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Inhalation of a foreign object; obstructed airway
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- A condition in which a foreign object is inhaled and lodged into the lower respiratory tract, via the mouth or nose, causing respiratory problems.
- It usually occurs in children who are between 6 months and 3 years of age.
- It occurs in boys twice as often as girls.
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- Aspiration may cause only minimal initial symptoms
- Coughing
- Wheezing
- Harsh sound on inhalation
- Shortness of breath
- Coughing up blood
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- A peanut is the most common aspirated foreign object.
- Hot dogs, balloons, small toys, buttons, beads, coins, marbles, pins, screws, rocks, and anything else small enough for children to put in their mouth or nose.
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- Choking (object in airway) episode in only 50 - 80 % of cases
- Symptoms such as coughing, wheezing. But initial symptoms can be minimal until a lung infection presents.
- Pneumonia that does not respond to
antibiotics treatment
- Locally diminished or absent breath sounds in 50 % of cases
- Increased heart and respiration rate (i.e., number of
breaths per minute)
- Chest X-ray, inspiratory and expiratory X-ray: These may show air trapping, mediastinal shift, atelectasis, or lung infection.
- Fluoroscopy
- Rigid bronchoscopy for definitive diagnosis
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- Administering oxygen
- Rigid bronchoscopy to remove the object
- Antibiotics
- Chest physiotherapy after endoscopy
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- Call 911 immediately for emergency medical assistance. If you think your child has aspirated, he or she needs emergency treatment.
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- Do not leave your small child alone.
- Keep the small objects from your child.
- Do not force feed your child during crying or rapid breathing.
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