Monday, April 12, 2021

Upper Airway Foreign Bodies

emDocs - Abril 12, 2021 - By Joshua White, J.D. Cambron and Craig Pedersen
Reviewed by: Alex Koyfman; Brit Long; Alexander Y. Sheng
...”Foreign body aspiration is a common complaint when presenting to the ED. In the United States from 2001-2009 an average of 12,435 children/year with ages ranging from 0-14 years presented to the ED with this complaint. Aspiration of a foreign body is the 3rd most common cause of death due to unintentional injury in children less than 1 year old in the United States. Although children account for most of foreign body aspiration cases, adults make up to 25% of these incidents. Developmentally delayed individuals are at a higher risk to aspirate foreign bodies. Those with impaired swallowing, chronic sedative, alcohol use and the elderly are at increased risk. Of aspirated foreign bodies approximately 20% affect the upper airway which includes the nasopharynx, oropharynx, laryngopharynx and also the trachea according to some sources. The remainder are lodged in mainstem or lobar bronchus. Children are more likely to have upper airway foreign bodies due to relative anatomical narrowing of the tracheobronchial tree...”