UPPER AIRWAY OBSTRUCTION (ACUTE)

An acute upper airway obstruction (UAO) happens when your upper airway is block. A blockage in your airway could prevent your body from getting enough oxygen. A lack of oxygen could cause brain damage, and even a heart attack, in a matter of minutes. The upper airway of your respiratory system consists of the trachea, larynx or voice box, and throat.

Any obstruction of your upper airway has the potential to be life threatening. Seek emergency medical attention immediately.

What Can Cause the Obstruction?

Three of the most common causes of acute upper airway obstruction (UAO) are:

  • Anaphylaxis is a severe allergic reaction that can happen within minutes of coming into contact with an allergen, or substance that triggers an allergic reaction. It can be fatal because your airway swells and it obstructs your breathing.
  • Croup is a condition that usually causes a harsh, barking cough which is caused by an inflamed windpipe and vocal cords. It is not considered to be a severe condition and it can usually be treated at home.
  • Epiglottitis is a condition that occurs as a result of the epiglottis becoming swollen. It can block the flow of air to your lungs and it can be potentially life threatening.

Your airway can also be obstructed if you inhale a foreign object or food.

Symptoms may vary. Some symptoms are common no matter what caused your obstruction. You should seek emergency help as soon as you suspect acute UAO or the following common signs happen to you or to someone you know.

  • Agitation
  • Confusion
  • Panic
  • Drooling
  • Swelling of The Face and Tongue
  • Difficulty Breathing
  • Wheezing and Other Unusual Breath Sounds
  • Choking
  • Unconsciousness
  • Cyanosis- occurs when there is not enough oxygen in the blood. The lack of oxygen can give your skin, lips, and fingernails a bluish color. 

Treatment

Treatment of the upper airway obstruction will depend on the cause. Immediate medical attention is extremely important.

  • Anaphylaxis- Treatment for anaphylaxis may involve the use of oxygen as well as antihistamines and anti-inflammatory drugs to help you breathe and reduce the swelling. A doctor may used an auto-injector (syringe that carries a premeasured dose of epinephrine, or adrenaline, in it).
  • Epiglotitis- In treating epiglotitis, your doctor will first administer oxygen using a mask or breathing tube to make sure that you’re able to breathe. Epiglotitis brought by an infection will be treated with antibiotics.
  • Croup- It can usually be treated at home with breathing moist air and drinking plenty of fluids. If symptoms remain or get worse, your doctor might put you on corticosteroids, which are medications that help reduce inflammation. If an infection caused your croup, antibiotics may be given.
  • Foreign Objects- Call emergency hotline if your child has inhaled a foreign object, and cannot cough, speak, or breathe. It is recommended that you administer five strong, but not painful, blows to the back, below the shoulder blades with the heel of your hand. Then, give five abdominal thrusts, also called the Heimlich maneuver.

Do this by:

  • Standing behind your child and wrapping your arms around their waist
  • Placing the thumb side of your fist right above the affected person’s belly button
  • Using a quick, upward thrust to press your fist into the abdomen with the help of your available hand

Alternate between five back blows and five abdominal thrusts to try to remove the obstruction while you wait for emergency assistance.

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