Step 3 CCS quick question

[PinkLithe]

Hi everyone,

I just had a CCS case where a 7 mo child presents in acute respiratory distress. I was thinking either anaphylactic shock or foreign body aspiration (peanuts were noted to be nearby). RR in the 50s, cyanotic, looking toxic. After the typical emergency orders and a brief exam, I immediately ordered intubation. This was rejected by the parents and I managed the rest of the case fine (figured out quickly it was foreign body aspiration).

In the explanations, intubation was listed as potentially harmful and I am not sure why. The child clearly had a compromised airway. Can someone explain to me why intubation would have been potentially harmful here?

Thanks.

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[kagman]

I'm just thinking away, may not be right.

We will anyways do a broncos copy immediately than intubate. Will not want to overinflate an infant's lungs or cause the peanut to get pushed further forward by Positive pressure.


Psychiatry Applicant 2016.

 

[HelpPleaseMD]

Hi everyone,

I just had a CCS case where a 7 mo child presents in acute respiratory distress. I was thinking either anaphylactic shock or foreign body aspiration (peanuts were noted to be nearby). RR in the 50s, cyanotic, looking toxic. After the typical emergency orders and a brief exam, I immediately ordered intubation. This was rejected by the parents and I managed the rest of the case fine (figured out quickly it was foreign body aspiration).

In the explanations, intubation was listed as potentially harmful and I am not sure why. The child clearly had a compromised airway. Can someone explain to me why intubation would have been potentially harmful here?

Thanks.

if patient has a foriegn body in the airway you do not intubate. you will force that peanut even more down