Foreign body aspiration
| Foreign body aspiration |
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Foreign body aspiration is when a foreign body to enter 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 than 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
- ^ "Foreign Body Aspiration: Overview - eMedicine". Retrieved 2008-12-16.
- ^ 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.
- ^ Muntz, Harlan (2009). Pediatric Otolaryngology for the Clinician: Foreign Body Management. Humana Press. pp. 215–222. ISBN 978-1-58829-542-2.
- ^ a b c d e f The Pediatric Emergency Medicine Resource APLS. Jones & Bartlett Learning. 2011. pp. 52–53. ISBN 9781449695965.