factors, other than laryngeal aspiration, that contribute to pneumonia development in some patients.
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