Foreign Body Aspiration Flashcards
where do the majority of aspirations end up?
right mainstem bronchus
a patient presents with stridor, dyspnea, hoarseness, and absence of all dependent breath sounds. where is the FB?
laryngotracheal + right/left main bronchus
a patient presents with coughing, wheezing, hemoptysis, dyspnea, decreased breath sounds, fever, and +/- cyanosis. where is the FB?
distal of main bronchi
what is our first treatment of a pediatric FB?
removal with magill forceps
what is the treatment for a pediatric FB that is causing complete airway obstruction?
back blows/chest compressions
heimlich for older
no blind sweeps
what is the treatment for a pediatric FB that is causing an incomplete airway obstruction?
rigid bronchoscopy
what are 5 symptoms an adult with a FB aspiration will present with?
fever
hemoptysis
foul-smelling sputum
chest pain
wheeze
what definitive diagnostic should be used for adult FB aspiration?
flexible bronchoscopy
what is the treatment for an adult with a FB aspiration that is causing full obstruction? (2)
magill forceps
heimlich + CPR if unconscious
what is the treatment for an adult with a FB aspiration that is causing a partial obstruction?
flexible bronchoscopy
what can a rigid bronchoscopy access?
proximal airways
what can a flexible bronchoscopy access?
lower airways
what are rigid bronchoscopies used for?
removal of large objects from main bronchus
what are flexible bronchoscopies used for?
removal of smaller objects from lower airways
