الفهرس | Only 14 pages are availabe for public view |
Abstract Air way obstruction in infants and children often presents as the most dramatic emergencies in pediatric practice. The symptoms of obstruction in these small patients may progress rapidly and soon prove to be truly life—threatening. Evaluation of an infants or child with respiratory distress should begin with review of the progression of the child’s symptoms with the parent. Particular attention should be directed toward 1. The circumstances surrounding the onset of symptoms. 2. The rapidity of the progression of the symptoms. 3. The position of maximum comfort for the patient and the effect of position change or activity level on symptoms. 4. The presence of association dysphagia or feeding abnormalities. 5. The nature of the voice and cry. 6. Previous infectious disease. 7. The possibility of foreign body aspiration. 8. A history of previous intubation or trauma. 9. The presence of associated cardiopulonary anomalies. (Fredricke and Bradly, 1985). Air way obstruction in the new born is infrequent, causes are numerous, most of them congenital abnormalities. A different approach is required for the new born. Severe acute air way obstruction in infants and children is not uncommon. It has relatively few causes. Group and supraglottitis predominating, although the principle aim of management is to prevent hypoxemia and it damaging and potentially fatal consequences practices vary widely. Each hospital must have clear-cut protocols and procedures to cope with the child with airway obstruction taking into account available skills and facilities (Kilham et al., 1987). The aim of the present work is to present in a brief way. The various causes of airway obstruction in infant and children and to express their clinical presentation, expected complications and line of management. |