{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:54Z","timestamp":1787071314716,"version":"build-2736575974"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Aspiration pneumonia is of great concern in the elderly population, often leading to severe respiratory compromise necessitating ventilator support. This case report highlights the critical care and anesthetic management of a geriatric patient with an intertrochanteric fracture presenting with aspiration pneumonia undergoing orthopedic surgery. The patient\u2019s clinical presentation and application of therapeutic bronchoalveolar lavage as a novel intervention are discussed. The report outlines the critical care and perioperative management strategies employed to ensure optimal outcomes in this challenging clinical scenario.<\/jats:p>","DOI":"10.4103\/sja.sja_321_24","type":"journal-article","created":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T01:54:15Z","timestamp":1735696455000},"page":"92-94","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Optimization strategy for the early therapeutic intervention of bronchoalveolar lavage for preventing Mendelson syndrome in a geriatric patient before general anesthesia"],"prefix":"10.4103","volume":"19","author":[{"given":"Satish Kumar","family":"Mishra","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Command Hospital Air Force, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pitchi Chandrakanth","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Command Hospital Air Force, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalendra","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Command Hospital (NC), Udhampur, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Command Hospital Air Force, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narayanan","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Command Hospital Air Force, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,1]]},"reference":[{"key":"R2-20260423","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1097\/EJA.0000000000001194","article-title":"Rapid sequence induction","volume":"37","author":"Klucka","year":"2020","journal-title":"Eur J Anaesthesiol"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"4991","DOI":"10.21037\/jtd-20-651","article-title":"Bronchoalveolar lavage as a diagnostic procedure: A review of known cellular and molecular findings in various lung diseases","volume":"12","author":"Davidson","year":"2020","journal-title":"J Thoracic Dis"},{"key":"R4-20260423","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1097\/MCP.0b013e32834397d6","article-title":"Pulmonary aspiration syndromes","volume":"17","author":"Marik","year":"2011","journal-title":"Curr Opin Pulm Med"},{"key":"R5-20260423","first-page":"287","article-title":"Treatment of intertrochanteric femur fractures in elderly patients: Internal fixation or hemiarthroplasty","volume":"39","author":"Kesmezacar","year":"2005","journal-title":"Acta Orthop Traumatol Turc"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_321_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:44:30Z","timestamp":1787067870000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_321_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":4,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_321_24","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-06-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}