Other Pediatric Disorders

Question 1

Foreign Body Aspiration

Answer 1

• Carpenters inhale nails, dress makers inhale pins, Kids inhale whatever they can get up their little noses
• Most frequent in children <5

Question 2

Foreign Body Aspiration

Pathophysiology

Answer 2

• Distal areas become atelectatic, ↑ shunt.
• Infection

Question 3

Foreign Body Aspiration

Treatment

Answer 3

•Bronchoscopy for removal, if not then surgery may be needed.

Rigid Bronchoscope used for removal of foreign bodies

Question 4

Sudden Infant Death Syndrome (SIDS)

Answer 4

Definition of SIDS changing in Canada, with coroners terming suspected SIDS deaths “undetermined”

Leading cause of death in infants less than one year

Question 5

Sudden Infant Death Syndrome (SIDS)

Risk Factors

Answer 5

Prone positioning

Maternal smoking and secondhand smoking

Age < 6 months

Winter Season

Mild illness in week before death

History of apparent life-threatening event

Asleep at night

Question 6

Sudden Infant Death Syndrome (SIDS)

Prevention

Answer 6

• Placed in the supine position for sleep.
• Keep crib clear of objects
• Home cardiorespiratory monitoring is not recommended unless warranted
• Premature infants at high risk for recurrent episodes of apneas, bradycardia or hypoxemia after discharge
• Unstable airways