Prevent Choking Using These Simple Aspiration Precautions

By Tanisha Berg


Choking is a potentially lethal accident. It often happens during swallowing, but not always. The medical term for choking is aspiration and it has a variety of possible causes. Some people are more at risk of this occurrence than others, and so it is important to take the necessary aspiration precautions in caring for them and managing their lifestyles.

When people swallow, the food moves through the mouth and down the throat. It is shifted through the esophagus into the stomach. During this journey, it is possible for the food to become stuck, and this may happen for a number of reasons. If the esophagus walls, which contain muscle tissue, are hurt or disabled, normal swallowing is not possible. Thus, any condition that leads to this handicap, even old age, places the person at an advanced risk of aspiration. This is also the case where an object such as food or a toy has become lodged in the esophagus.

Large pieces of food are typical culprits in aspiration. Another source of danger is weakness in or injury to muscular walls of the esophagus, caused by either various illnesses (multiple sclerosis, Parkinsons, etc.) or mechanical trauma, like burns or lacerations. The disabled esophagus cannot process the swallowed matter like it normally does and the person is at risk of choking.

But this is not the only mechanism of aspiration. Sometimes, the patient's body cannot get enough oxygen due to an underlying reason. The physical result is that they choke, and they will present symptoms indicating this, such as wheezing respiration, shortness of breath, and the characteristic blue shade to their lips and nails. If these symptoms are observed in the patient, the instant provision of artificial oxygen is necessary. The caregiver should not assume that there is an issue with the esophagus.

Assisting an aspirating person is always an emergency, and it may be a traumatic experience for the person providing the assistance as well. This implies that the latter should be aware of the proper procedures to be followed. There are also safeguards that can be implemented in order to reduce the possibility of an aspiration-related event. Listed below are some of them.

The person who is at risk should only take their meals sitting upright. They should always sit in a chair, but if this is not an option then they should sit upright in bed. Swallowing is far easier in this position, and it should be maintained for a minimum of 30 minutes after they have finished eating. If they are subject to sedation, they should always sleep on their side.

If they require assistance in eating, the caregiver must not try to feed them if they are not conscious of that activity. The food itself should be eaten in small mouthfuls, either small spoonfuls or bites. Chewing (or mastication) should take place at a slow rate, and should be comprehensive. The person should remain undistracted until after they have swallowed.

These safety measures assist in the prevention of choking where the patient struggles to eat or drink normally. They are simple methods that do not require extensive training to institute. But where the aspiration is caused by oxygen deficiency as a secondary symptom of another disorder, the assistance of a medical practitioner should be sought as soon as possible. The latter emergency necessitates more complicated professional intervention and is beyond the ability of ordinary members of the public to resolve.




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