Aspirated foreign bodies most commonly are lodged in the right main stem and lower lobe. Aspiration has been documented in all lobes, including the upper lobes, though with less frequency. Aspirated foreign bodies claim 1000 lives each year. Children aged 1-3 years are particularly at risk because of their increasing independence, lessening of close parental supervision as they become older, and increasing activity and curiosity and because of hand-mouth interactions. Often, foods such as grapes and pieces of hot dogs that are easily handled by older children can be aspirated and occlude the airway. Approximately 60% of patients in the United States are male.
Primary neurologic disorders, such as senile dementia, mental retardation, seizures, strokes, and parkinsonism. In adults, vegetable matter, meat, and bones rank highest, followed by dental and medical appliances. Chronic aspiration of vegetable matter may produce a consolidation of distal lobes. Preoperative steroids and antibiotics may reduce complications such as airway edema and infection. Bronchoscopy may be necessary to assist in making the diagnosis. Antibiotics such as, dexamethasone and racemic epinephrine may be helpful if a lengthy bronchoscopic procedure induces inspiratory stridor. Inspiratory and expiratory radiographs may be helpful in aspirated foreign bodies. Advanced cardiac life support should be initiated.
Aspirated Foreign Bodies Treatement and Prevention Tips:
1. Bronchoscopy is also recommended.
2. Bronchoscopy may be necessary in aspirated foreign bodies.
3. Advanced cardiac life support should be initiated.
4. Inspiratory and expiratory radiographs may be helpful in aspirated foreign bodies.
5. Antibiotics such as, dexamethasone and racemic epinephrine may be helpful.
