View
216
Download
0
Category
Preview:
Citation preview
7/31/2019 My Paper Fin
1/26
www.themegallery.com Company Logo
7/31/2019 My Paper Fin
2/26
Dr. DHANRAJ
7/31/2019 My Paper Fin
3/26
FOREIGN BODY ASPIRATION
7/31/2019 My Paper Fin
4/26
7/31/2019 My Paper Fin
5/26
Aspiration of foreign bodies is a
common problem occuring in
children
90% deaths in the age group lessthan 5 years and out of these 40%
were infants
7/31/2019 My Paper Fin
6/26
Aspiration is the entry ofmaterial (from the oropharynx
or gastrointestinal tract into the
larynx (voice box) and lower
respiratory tract (the portions ofthe respiratory system from the
trachea (windpipe) to the lungs)
Foreign bodies
Ingestion is the passageof a substance from the
mouth into the
gastrointestinal tract
7/31/2019 My Paper Fin
7/26
www.themegallery.com Company Logo
7/31/2019 My Paper Fin
8/26
Epiglottis doesnt close as in
adults
Narrow airways
Increases the risk of
aspiration in children
www.themegallery.com Company Logo
7/31/2019 My Paper Fin
9/26
Three phases depending upon the size,shape and where it finally lands up:
1) Acute signs and symptoms owing to the cough
or gag reflexes2) Quiet phase
3) Later phase
7/31/2019 My Paper Fin
10/26
Universal sign is CHOKING SIGN
7/31/2019 My Paper Fin
11/26
Signs of complete airwayobstruction
Inability to speakInability to breathe
Inability to cough
Universal choking signPanic
Signs of partial airwayobstruction
With good air flowForceful coughWheezing between cough
Ability to breathe
With poor air exchange
Weak,ineffectual coughCrowing sound on inspiration
Paradoxical respiration
Absent or altered voice sounds
Possible cyanosis
Possible disorientation
7/31/2019 My Paper Fin
12/26
Text
Foreign bodies
Stainless steel crowns
dontic bands
Prosthe
sis
Rubberdam
clamps
Endodontic instruments
7/31/2019 My Paper Fin
13/26
What will you do if suchemergency situation
occurs..
7/31/2019 My Paper Fin
14/26
Management
Invasive Non-Invasive
The ultimate aim is to establish a emergency airway
7/31/2019 My Paper Fin
15/26
Back blows
Heimlich maneuver
Chest thrust
Finger sweep
7/31/2019 My Paper Fin
16/26
In a choking CONSCIOUS INFANT
1. Position with head downward
2. 5 back blows
3. 5 chest thrusts
4. Repeat
In an UNCONSCIOUS INFANT
1. Assess
2. Begin CPR if needed
3. Check for object prior to each breath
7/31/2019 My Paper Fin
17/26
7/31/2019 My Paper Fin
18/26
Children aged 1 to 8 years
Give 5 abdominal
thrusts (Heimlich
maneuver)
7/31/2019 My Paper Fin
19/26
Try to support victim with your knees while
lowering victim to the floor
Assess
Begin CPR
After chest compressions, check for object before
giving breaths
7/31/2019 My Paper Fin
20/26
www.themegallery.com Company Logo
7/31/2019 My Paper Fin
21/26
If a foreign body is not retrieved and the patient
is asymptomatic,
7/31/2019 My Paper Fin
22/26
Bronchial stenosis
Bronchiectasis
Lung abscess
Tissue erosion/perforation
7/31/2019 My Paper Fin
23/26
To prevent such incidents in a dental practice
setup..
7/31/2019 My Paper Fin
24/26
Dental floss should be secured to..
7/31/2019 My Paper Fin
25/26
In a pediatric practice, proper caution and care
should be exercised
Its a must that each pediatric dentist should be
aware of emergency management
A proper protocol of instrument usage should be
practised..
7/31/2019 My Paper Fin
26/26
Recommended