FB Aspiration

Question 1

Most common aspirated object

Answer 1

food

Question 2

The risk of aspirating RT>LT starts at what age and why?

Answer 2

Both mainstem bronchi start off at same angle
at 15yo, the RT one becomes more vertical
RT>LT aspiration risk

Question 3

pt is choking and can’t speak. Is the object likely large or small? where is it lodged?

Answer 3

Large
Lodges in larynx or trachea

Question 4

Acute respiratory distress is only seen when LARGE or small objects are aspirated?

Answer 4

LARGE

Question 5

What happened?

Pt is eating and presents with Classic Triad:
* coughing
* wheezing or stridor
* decreased breath sounds

Answer 5

small bite of food was aspirated and it made it past the carina

Question 6

Likely pathogens if you aspirate your own vomit & ABX for it

Answer 6

Klebsiella, Peptostreptococcus, Bacteroides
ANAEROBES -> CLINDAMYCIN

Question 7

WU for foreign body aspiration

Answer 7

1. ABC
2. ABG PRN
3. CXR
4. CT if Sx rmvl

Question 8

Foreign Body Aspiration

CXR Findings

Answer 8

Unil hyperinflation
Lobar or segmental atelectasis
Mediastinal shift or pneumomediastinum (if big & high up)
< 20% FB are radiopaque (visible)

Question 9

FB Aspiration CXR:
children show ____; adults show _____

A. atelectasis, air-trapping
B. air-trapping, atelectasis

Answer 9

Children = air-trapping
Adults = atelectasis

Question 10

Most sensitive imaging for FB Aspiration eval

Answer 10

CT

Question 11

How do they Sx rmv a tracheobronchial FB?

Answer 11

Rigid Bronchoscopy