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Alternative names Return to top
Swallowed foreign object; Obstructed airway; Inhalation of a foreign objectDefinition Return to top
When aspiration occurs, a foreign object is inhaled into the respiratory tract where it may become lodged and cause respiratory problems, as well as local inflammation and infection. See also choking.Considerations Return to top
Aspiration may occur at any age, but it is more commonly seen in the 1 to 3 year-old age group.Causes Return to top
Symptoms Return to top
Aspiration of tiny foreign objects are usually noted immediately with coughing, wheezing, respiratory distress, or total lack of air exchange. However, aspiration may cause only minimal initial symptoms and be forgotten until later symptoms related to local inflammation or infection develop.First Aid Return to top
FOR ASPIRATION:
Any child who is believed to have aspirated an object should be evaluated by the primary health care provider. Children with obvious respiratory distress may require emergency measures for total airway occlusion.
If choking or coughing subsides, and the child is not exhibiting any other symptoms, he or she may be monitored for developing signs and symptoms of respiratory infection or irritation. X-rays may be helpful for diagnosis.
Bronchoscopy may be necessary for definitive diagnosis as well as removal of the object. Antibiotics may be used and respiratory therapy techniques if infection develops.
FOR INGESTION:
Any child who is believed to have swallowed a foreign object should be observed for pain, fever, vomiting, or local tenderness. Stools (bowel movements) should be examined to detect the passage of the foreign object.
Even sharp objects (such as pins and screws) usually pass through the GI tract without complications. X-ray examination is occasionally necessary, especially if the child demonstrates symptoms of distress or the object does not pass within 4 to 5 days.
Do Not Return to top
DO NOT "force feed" infants that are crying or breathing rapidly.Call immediately for emergency medical assistance if Return to top
If a child is believed to have either aspirated or swallowed an object, call your health care provider.Prevention Return to top
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Page last updated: 28 October 2004 |