تسجيل الدخول

اعلانات





اعلانات
أحدث المواضيع

  • ملف العضو
  • معلومات
ta3lime
مدير عام
  • تاريخ التسجيل : Jun 2009
  • المشاركات : 17,335
  • معدل تقييم المستوى :

    100

  • ta3lime تم تعطيل التقييم
ta3lime
مدير عام
Acute upper airway obstruction
05-10-2010

An acute upper airway obstruction is a blockage of the upper airway, which can be in the trachea, voice box (laryngeal), or throat (pharyngeal) areas.

Causes

Causes of acute upper airway obstruction include:
  • Allergic reactions in which the trachea or throat swell closed, including allergic reactions to a bee sting, peanuts, antibiotics (penicillin), and blood pressure medications (ACE inhibitors)
  • Chemical burns and reactions
  • Croup
  • Epiglottitis (infection of the structure separating the trachea from the esophagus)
  • Fire or burns from breathing in smoke
  • Foreign bodies -- such as peanuts and other breathed-in foods, pieces of a balloon, buttons, coins, and small toys
  • Viral or bacteria infections
  • Peritonsillar abscess
  • Retropharyngeal abscess
  • Throat cancer
  • Tracheomalacia
  • Trauma
  • Vocal cord problems

Symptoms

Symptoms vary depending on the cause, but some symptoms are common to all types of airway blockage. They include:
  • Agitation or fidgeting
  • Bluish color to the skin (cyanosis)
  • Changes in consciousness
  • Choking
  • Confusion
  • Difficulty breathing
  • Gasping for air
  • Panic
  • Unconsciousness
  • Wheezing, crowing, whistling, or other unusual breathing noises indicating breathing difficulty

Exams and Tests

Physical examination may show:
  • Decreased breath sounds in the lungs
  • Rapid, shallow, or slowed breathing
Tests are usually not necessary, but may include:
  • Bronchoscopy
  • Laryngoscopy
  • X-rays

Treatment

If the person has a complete obstruction and is unable to speak or breathe, the Heimlich maneuver may be lifesaving.
Treatment depends on the cause of the blockage.
  • Objects stuck in the airway may be removed with a laryngoscope or bronchoscope.
  • A tube may be inserted into the airway (endotracheal tube or nasotracheal tube).
  • Sometimes an opening is made directly into the airway (tracheostomy or cricothyrotomy).

Outlook (Prognosis)

Prompt treatment is often successful. However, the condition is dangerous and may be fatal, even if treated.

Possible Complications

Inability to relieve the obstruction can cause:
  • Brain damage
  • Breathing failure
  • Death

When to Contact a Medical Professional

Airway obstruction is an emergency. It is a good idea to learn how to clear an airway of a foreign body by using a method such as the Heimlich maneuver.
Diseases in which airway obstruction develops over a period of hours will allow time to get to a hospital. If an acute airway obstruction occurs, call 911 or your local emergency ****** for medical help. Do what you can to maintain breathing until medical help arrives.

Prevention

Prevention depends on the cause of the upper airway obstruction.
The following methods may help prevent an obstruction:
  • Eat slowly and chew food completely.
  • Don't drink too much alcohol before or while eating.
  • Keep small objects away from young children.
  • Make sure dentures fit properly

Alternative Names

Airway obstruction - acute upper

References

Manno M. Pediatric respiratory emergencies: upper airway obstruction and infections. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2006: chap 166.
Thomas SH, Brown DFM. Foreign bodies. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2006: chap 57.

Update Date: 7/8/2009

Updated by: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.



  • ملف العضو
  • معلومات
الصورة الرمزية lakhdarr99
lakhdarr99
مشرف قسم تحضير شهادة التعليم المتوسط
  • تاريخ التسجيل : Oct 2011
  • الدولة : ouled attia.skikda.algeria
  • العمر : 22
  • المشاركات : 1,016
  • معدل تقييم المستوى :

    56

  • lakhdarr99 has a spectacular aura about lakhdarr99 has a spectacular aura about
الصورة الرمزية lakhdarr99
lakhdarr99
مشرف قسم تحضير شهادة التعليم المتوسط
06-07-2013

السلام عليكم ورحمة الله وبركاته

شـكــ وبارك الله فيك ـــرا لك ... لك مني أجمل تحية . شـكــ وبارك الله فيك ـــرا لك ... لك مني أجمل تحية .

__________________
قد أغيب عنكم للحظات ... لساعات أو أيام ... لكن روحي حواليكم وقلبي ينبض بِوُدِّكُم ... إذا اشتقتم إليَّ ابحثوا عنِّي بين كلماتي ... وإذا اشتقت إليكم أبحث عنكم بين ذكرياتي ...


الذين يشاهدون محتوى الموضوع الآن : 1 ( الأعضاء 0 والزوار 1)
 
أدوات الموضوع إبحث في الموضوع
إبحث في الموضوع:

البحث المتقدم


المواضيع المتشابهه
الموضوع
Acute pancreatitis
Acute tubular necrosis
Acute nephritic syndrome
Acute HIV infection
Acute cholecystitis
الساعة الآن 10:52 AM.
Powered by vBulletin
close
<
close