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Foreign body aspiration

Última revisão: 24 Mar 2025
Última atualização: 10 Jan 2025

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • choking crisis
  • unilateral decreased breath sounds
  • unilateral wheezing
Detalhes completos

Outros fatores diagnósticos

  • intractable cough
  • fever
  • dyspnea
  • bilateral wheezing
Detalhes completos

Fatores de risco

  • decreased level of consciousness (Glasgow coma score <9)
  • age <4 years
  • age >70 years
  • bulbar dysfunction
  • male sex
  • cerebrovascular disease
  • dementia
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • chest x-ray
Detalhes completos

Investigações a serem consideradas

  • CT chest
  • bronchoscopy
Detalhes completos

Novos exames

  • ultrasound lung

Algoritmo de tratamento

AGUDA

conscious

unconscious

Colaboradores

Autores

Arjun B. Chatterjee, MD, MS, FACP, FCCP, FAASM
Arjun B. Chatterjee

Professor of Medicine

Section on Pulmonary, Critical Care, Allergy, and Immunologic Disease

Wake Forest University School of Medicine

Winston-Salem

NC

Declarações

ABC declares that he has no competing interests.

Agradecimentos

Dr Arjun B. Chatterjee would like to gratefully acknowledge Dr Septimiu Murgu and Dr Henri Colt, the previous contributors to this topic. SM and HC declare that they have no competing interests.

Revisores

Amber Young, BSc, MB ChB, FRCA

Consultant Paediatric Anaesthetist

Department of Anaesthesia

Frenchay Hospital

Bristol

UK

Declarações

AY declares that she has no competing interests.

Momen M. Wahidi, MD, MBA

Professor of Medicine

Pulmonary and Critical Care

Feinberg School of Medicine

Northwestern University

Chicago

IL

Declarações

MMW declares that he has no competing interests.

Pyng Lee, MD

Senior Consultant

Department of Respiratory and Critical Care Medicine

Singapore General Hospital

Singapore

Declarações

PL declares that he has no competing interests.

​Prashant Mahajan, MD, MPH, MBA

Professor of Emergency Medicine and Pediatrics

Vice-Chair

Department of Emergency Medicine

Chief

Pediatric Emergency Medicine

C S Mott Children's Hospital and University of Michigan Medical School

Ann Arbor

MI

Declarações

PM declares that he has no competing interests.

Karima Lelak, MD

Clinical Assistant Professor

Department of Emergency Medicine and the Department of Pediatrics

C.S. Mott Children's Hospital

University of Michigan

Ann Arbor

MI

Declarações

KL declares that she has no competing interests.

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