Foreign body aspiration

Foreign body aspiration
Chest X-ray of a child after aspiration of a peanut: hyperinflated left lung due to a valve mechanism of the peanut in the bronchus.
Classification and external resources

Foreign body aspiration occurs when a foreign body enters the airways and causes choking.[1] A foreign body in the bronchi usually causes a cough.

Cause

In one study, peanuts were the most common obstruction.[2] In addition to peanuts, hot dogs, and grapes, latex balloons are also a serious choking hazard in children that can result in death. A latex balloon will conform to the shape of the trachea, blocking the airway and making it difficult to expel with the Heimlich maneuver.[3]

Treatment

If the person is awake and able to breathe often all that is requires is providing extra oxygen while the operating room is prepared for bronchoscopy.[4]

If a children less than one and is unable to breathe at all then five back blows followed by five chest thrusts should be done.[4] In children over the age of one abdominal thrusts are recommended.[4]

If this is not effective than bag mask ventilation is recommended.[4] Next laryngoscopy can be tried to look and see if the foreign body can be removed.[4] If the above is not effective than intubation or cricothyrotomy can be tried.[4]

References

  1. ↑ "Foreign Body Aspiration: Overview - eMedicine". Retrieved 2008-12-16.
  2. ↑ Yadav SP, Singh J, Aggarwal N, Goel A (September 2007). "Airway foreign bodies in children: experience of 132 cases" (PDF). Singapore Med J. 48 (9): 850–3. PMID 17728968.
  3. ↑ Muntz, Harlan (2009). Pediatric Otolaryngology for the Clinician: Foreign Body Management. Humana Press. pp. 215–222. ISBN 978-1-58829-542-2.
  4. 1 2 3 4 5 6 The Pediatric Emergency Medicine Resource APLS. Jones & Bartlett Learning. 2011. pp. 52–53. ISBN 9781449695965.
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.