Foreign body aspiration

• Mostly in children < 3
• 4x more often in the right main bronchus, due to its steeper incline
• Peanuts, tablets, seeds
• Clinical features
  • Coughing
  • Choking
  • Stridor
  • Dyspnoea
• Complete obstruction – atelectasis
• Partial obstruction – distal hyperinflation
• Diagnosis
  • If severe obstruction -> clinical diagnosis
  • If non-severe obstruction
    • Chest X-ray
    • Bronchoscopy
• Treatment
  • Heimlich
  • Removal with bronchoscopy