Foreign Bodies in Air Passages Foreign Bodies in Tracheobronchial Tree Clinical Features 3 stages a. Initial period of chocking, gagging and wheezing → cyanosis a. Brief period b. Cough out, lodge or down to bronchus b. Asymptopatic interval a. Depend on size and nature of FB b. Various sign Vegetable FB – chemical reaction- tracheobronchitis Non vegetable FB – remain silent for long time a. Later symptoms a. Airway obstruction b. Inflammation  Diagnosis a. History & clinical examination b. Chest X-rays a. Signs of collapse, emphysema c. CT-scan d. Diagonostic bronchoscopy  Treatment a. Antibiotics by IV route b. Anti-inflammatory agents – like steroid c. Heimlich’s manoeuvre. d. Cricothyrotomy and Tracheostomy e. Bronchoscopy and FB removal f. Thoracotomy – impacted FB g. Lobectomy