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Intensive Care Medicine

Tutorial 99

Inhaled Foreign Body In Children

Dr Adam Skinner.

Consultant Anaesthetist, Royal Children’s Hospital Victoria, Australia

Correspondence to: adamskin@btopenworld.com

8 TH JULY 2008

Abstract

Inhaled FB is an important cause of death in infants. Preventative measures e.g. toy safety, supervision are vital to reducing these deaths.
A high index of clinical suspicion is required in those without obvious diagnosis.
Expertise of personnel, clear clinical plans and familiarity with equipment is the key to success.
Although controversial, a spontaneous breathing technique with intravenous opioid/anaesthetic agent supplementation is most commonly employed.
Removal of the FB can be a dangerous part of the procedure, and can precipitate complete obstruction.