Foreign Body Aspiration


Risk

  • Most prevalent in children ages ≤3 y.

  • In adults, elderly are most susceptible to FB aspiration. Risk factors include Alzheimer disease or dementia, stroke, loss of consciousness due to trauma, alcohol intoxication, or drug overdose.

  • Foods are most commonly aspirated foreign objects.

Perioperative Risks

  • Hypoxemia due to FB obstruction

  • Fragmentation of the FB and distal dislodgement during retrieval

  • Severe inflammation due to presence of high oil contents in a FB, leading to bulky granulation resulting in bronchial stenosis, bronchiectasis, pneumonia, and lung abscess

Worry About

  • Exacerbation of hypoxemia due to ineffective ventilation during either diagnosis or treatment secondary to sedation or prolonged periods of apnea during extraction of FB

  • Prolonged extraction of FB, airway swelling, and bleeding, which may lead to further respiratory compromise

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