key: cord-0905657-mk77x3zy
authors: Eiben, Patrick; Guelfguat, Mark; Lukse, Ruby
title: An Aspirated Foreign Body During COVID-19 Pandemic
date: 2020-10-21
journal: Vis J Emerg Med
DOI: 10.1016/j.visj.2020.100905
sha: d7731fbe6f7e3eb3c9ad8e29765d4c725f6e268b
doc_id: 905657
cord_uid: mk77x3zy

nan

Question 1: In the event of a foreign body causing respiratory compromise and inability to visualize the foreign body due to likely distal tracheal obstruction, what is the best intervention? a) advance foley catheter into trachea and inflate when distal to foreign body to pull out of trachea b) advance bougie until you meet resistance to determine location of foreign body c) intubation to attempt to push foreign body distally and ventilate remaining open mainstem d) initiate bipap to improve ventilation Correct answer: c) intubation to attempt to push foreign body distally and ventilate remaining open mainstem Explanation: Adequate ventilation is key, and this is accomplished by advancing the foreign body distally so that at the least one of the mainstem bronchi can be ventilated mechanically. This ensures that the patient can be oxygenated until definitive measures (bronchoscopy) can be done. Do not attempt to advance foley or bougie into the airway. Bipap will not be successful if the foreign body is obstructing and will likely not provide enough positive pressure to advance the foreign body distally.

In the pediatric population, what is the most frequently aspirated foreign body? a) magnets b) nuts c) jewelry d) pieces of toys Correct answer: b) nuts Explanation: Nuts (especially peanuts) are the most commonly aspirated foreign body in the pediatric population as a whole. For younger patients (infants and toddlers) food aspiration is more common. With increasing age, the rates of inorganic aspiration (toys, jewelry, magnets) increases.

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