Pregledni rad
https://doi.org/10.26800/LV-145-supl1-2
Foreign body aspiration in children
Srđan Banac
; Klinika za pedijatriju, KBC Rijeka
Danijela Višnić
; Klinika za pedijatriju, KBC Rijeka
Arijan Verbić
; Klinika za pedijatriju, KBC Rijeka
Sažetak
Foreign body aspiration occurs 3–4 times more often in children, especially in those younger than three years, than in adults. Nuts and seeds are the most common food items aspirated by infants and toddlers whereas nonfood items like small objects or toys are more commonly aspirated by older children. Foreign body aspiration can be life-threatening. In a child who is choking due to aspiration and is unable to speak or cough, the Heimlich maneuver should be attempted. This maneuver should not be used on children younger than one year. In the majority of cases dramatic acute phase of choking may be followed by a symptom-free period when a foreign body enters one of the bronchi. This must not be misinterpreted as a sign of resolution, since an unrecognized foreign body in lower airways can lead to serious lung complications. History of choking is the key element of the diagnostic procedure. Physical examination and chest x-ray may be normal. Thus, the history is sufficient to indicate a bronchoscopic examination which definitively establishes the diagnosis of airway foreign body. Removal of the foreign body is the primary objective of treatment. Rigid bronchoscopy is strongly recommended
for evacuation of a foreign body from the airways of children. Preventive measures for foreign body aspiration in children include legislation, continued product safety vigilance and caregiver education. Parents, child care providers and teachers should be encouraged to take a course in basic life support and choking first aid.
Ključne riječi
ASPIRATION; FOREIGN BODY; PEDIATRIC; BRONCHOSCOPY
Hrčak ID:
300291
URI
Datum izdavanja:
17.4.2023.
Posjeta: 1.525 *