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7/31/2019 My Paper Fin

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www.themegallery.com Company Logo


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Dr. DHANRAJ


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FOREIGN BODY ASPIRATION


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Aspiration of foreign bodies is a

common problem occuring in

children

90% deaths in the age group lessthan 5 years and out of these 40%

were infants


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Aspiration is the entry ofmaterial (from the oropharynx

or gastrointestinal tract into the

larynx (voice box) and lower

respiratory tract (the portions ofthe respiratory system from the

trachea (windpipe) to the lungs)

Foreign bodies

Ingestion is the passageof a substance from the

mouth into the

gastrointestinal tract


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Epiglottis doesnt close as in

adults

Narrow airways

Increases the risk of

aspiration in children



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Three phases depending upon the size,shape and where it finally lands up:

1) Acute signs and symptoms owing to the cough

or gag reflexes2) Quiet phase

3) Later phase


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Universal sign is CHOKING SIGN


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Signs of complete airwayobstruction

Inability to speakInability to breathe

Inability to cough

Universal choking signPanic

Signs of partial airwayobstruction

With good air flowForceful coughWheezing between cough

Ability to breathe

With poor air exchange

Weak,ineffectual coughCrowing sound on inspiration

Paradoxical respiration

Absent or altered voice sounds

Possible cyanosis

Possible disorientation


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Text

Foreign bodies

Stainless steel crowns

dontic bands

Prosthe

sis

Rubberdam

clamps

Endodontic instruments


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What will you do if suchemergency situation

occurs..


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Management

Invasive Non-Invasive

The ultimate aim is to establish a emergency airway


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Back blows

Heimlich maneuver

Chest thrust

Finger sweep


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In a choking CONSCIOUS INFANT

1. Position with head downward

2. 5 back blows

3. 5 chest thrusts

4. Repeat

In an UNCONSCIOUS INFANT

1. Assess

2. Begin CPR if needed

3. Check for object prior to each breath


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Children aged 1 to 8 years

Give 5 abdominal

thrusts (Heimlich

maneuver)


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Try to support victim with your knees while

lowering victim to the floor

Assess

Begin CPR

After chest compressions, check for object before

giving breaths


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If a foreign body is not retrieved and the patient

is asymptomatic,


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Bronchial stenosis

Bronchiectasis

Lung abscess

Tissue erosion/perforation


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To prevent such incidents in a dental practice

setup..


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Dental floss should be secured to..


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In a pediatric practice, proper caution and care

should be exercised

Its a must that each pediatric dentist should be

aware of emergency management

A proper protocol of instrument usage should be

practised..


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