Summary
Definition
A aspiração de corpo estranho consiste na inalação do corpo estranho para a laringe e o trato respiratório.[1][Figure caption and citation for the preceding image starts]: Semente de nêspera ocluindo completamente o brônquio intermédioDo acervo de Dr. Septimiu Murgu e Dr. Henri Colt; usado com permissão [Citation ends].
History and exam
Key diagnostic factors
- presença de fatores de risco
- crise de sufocamento
- murmúrio vesicular diminuído unilateral
- sibilância unilateral
Other diagnostic factors
- tosse intratável
- febre
- dispneia
- sibilância bilateral
Risk factors
- nível de consciência reduzido (escala de coma de Glasgow <9)
- idade <4 anos
- idade >70 anos
- disfunção bulbar
- sexo masculino
- doença cerebrovascular
- demência
Diagnostic investigations
1st investigations to order
- radiografia torácica
Investigations to consider
- tomografia computadorizada (TC) do tórax
- broncoscopia
Emerging tests
- ultrassonografia pulmonar
Treatment algorithm
consciente
inconsciente
Contributors
Authors
Arjun B. Chatterjee, MD, MS, FACP, FCCP, FAASM
Professor of Medicine
Section on Pulmonary, Critical Care, Allergy, and Immunologic Disease
Wake Forest University School of Medicine
Winston-Salem
NC
Disclosures
ABC declares that he has no competing interests.
Acknowledgements
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.
Peer reviewers
Amber Young, BSc, MB ChB, FRCA
Consultant Paediatric Anaesthetist
Department of Anaesthesia
Frenchay Hospital
Bristol
UK
Disclosures
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
Disclosures
MMW declares that he has no competing interests.
Pyng Lee, MD
Senior Consultant
Department of Respiratory and Critical Care Medicine
Singapore General Hospital
Singapore
Disclosures
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
Disclosures
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.
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.
Referências
Principais artigos
Boyd M, Chatterjee A, Chiles C, et al. Tracheobronchial foreign body aspiration in adults. South Med J. 2009 Feb;102(2):171-4. Resumo
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.Texto completo Resumo
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.Texto completo Resumo
Perkins GD, Graesner JT, Semeraro F, et al. European Resuscitation Council Guidelines 2021: executive summary. Resuscitation. 2021 Apr;161:1-60. Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Exacerbação da asma
- Fibrose cística com exacerbação
- Exacerbação aguda da doença pulmonar obstrutiva crônica (DPOC)
Mais Diagnósticos diferenciaisDiretrizes
- 2024 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations
- European Resuscitation Council guidelines 2021: executive summary
Mais DiretrizesFolhetos informativos para os pacientes
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Broncoscopia
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Estridor
Sibilos expiratórios
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