FIGURE 99.1 A: Blood aspiration A 3-year-old boy with tachypnea day after surgery for enlarged adenoids/tonsils Chest film shows an infiltrate in the right upper lobe and left lower lobe B: The chest film days later shows clearing of the infiltrate in the right upper lobe and left lower lobe Management In the acute care setting, children who aspirate require primarily supportive care Specifically, prevention of further aspiration by gastric decompression, oropharyngeal suctioning, and proper positioning should be a goal Supplemental oxygen should be administered as needed