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 Critically ill patients often require airway management in the undesirable setting of a full stomach, or mechanical or physiologic motility disorders, making aspiration of gastric contents a feared complication.

 If suspected, the patient should be placed in the Trendelenburg position, the pharynx and trachea (if possible) suctioned, and the airway secured with an ETT as soon as possible.

 Therapy is typically supportive and antibiotics and bronchoscopic lavage are usually not necessary unless particulate aspiration is suspected or if signs of infection occur.