{"id":6187,"date":"2024-05-26T18:41:46","date_gmt":"2024-05-26T18:41:46","guid":{"rendered":"https:\/\/paeder.com\/24-05-foreign-body-aspiration"},"modified":"2024-09-29T14:34:47","modified_gmt":"2024-09-29T14:34:47","slug":"24-05-foreign-body-aspiration","status":"publish","type":"post","link":"https:\/\/paeder.com\/en\/24-05-foreign-body-aspiration","title":{"rendered":"24-05 Foreign body aspiration"},"content":{"rendered":"<div class='flex_column av-r0mx6h-4c6d3325e30371eaef4b2cae361fe049 av_one_fifth  avia-builder-el-0  el_before_av_three_fifth  avia-builder-el-first  first flex_column_div '     ><\/div>\n<div class='flex_column av-2lnty1-f0cef7559e4f8a370219d1986c0237f8 av_three_fifth  avia-builder-el-1  el_after_av_one_fifth  el_before_av_one_fifth  flex_column_div '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ogx3ft-6ba69b59080c3627ce7fc11c7714585a\">\n.avia-image-container.av-ogx3ft-6ba69b59080c3627ce7fc11c7714585a img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-ogx3ft-6ba69b59080c3627ce7fc11c7714585a .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-ogx3ft-6ba69b59080c3627ce7fc11c7714585a av-styling- avia-align-center  avia-builder-el-2  el_before_av_hr  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-6171 avia-img-lazy-loading-not-6171 avia_image ' src=\"https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Header-Aspiration-1920-x-761.jpg\" alt='' title='Header Aspiration 1920 x 761'  height=\"761\" width=\"1920\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Header-Aspiration-1920-x-761.jpg 1920w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Header-Aspiration-1920-x-761-300x119.jpg 300w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Header-Aspiration-1920-x-761-1030x408.jpg 1030w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Header-Aspiration-1920-x-761-768x304.jpg 768w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Header-Aspiration-1920-x-761-1536x609.jpg 1536w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Header-Aspiration-1920-x-761-1500x595.jpg 1500w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Header-Aspiration-1920-x-761-705x279.jpg 705w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Header-Aspiration-1920-x-761-450x178.jpg 450w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Header-Aspiration-1920-x-761-600x238.jpg 600w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mg77m1-87d483f62a7251566a4bc323d8a68a47\">\n#top .hr.hr-invisible.av-mg77m1-87d483f62a7251566a4bc323d8a68a47{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-mg77m1-87d483f62a7251566a4bc323d8a68a47 hr-invisible  avia-builder-el-3  el_after_av_image  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-kr2f7t-bc5365835229dbfb98943f411557e79f'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: right;\">May 26, 2024<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-iu1fc9-f0a1d9df7631265c4f6e158ef4452007\">\n#top .av-special-heading.av-iu1fc9-f0a1d9df7631265c4f6e158ef4452007{\npadding-bottom:10px;\ncolor:#fc0001;\n}\nbody .av-special-heading.av-iu1fc9-f0a1d9df7631265c4f6e158ef4452007 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-iu1fc9-f0a1d9df7631265c4f6e158ef4452007 .special-heading-inner-border{\nborder-color:#fc0001;\n}\n.av-special-heading.av-iu1fc9-f0a1d9df7631265c4f6e158ef4452007 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-iu1fc9-f0a1d9df7631265c4f6e158ef4452007 av-special-heading-h2 custom-color-heading  avia-builder-el-5  el_after_av_textblock  el_before_av_hr '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >Foreign body aspiration &#8211; the most important rules for prehospital care<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-h8riy1-731d20f5861642f55a93b73b36345a2e\">\n#top .hr.hr-invisible.av-h8riy1-731d20f5861642f55a93b73b36345a2e{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-h8riy1-731d20f5861642f55a93b73b36345a2e hr-invisible  avia-builder-el-6  el_after_av_heading  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-gdi9op-d56b8a7bb92b1aae8ae8f1720536c901'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Up to the age of 3-4 years, children are more likely to explore objects with their mouths than with their hands. Objects can be swallowed, although the distinction between ingestion and aspiration is not always clear.  <\/strong>  If a foreign body in the mouth causes a very violent cough, the foreign body has usually been inhaled. However, aspiration of food (especially nuts and raw vegetables) can also occur during meals, especially if people are playing at the same time or the situation is very restless.  <\/p>\n<h3><span style=\"color: #333333;\"><strong>Misinformation through video  <\/strong><\/span><\/h3>\n<p>  Fortunately, life-threatening situations directly related to the event are very rare. In such cases, the recommendations of the ERC guidelines apply (see Figure [1]). If coughing is ineffective, back blows or the Heimlich maneuver (abdominal compressions) are indicated, depending on body size. If the child is unconscious, the airway must be opened and carefully inspected &#8211; preferably with a laryngoscope and Magill forceps &#8211; and ventilation established (see blog post &#8220;<a href=\"https:\/\/paeder.com\/en\/24-02-spoon-with-light\">Ventilation problems &#8211; spoon with light<\/a>&#8220;). In the event of respiratory-circulatory arrest, resuscitation measures must be carried out with cardiac massage. If there is no improvement, the child is intubated endotracheally. If adequate ventilation is not possible with a correctly positioned tube, an attempt must be made to move the foreign body into a main bronchus by inserting the tube at a specific depth and to ventilate the child via the free lung after retracting the tube into the trachea (tube size and depth can be read from the <a href=\"https:\/\/www.paeder.com\">pedNFL<\/a> in seconds). <strong>NOTE: If stabilization cannot be achieved in this way, the child must be taken as quickly as possible to a hospital where the foreign body can be retrieved endoscopically using resuscitation measures!<\/strong><span style=\"color: #999999;\"><strong>Figure 1:<\/strong><\/span><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lwnwlysw-e88ef33cb69d8867ffd8c62c4da81e2a\">\n#top .hr.hr-invisible.av-lwnwlysw-e88ef33cb69d8867ffd8c62c4da81e2a{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-lwnwlysw-e88ef33cb69d8867ffd8c62c4da81e2a hr-invisible  avia-builder-el-8  el_after_av_textblock  el_before_av_image '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lwnwao6k-a72663342b94f8ac563c77895216cb65\">\n.avia-image-container.av-lwnwao6k-a72663342b94f8ac563c77895216cb65 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-lwnwao6k-a72663342b94f8ac563c77895216cb65 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-lwnwao6k-a72663342b94f8ac563c77895216cb65 av-styling- avia-align-center  avia-builder-el-9  el_after_av_hr  el_before_av_hr '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-6165 avia-img-lazy-loading-not-6165 avia_image ' src=\"https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration.png\" alt='' title='Grafik Handlungsanweisung Fremdkoerperaspiration'  height=\"2484\" width=\"4406\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration.png 4406w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration-300x169.png 300w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration-1030x581.png 1030w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration-768x433.png 768w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration-1536x866.png 1536w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration-2048x1155.png 2048w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration-1500x846.png 1500w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration-705x397.png 705w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration-450x254.png 450w, https:\/\/paeder.com\/wp-content\/uploads\/2024\/05\/Grafik-Handlungsanweisung-Fremdkoerperaspiration-600x338.png 600w\" sizes=\"(max-width: 4406px) 100vw, 4406px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-237e6x-6a65de99c16c10678f4e8df9381cf35a\">\n#top .hr.hr-invisible.av-237e6x-6a65de99c16c10678f4e8df9381cf35a{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-237e6x-6a65de99c16c10678f4e8df9381cf35a hr-invisible  avia-builder-el-10  el_after_av_image  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-lwnwbo35-9d672221b1b27714c82f208a25297edc'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>The children usually feel much better after this striking coughing episode.