Immediate management of a child with foreign body inhalation is –
Correct Answer: Bronchoscopy
Description: Treatment of an aspirated foreign body
A) Treatment of foreign body in the upper respiratory tract.
If obstruction is complete → Immediate intervention.
If obstruction is partial → Patients should allow using their own cough reflex to extrude the foreign body → If it fails than intervention should be done.
Method of removal of the foreign body : -
1) If a child is younger than 1-year → Child should be placed face down over the rescuir's arm with head ,positioned below the trunk. Five measured back blows are delivered rapidly between the scapula. If obstruction persists, the infant should be rolled over and five rapid chest compressions should be performed. This sequence is repeated until the obstruction is relieved.
2) If a child is elder than 1-year → Abdominal thursts (Heimlich maneuver) should be performed.
B) Treatment of foreign body in the lower respiratory tract.
The treatment of choice is prompt endoscopic (bronchoscopic) removal of foreign body.
Category:
Pediatrics
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