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Therefore, it is important to consider chronic foreign body aspiration in patients whose histories include unexplained recurrent pneumonia or lung abscess with or without fever. [7] In adults, the right lower lobe of the lung is the most common site of recurrent pneumonia in foreign body aspiration. [2]
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]
The ingestion and aspiration of foreign objects pose a common and dangerous problem in young children. It remains one of the leading cause of death in children under the age of 5. [ 20 ] Common food items (baby carrots, peanuts, etc.) and household objects (coins, metals, etc.) may lodge in various levels of the airway tract and cause ...
Choking victims may present very subtly, especially in the setting of long term foreign body aspiration. Cough is seen in 80% of foreign body aspiration cases, and shortness of breath is seen in 25%. [10] People may be unable to speak, attempt to use hand signals to indicate they are choking, attempt to force vomiting, or clutch at their throat.
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 ...
In adults, foreign body aspiration is often associated with an altered state of consciousness. The foreign body is often unchewed food, or part of a tooth or crown . [ 33 ] Bronchiectasis that results from foreign body aspiration generally occurs in the right lung in the lower lobe or posterior segments of the upper lobe.
[9] [64] Experimental trials with novel antiviral medications in adults are promising but it remains unclear if the same benefit will be present. [ 15 ] Surfactant had favorable effects for severely critical infants on duration of mechanical ventilation and ICU stay however studies were few and small.
Tracheobronchial injury is damage to the tracheobronchial tree (the airway structure involving the trachea and bronchi). [2] It can result from blunt or penetrating trauma to the neck or chest, [3] inhalation of harmful fumes or smoke, or aspiration of liquids or objects.