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. 2012 Nov;85(1019):e1018–e1031. doi: 10.1259/bjr/28871143

Table 6. Pathologies with increased risk of aspiration.

Abnormalities producing inhibition of protective airway reflexes Coma
Psychomotor retardation
Conditions related to direct or indirect stimulation of a vomiting centre Intracranial hypertension
Space-occupying process in the posterior cranial fossa involving the lower cranial nerves
Multiple trauma involving the cranium
Acute abdominal pathology, also trauma (e.g. appendicitis, peritonitis)
Peritoneal dialysis
Acute pain requiring medication
Structural defects of airways Tracheoesophageal pathology
Disorders causing a delay of gastric emptying Uncontrolled diabetes
Gastroesophageal dyskinesia
Abnormalities linked to incompetence of lower oesophageal sphincter or an increased intra-abdominal pressure Hiatal hernia
Ascites
Obesity
Neuromuscular disease