LARYNGEAL OBSTRUCTION.

OM VERMA
ASSISTANT PROFESSOR
GRACIOUS COLLEGE OF NURSING ABHANPUR RAIPUR CG

1. GRACIOUS COLLEGE OF NURSING
RAIPUR
LARYNGEAL OBSTRUCTION
PRESENTED BY PRESENTED BY
OM VERMA
ASSISTANT PROFESSOR

4. According to Levis

5. ETIOLOGY
1.
Allergic
reactions
1.
Allergic
reactions
2. Upper Airway infection
3. Foreign body partials
4.
Collection of Infected
Material
4.
Collection of Infected
Material
throat debris
5. Peritonsilar Abscess

6. ALLERGIC REACTIONS
It
occurs when you're exposed to the allergen
and congestion in the sinuses drains down the It
occurs when you're exposed to the allergen
and congestion in the sinuses drains down the
throat. This causes tickling or soreness.
Seasonal allergies can also make it difficult to
swallow. This inflammation can lead to
narrowing of the esophagus,
and laryngeal
narrowing of the esophagus,
and laryngeal
edema which can lead to difficulty swallowing.

7. UPPER AIRWAY INFECTION
An upper respiratory
infection
affects the upper part of
infection
affects the upper part of
respiratory system, including
sinuses and throat and laryngeal
area
Upper respiratory infection
area
Upper respiratory infection
symptoms include a runny nose,
sore throat and cough.

8. FOREIGN BODY PARTIALS
Foreign bodies in the throat. A Foreign bodies in the throat. A foreign body in the throat can
cause chokingand is a medical
emergency that needs immediate emergency that needs immediate
attention.

9. THROAT DEBRIS
Tonsil stones form when debris, such as food,
dead cells, bacteria, and other substances, dead cells, bacteria, and other substances, becomes trapped on the tonsils. The debris
hardens as calcium builds up around it, forming
tonsil stones. These stones are also called
“tonsil calculi” or “
tonsilloliths
.” They are
“tonsil calculi” or “
tonsilloliths
.” They are
usually visible as white or yellowish lumps.

10. PERITONSILAR ABSCESS
Peritonsillar abscess (PTA) refers Peritonsillar abscess (PTA) refers
to pus collection between the
tonsillar capsule and the
pharyngeal constrictor
muscle
pharyngeal constrictor
muscle
infection spread laryngeal area
and bacteria invasion

11. ETIOLOGY

12. PATHOPHYSIOLOGY

13. Due to etiological factors such as allergic reaction , bacterial
infections.
Antigens enter body through the nose and mouth
Antigen and antibodies reaction and release the inflammato ry Antigen and antibodies reaction and release the inflammato ry
mediators
Swelling of the laryngeal mucous membrane
Obstruction of the larynx Obstruction of the larynx
Leading to life threatening condition hypoxia or suffoc ation

15. •1. Agitation-anxiety or
nervous excitement.
•
2
. Headache
•
2
. Headache
•3. Fatigue
•4. Breathing difficulty
•
5
. Change consciousness level
6. Wheezing
sound
•
5
. Change consciousness level
6. Wheezing
sound
•7. High pitch breathing sound

16. •Investigations
•
H/T
•
H/T
•P/E
•CBC
•
X
-
ray, MRI,CT SCAN
•
X
-
ray, MRI,CT SCAN
•Laryngoscopy

17. MANAGEMENT
•Medical management
•Pharmacological
•
Surgical management
•
Surgical management

18. MEDICAL MANAGEMENT
•To identification of causative
agents. agents.
•To give antibiotics agents
•To give anti-inflammatory drugs
•
To give analgesic drugs
•
To give analgesic drugs
•To give oxygen therapy
•Emergency tracheotomy

19. PHARMACOLOGICAL
MANAGEMENT
•
Antibiotics drugs
-
penicillin
used to
•
Antibiotics drugs
-
penicillin
used to
manage and treat a wide range of
infections.
•Anti-inflammatory drugs-Ibuprofenis
used to relieve pain
Acetaminophen
can also be combined with other active used to relieve pain
Acetaminophen
can also be combined with other active ingredients in medicines that treat
allergy, cough,

20. •Aspirinfor pain relief •
Antihistamines
:
Epinephrine
•
Antihistamines
:
Epinephrine
injection An antihistamine
blocks the histamine receptor
and reduces respiratory allergy
symptoms. Decongestants: symptoms. Decongestants: These reduce congestion.

22. SURGICAL MANAGEMENT 1.Tracheostomy
2.Cricothyrotomy

23. A tracheostomyisan opening
created at the front of the neck so
TRACHEOSTOMY
created at the front of the neck so
a tube can be inserted into the
windpipe (trachea) to help you
breathe. If necessary, the tube can
be connected to an oxygen supply be connected to an oxygen supply and a breathing machine called a
ventilator.

24. Cricothyrotomy (
also called
cricothyroidotomy
) is
a procedure
CRICOTHYROTOMY
cricothyroidotomy
) is
a procedure
that involves placing a tube
through an incision in the
cricothyroid
membrane
(CTM)
the
cricothyroid
membrane
(CTM)
to establish an airway for
oxygenation and ventilation.

26. COMPLICATION
Respiratory
failure.
Respiratory
failure.
Arrhythmias.
Cardiac arrest.
Death. Death.