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Choking, also known as foreign body airway obstruction (FBAO), is a phenomenon that occurs when breathing is impeded by a blockage inside of the respiratory tract. An obstruction that prevents oxygen from entering the lungs results in oxygen deprivation .
The most common complication from a foreign body aspiration is a pulmonary infection, such as pneumonia or a lung abscess. [7] This can be more difficult to overcome in the elderly population and lead to even further complications. Patients may develop inflammation of the airway walls from a foreign body remaining in the airway. [2]
Treatment includes different maneuvers that aim to remove the foreign body that is obstructing the airway. This type of obstruction most often occurs when someone is eating or drinking. Most modern protocols, including those of the American Heart Association , American Red Cross and the European Resuscitation Council , [ 5 ] recommend several ...
In a 2024 study of patients admitted to the ER with foreign body airway obstruction, those who received bystander intervention before arrival were twice as likely to survive.
Thoracic surgeon and medical researcher Henry Heimlich, noted for promulgating abdominal thrusts, claimed that back slaps were proven to cause death by lodging foreign objects into the windpipe. [3] A 1982 Yale study by Day, DuBois, and Crelin that persuaded the American Heart Association to stop recommending back blows for dealing with choking ...
The causes of upper airway obstructions can be acute or chronic. More acute causes of upper airway obstruction include foreign body aspiration, blunt trauma to the neck, infections, and swelling due to allergies or other inflammatory conditions. [3] In children, viral infections such as croup or epiglottitis are frequent causes. [4]
Airway obstruction is commonly caused by the tongue, the airways itself, foreign bodies or materials from the body itself, such as blood or vomit. [ 2 ] Contrary to advanced airway management , basic airway management technique do not rely on the use of invasive medical equipment and can be performed with less training.
In partial obstruction, the patient can usually clear the foreign body with coughing. [21] In complete obstruction, acute intervention is required to remove the foreign body. [21] If foreign body aspiration is suspected, finger sweeping in the mouth is not recommended due to the increased risk of displacing the foreign object further into the ...
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