Cuerpos extraños en vías aéreas

Archivos de Medicina 05/2013; Vol. 9 No. 2:1.


Foreign body aspiration into the airways is defined as the accidental introduction
to the larynx, trachea and bronchia of an organic or inorganic object that affects
the child’s respiration. This is a potentially fatal event. It is a common accident in
children under 2 years of age, and it ranks fourth among the causes of mortality
by asphyxia in children. The use of bronchoscopic techniques in children has significantly
reduced mortality rates.The inhaled foreign bodies can be classified as organic or inorganic, with the former being the most
common Infants are at risk due to their exploring instinct, mouthing or the habit of putting objects into
their mouths, inadequate or inapt swallowing, and parents’ negligence Clinically, foreign body aspiration is
suspected upon the sudden onset of choking symptoms, followed by stridor, difficult breathing and fever,
and may be confused with respiratory infections or asthma attacks. Some objects may remain lodged in
the airways even for years. Diagnosis is made based on clinical manifestations and supported by diagnostic
procedures such as chest and neck X-ray (PA and Lat) when up to 19% of the object is radiopaque. In
cases of inorganic objects, atelectasis, over-distention or non-specific findings may be common. Treatment
for extraction is by rigid Bronchoscopy in a hospital setting What should never be done is introduce any
fingers in the mouth, swing the child head-down or shake the child, give the child back blows, venoclysis
or oral administration of medicine or other liquids, or remove the child from its mother’s arms.

Download full-text


Available from: Guillermo Yanowsky-Reyes