Airway Foreign Body

Airway foreign body • Emergency and potential life threatening • In addition to peds consideration • Brief H/P AMPLE, depend on the Severity of the symptoms and hypoxemia may consider CXR( most are radiolucent), but may see atelectasis • Do inhalation induction with Sevo, Avoid PPV, minimal support if needed • Assess the eye for depth (see later) • The dilemma → Full stomach Vs need of maintaining spontaneous Ventilation • Once the eye in stage III → do direct laryngoscopy → Lidocaine spray • May give IV bolus of propofol upon the removal of the foreign body • Consider a dose of decadron , and racemic Epi