<\/strong>  However, this does not mean that they have coughed up the foreign body. Often it has only penetrated deeper into the lungs and &#8211; initially &#8211; causes few or even no symptoms [2]. However, a life-threatening displacement of the foreign body into the trachea can occur in the course of the procedure, so that a presentation in a competent clinic must be made in any case. In addition, foreign bodies remaining in the lungs pose a considerable long-term threat! <strong>NOTE:<\/strong> <strong>A bronchoscopy must be performed after every typical event and every suspected foreign body aspiration<\/strong> For more information, the guideline for foreign body aspirations and ingestions in children is currently being revised and will be updated in mid-2024<a href=\"https:\/\/register.awmf.org\/de\/leitlinien\/detail\/001-031\">(https:\/\/register.awmf.org\/de\/leitlinien\/detail\/001-031)<\/a>.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-efnwpl-18f5d4eec0d3031e6474f00ef021282f\">\n#top .hr.hr-invisible.av-efnwpl-18f5d4eec0d3031e6474f00ef021282f{\nheight:40px;\n}\n<\/style>\n<div  class='hr av-efnwpl-18f5d4eec0d3031e6474f00ef021282f hr-invisible  avia-builder-el-12  el_after_av_textblock  el_before_av_button '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<div  class='avia-button-wrap av-d25prd-0f5e31588b1b2d647b1f2cc56395ecca-wrap avia-button-center  avia-builder-el-13  el_after_av_hr  el_before_av_hr ' >\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-d25prd-0f5e31588b1b2d647b1f2cc56395ecca\">\n#top #wrap_all .avia-button.av-d25prd-0f5e31588b1b2d647b1f2cc56395ecca{\nfont-size:20px;\nbackground-color:#ffcd00;\nborder-color:#ffcd00;\ncolor:#444444;\n-webkit-transition:all 0.4s ease-in-out;\n-moz-transition:all 0.4s ease-in-out;\n-ms-transition:all 0.4s ease-in-out;\n-o-transition:all 0.4s ease-in-out;\ntransition:all 0.4s ease-in-out;\n}\n<\/style>\n<a href='https:\/\/paeder.com\/shop'  class='avia-button av-d25prd-0f5e31588b1b2d647b1f2cc56395ecca avia-icon_select-yes-left-icon avia-size-large avia-position-center' ><span class='avia_button_icon avia_button_icon_left' aria-hidden='true' data-av_icon='\ue859' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Order the P\u00e4dNFL\/P\u00e4dOP here<\/span><\/a><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bbpk49-a344669aac61944096e363eb10b150b6\">\n#top .hr.hr-invisible.av-bbpk49-a344669aac61944096e363eb10b150b6{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-bbpk49-a344669aac61944096e363eb10b150b6 hr-invisible  avia-builder-el-14  el_after_av_button  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-wzreh-8081c821e5847e3eb96faf8b4e07a2f3'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"EndNoteBibliography\"><strong>Literature:<\/strong><\/p>\n<ol>\n<li>Van de Voorde P, Turner NM, Djakow J et al. European Resuscitation Council Guidelines 2021: Paediatric Life Support. Resuscitation 2021; 161: 327-387, DOI: 10.1016\/j.resuscitation.2021.02.015.<\/li>\n<li>Kaufmann J, Laschat M, Frick U et al. Determining the probability of a foreign body aspiration from history, symptoms and clinical findings in children. Br J Anaesth 2017; 118: 626-627, DOI: 10.1093\/bja\/aex023<\/li>\n<\/ol>\n<\/div><\/section><br \/>\n<div  class='av-social-sharing-box av-7280d5-c3405a7b3b3771c2ecaa81e89fef7c3e av-social-sharing-box-default  avia-builder-el-16  el_after_av_textblock  el_before_av_hr  av-social-sharing-box-fullwidth'><div class=\"av-share-box\"><h5 class='av-share-link-description av-no-toc '>Share post<\/h5><ul class=\"av-share-box-list noLightbox\"><li class='av-share-link av-social-link-facebook' ><a target=\"_blank\" aria-label=\"Share on Facebook\" href='https:\/\/www.facebook.com\/sharer.php?u=https:\/\/paeder.com\/en\/24-05-foreign-body-aspiration&#038;t=24-05%20Foreign%20body%20aspiration' aria-hidden='false' data-av_icon='\ue8f3' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share on Facebook' rel=\"noopener\"><span class='avia_hidden_link_text'>Share on Facebook<\/span><\/a><\/li><li class='av-share-link av-social-link-twitter' ><a target=\"_blank\" 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