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    • Foreign Body In...

    Foreign Body In Aerodigestive Tract - Standard Treatment Guidelines

    Written by supriya kashyap kashyap Published On 2017-01-01T09:00:11+05:30  |  Updated On 1 Jan 2017 9:00 AM IST
    Foreign Body In Aerodigestive Tract - Standard Treatment Guidelines

    Foreign body aspirated into air passage can lodge in the larynx, trachea or bronchi. Children below 4 years are more often affected. Non irritating foreign bodies like plastic, glass or metalls may remain symptomless for a long time. Irritating foreign bodies(vegetative) like peanuts, beans, seeds, etc gives a diffuse violent reaction leading to congestion and oedema of tracheobronchial mucosa-vegetal bronchitis.


    Ministry of Health and Family Welfare, Government of India has issued the Standard Treatment Guidelines for Foreign Body In Aerodigestive Tract. Following are the major recommendations:



    Symptoms:


    Choking, gaging, wheezing: lasts for short time. Foreign body can be cuffed out or it may lodge in larynx or tracheobronchial tree.


    Symptomless interval


    Later symptoms depends on site of its lodgement:


    →Laryngeal: Large foreign body complete can lead to sudden death


    Partial: pain, harseness, croupy cough,aphonia, dyspnoea, wheezing and hemopptysis.


    →Traheal: loose- palpatory thud, audible slap


    →Bronchial:Right>left. Can lead to atelectasis or check valve



    Diagnosis:


    X-ray


    Fluoroscopy


    CT scan


    Bronchograms


    D/D:


    Acute laryngotraheo bronchitis


    Acute Simple laryngitis


    Laryngismus Striduluz


    Management:


    Antibiotics


    Steroids



    Laryngeal Foreign Body:


    In complete obstruction Pound on back, turn patient upside down, follow Heimlichs Manoeuvre(stand behind the person¸and place your arms around his lower chest and give four abdominal thrusts)


    If this fails: Cricothyrotomy or emergency tracheostomy


    Once acute respiratory emergency is over: Direct laryngoscopy/ laryngofissure


    Tracheal/Bronchial Foreign bodies:


    →Conventional rigid Bronchoscope


    →Rigid Bronchoscope with telescopic aid


    →Bronchoscopy with C arm fluroscopy


    →Dormia Basket/ Fogarthy Balloon


    →Thoracotomy and bronchotomy for peripheral foregn bodies


    →Flexible Fibre optic bronchosopy



    Guidelines by The Ministry of Health and Family Welfare :


    Dr J M Hans Ex-HOD Dept. of Otorhinolaryngology Dr.RML Hospital New Delhi

    Foreign Body In Aerodigestive TractGovernment of IndiaMinistry of Health and Family WelfareStandard Treatment Guidelines

    Disclaimer: This site is primarily intended for healthcare professionals. Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription. Use of this site is subject to our terms of use, privacy policy, advertisement policy. © 2020 Minerva Medical Treatment Pvt Ltd

    supriya kashyap kashyap
    supriya kashyap kashyap
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