Aliases:
Tracheobronchial Foreign Body

Topic aliases are alternate phrasings for a particular topic.


You cannot endorse your own point endorse endorse
CXR may reveal foreign bodies, distal lung segment collapse, or unilateral gas trapping (http://refl.in/gd, refl.in/ge), but in an emergency it will not change your management. Imaging therefore should not delay the procedure in a child with respiratory compromise thought due to inhaled foreign body.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 04, 2012
Cancel
You cannot endorse your own point endorse endorse
Considerations as for rigid bronchoscopy

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 04, 2012
Cancel
You cannot endorse your own point endorse endorse
All aspirated foreign bodies should be removed in the operating theater where appropriate airway and surgical equipment is available. refl.in/ga

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 28, 2011
You cannot endorse your own point endorse endorse
Consider whether administration of an anticholinergic ~5min prior to induction (glycopyrrolate 5-10mcg/kg IV ) may help reduce secretions. Has the dual effect of reducing airway secretions as well reducing likelihood of bradycardia on stimulation of the airway. refl.in/gb

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 26, 2020
You cannot endorse your own point endorse endorse
If respiratory compromise is not present:
Patients presenting with distal foreign bodies and no respiratory compromise can wait until they are fasted before proceeding. refl.in/ga

If respiratory compromise present:
Patients presenting with proximal foreign bodies and respiratory compromise will have to be done emergently and will generally be unfasted. refl.in/ga

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 04, 2012
You cannot endorse your own point endorse endorse
If the patient is a child, ensure adequate paediatric surgical and anesthetic support is available at this facility.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 04, 2012
You cannot endorse your own point endorse endorse
Treat any sequelae of delayed presentation obstruction. Resuscitate dehydrated patient with appropriate intravenous fluids, pneumonia with appropriate antibiotics, wheeze with bronchodilators.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 28, 2011
Cancel
You cannot endorse your own point endorse endorse
For distal airway foreign bodies, gentle positive pressure ventilation is unlikely to push them further distally. IV induction with muscle relaxant and intermittent ventilation is possible. refl.in/ga

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only

(1 comment)

 
delete
own this
Aug 28, 2011
Although "I.V. induction and neuromuscular blocking agents are only appropriate if the anaesthetist is sure there is no air trapping attributable to the risk of barotrauma." refl.in/gb
Edit | (delete)
You cannot endorse your own point endorse endorse
For proximal airway foreign bodies, avoid pushing them in further with positive pressure ventilation. Consider gas induction and maintenance with volatile anesthetic agents in a spontaneously ventilating patient. refl.in/ga

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 28, 2011
Download attachment
You cannot endorse your own point endorse endorse
In the unfasted patient having an emergency bronchoscopy for respiratory compromise, perform a rapid sequence induction, intubate the trachea, insert orogastric tube to evacuate gastric contents, and then allow the surgeon to manage the airway. refl.in/ga

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 28, 2011
Download attachment
You cannot endorse your own point endorse endorse
The patient is at risk of postoperative subglottic oedema related to trauma from the rigid bronchoscope. Consider administering an IV steroid such as dexamethasone. refl.in/ga

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 04, 2012
Cancel
You cannot endorse your own point endorse endorse
The Anesthetic Considerations of Tracheobronchial Foreign Bodies in Children: A Literature Review of 12,979 Cases Anesth Analg 2010;111:1016 –25

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Sep 21, 2012
Download attachment
Cancel
0
Video
0
Other