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Foreign body aspiration

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  • Descripción general
  • Teoría
  • Diagnóstico
  • Manejo
  • Seguimiento
  • Recursos
Última revisión: 13 Jan 2026
Última actualización: 10 Jan 2025

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • choking crisis
  • unilateral decreased breath sounds
  • unilateral wheezing
Todos los datos

Otros factores de diagnóstico

  • intractable cough
  • fever
  • dyspnea
  • bilateral wheezing
Todos los datos

Factores de riesgo

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

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • chest x-ray
Todos los datos

Pruebas diagnósticas que deben considerarse

  • CT chest
  • bronchoscopy
Todos los datos

Pruebas emergentes

  • ultrasound lung

Algoritmo de tratamiento

Agudo

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

Раскрытие информации

ABC declares that he has no competing interests.

Выражение благодарностей

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.

Рецензенты

Amber Young, BSc, MB ChB, FRCA

Consultant Paediatric Anaesthetist

Department of Anaesthesia

Frenchay Hospital

Bristol

UK

Раскрытие информации

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

Раскрытие информации

MMW declares that he has no competing interests.

Pyng Lee, MD

Senior Consultant

Department of Respiratory and Critical Care Medicine

Singapore General Hospital

Singapore

Раскрытие информации

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

Раскрытие информации

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

Раскрытие информации

KL declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Boyd M, Chatterjee A, Chiles C, et al. Tracheobronchial foreign body aspiration in adults. South Med J. 2009 Feb;102(2):171-4. Аннотация

Faro A, Wood RE, Schechter MS, et al. Official American Thoracic Society technical standards: flexible airway endoscopy in children. Am J Respir Crit Care Med. 2015 May 1;191(9):1066-80.Полный текст  Аннотация

Hewlett JC, Rickman OB, Lentz RJ, et al. Foreign body aspiration in adult airways: therapeutic approach. J Thorac Dis. 2017 Sep;9(9):3398-409.Полный текст  Аннотация

Perkins GD, Graesner JT, Semeraro F, et al. European Resuscitation Council Guidelines 2021: executive summary. Resuscitation. 2021 Apr;161:1-60. Аннотация

Статьи, указанные как источники

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