Obstruction in infants
AIRWAY
OBSTRUCTION IN THE INFANT
v If the infant is able to breathe and cough, the infant will be allowed to cough without initiating unobstructive maneuvers.
v If the obstruction persists and the cough becomes insufficient, the same attitude will be adopted as in the case of complete obstruction:
- place the infant on the forearm, lying face down, so that the mandible is supported with the hand (carefully not to suffocate, do not cover the mouth and nose and do not squeeze the neck);
- lean slightly so that the head is positioned lower than the chest and apply 5 blows with the opposite palm at the level of the back between the shoulder blades.
If they are ineffective, turn the infant face up and sit on the opposite knee or forearm, with the head positioned lower than the trunk and with 2 fingers apply 5 compressions two fingers below the line joining the nipples, pressing bottom up (abdomen to chest);
v Repeat sequences of interscapular thrusts and chest compressions until the airway is cleared or the infant becomes unconscious.
v Check if you can see the foreign body in the infant's oral cavity to remove it using forceps, never your fingers because you can reintroduce the foreign body.
v Repeat sequences of interscapular thrusts and chest compressions until the airway is cleared.v
v If the maneuvers are ineffective, call 112 and start CPR.