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    Laryngeal Obstruction

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    Rea Rabi
    A 6-year-old boy presented to the emergency department with signs of acute airway obstruction and stridor. He had eaten peanuts earlier that day. On examination, he was in severe respiratory distress, cyanotic, and his vital signs showed tachycardia, tachypnea, and low oxygen saturation. His chest exam found decreased breath sounds bilaterally, indicating an obstructed airway.

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    Laryngeal Obstruction

    Uploaded by

    Rea Rabi
    539 views16 pages
    A 6-year-old boy presented to the emergency department with signs of acute airway obstruction and stridor. He had eaten peanuts earlier that day. On examination, he was in severe respiratory distress, cyanotic, and his vital signs showed tachycardia, tachypnea, and low oxygen saturation. His chest exam found decreased breath sounds bilaterally, indicating an obstructed airway.

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    A 6-year-old boy presented to the emergency department with signs of acute airway obstruction and stridor. He had eaten peanuts earlier that day. On examination, he was in severe respiratory distress, cyanotic, and his vital signs showed tachycardia, tachypnea, and low oxygen saturation. His chest exam found decreased breath sounds bilaterally, indicating an obstructed airway.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    539 views16 pages

    Laryngeal Obstruction

    Uploaded by

    Rea Rabi
    A 6-year-old boy presented to the emergency department with signs of acute airway obstruction and stridor. He had eaten peanuts earlier that day. On examination, he was in severe respiratory distress, cyanotic, and his vital signs showed tachycardia, tachypnea, and low oxygen saturation. His chest exam found decreased breath sounds bilaterally, indicating an obstructed airway.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    LARYNGEAL

    OBSTRUCTION
    Case Presentation
    A 6-year-old boy presented in emergency unit shows signs of
    acute airway obstruction and stridor. In history occurred that child
    ate peanuts the same day. On arrival, the boy was in the severe
    condition. He was restless and agitated, in the "chest-knee'"
    position, with dyspnea, tachypnea and audible inspiratory stridor in
    the head up position. Cyanosis was present on the fingernails and
    lips. The chest examination revealed bilaterally decreasing breath
    sounds, with transmitted sounds from the upper airway, wheezing
    and whispery sounds. His vital signs upon admission were as
    follows: temperature, 37.8ºC; blood pressure, 90/60 mmHg; heart
    rate, 150-160 beats/min; respiratory rate, 30-35 breaths/min and
    peripheral oxygen saturation, 85-87%.
    Larynx (voice box)
    is a stiff box that will
    not stretch.
    It contains a narrow
    space between the
    vocal cords (glottis),
    through which air
    must pass.
    Definition
    Obstruction of the larynx because
    of edema.
    Swelling of the laryngeal mucous
    membranes may close off the
    opening tightly, leading to life-
    threatening hypoxia or
    suffocation.
    Causes
    Hereditary angioedema
     Characterized by episodes of life-threatening
    laryngeal edema.
     It can occur at any age, although young adults
    are at greatest risk.
    Foreign Bodies
     Frequently aspirated into the pharynx, larynx,
    or trachea and cause a twofold problem.

    Obstruct the air passages and cause difficulty in


    breathing, which may lead to asphyxia

    Later, they may be drawn farther down, entering the


    bronchi or a bronchial branch and causing symptoms of
    irritation (croupy cough, expectoration of blood or mucus,
    labored breathing)
    Clinical Manifestations
     Patient’s clinical presentation and X-ray
    findings confirm the diagnosis of laryngeal
    obstruction.
    Clinical Manifestations
     Lowered O2Sat
     Use of accessory muscles (retractions in
    the neck or abdomen during inspirations)
     Hoarseness
     Dyspnea
     Aspiration of food/saliva
     Inability to speak
     Cough
     Cyanosis
    Nursing Management
     Ensure a clear airway and provide oxygen
     Apply ice to the neck (to reduce edema)
     Continue to monitor O2Sat and VS
     Prepare the consent (in case invasive
    procedure is to be done)
     Health education regarding the condition
    Medical Management
     Cardiopulmonary resuscitation (CPR)
     Administer medication (epinephrine,
    corticosteroid, albuterol)
    Surgical Management
    Surgical treatment depends on the cause of
    blockage:
     Objects stuck in the airway may be removed
    with special instruments.
     A tube may be inserted into the airway (ET) to
    help with breathing.
     Sometimes an opening is made through the
    neck into the airways (tracheotomy or
    crichothyrotomy).
    Cricothyrotomy
    Cricothyrotomy
    Possible Complications
    If the obstruction is not relieved, it can cause:
     Brain damage
     Breathing failure
     Death
    Case Presentation
    A 6-year-old boy presented in emergency unit shows signs of
    acute airway obstruction and stridor. In history occurred that child
    ate peanuts the same day. On arrival, the boy was in severe
    condition. He was restless and agitated, in the "chest-knee'"
    position, with dyspnea, tachypnea and audible inspiratory
    stridor in the head up position. Cyanosis was present on the
    fingernails and lips. The chest examination revealed
    bilaterally decreasing breath sounds. His vital signs upon
    admission were as follows: temperature, 37.8ºC; blood pressure,
    90/60 mmHg; heart rate, 150-160 beats/min; respiratory rate,
    30-35 breaths/min and peripheral oxygen saturation, 85-87%.

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