Pediatric Pulmonology Unit
Cares for patients with Chronic Cough, Atypical under five wheezes, difficult-to-control Asthma, foreign body aspiration, Tuberculosis with complications, Drug Resistant Tuberculosis, Recurrent and Persistent Pneumonia, Interstitial Lung Disease, Other chronic lung diseases
Our services include;
- Paediatric/ Neonatal Flexible Bronchoscopy,
- Flexible Bronchoscopic Foreign Body Extraction,
- Rigid Bronchoscopy (Paed. Surgeons, ENT surgeons)
- Spirometry, Diffusion, Lung Volumes
- Paediatric Sleep Studies
Foreign Body aspiration
- Is your child having cough for a long time?
- Is your child’s cough not improving on routine treatment?
- Is your child having bouts of cough for a long time?
- Is your child sick for a long time?
If your child is under three years and all or few of the above define the symptoms in your child then it could be a FOREIGN BODY ASPIRATION!!! Your child needs flexible bronchoscopy!
Few points for preventing foreign body aspiration by your toddler!
- Some small objects, such as peanuts, crayons, marbles, beads and button batteries, are just the right size to get stuck in a child’s airway and cause choking.
- The best way to avoid this is to make sure that small objects like these are kept out of your child’s reach.
- Never give your child anything that is smaller than his/her mouth size
- Never let your toddler feed unobserved
- Never let other children put anything in the mouth of your toddler
- Never leave small items and food particles, especially nuts on floor … remember your child will explore the environment with his mouth!
- If you suspect a foreign body aspiration rush to the hospital, your child will need flexible bronchoscopy
- No matter how careful you are, your child may choke on something. In most cases, you or someone else will see your child swallow the object that causes choking.
- If you have seen your child choked in front of you this is what you need to do….
Back blows for babies under 1 year
- Sit down and lay your baby face down along your thighs, supporting their head with your hand.
- Give up to 5 sharp back blows with the heel of 1 hand in the middle of the back between the shoulder blades.
Back blows for children over 1 year
- Lay a small child face down on your lap as you would a baby.
- If this isn’t possible, support your child in a forward-leaning position and give 5 back blows from behind.
- If back blows don’t relieve the choking and your baby or child is still conscious, give chest thrusts to infants under 1 year or abdominal thrusts to children over 1 year.
- This will create an artificial cough, increasing pressure in the chest and helping to dislodge the object.
Chest thrusts for children under 1 year
- Lay your baby face up along the length of your thighs.
- Find the breastbone and place 2 fingers in the middle.
- Give 5 sharp chest thrusts (pushes), compressing the chest by about a third.
Abdominal thrusts for children over 1 year
- Stand or kneel behind your child. Place your arms under the child’s arms and around their upper abdomen.
- Clench your fist and place it between the navel and ribs.
- Grasp this hand with your other hand and pull sharply inwards and upwards.
- Repeat up to 5 times.
- Make sure you don’t apply pressure to the lower ribcage, as this may cause damage.
Following chest or abdominal thrusts, reassess your child as follows
- If the object still isn’t dislodged and your child’s still conscious, continue the sequence of back blows and either chest or abdominal thrusts.
- Call out or send for help, if you’re still on your own.
- Don’t leave the child alone … Rush to the nearest hospital…!
Dr. Rashmi Kapoor
Director, department of Pediatrics in Pediatric Intensive care Unit and Pediatric Pulmonology