Causes of Upper Airway Obstruction

The causes of upper airway obstruction can be divided into:

Decreased muscle tone

Secretions

Bleeding/oedema

Foreign body

Pre-existing disorders

Fig 1 Obstructed airway

The causes of upper airway obstruction can be divided into:

Decreased muscle tone
In an unconscious patient, there is a loss of normal muscular tone in the oropharynx. This will cause the soft palate, tongue and glottis to come into contact with the posterior nasopharyngeal wall, leading to obstruction of the airway.

Secretions

Bleeding/oedema

Foreign body

Pre-existing disorders

Fig 1 Obstructed airway

The causes of upper airway obstruction can be divided into:

Decreased muscle tone

Secretions
This includes mucus, blood and vomit.

Bleeding/oedema

Foreign body

Pre-existing disorders

Fig 1 Obstructed airway

The causes of upper airway obstruction can be divided into:

Decreased muscle tone

Secretions

Bleeding/oedema
Bleeding may occur following neck surgery, trauma or central venous catheterization. Other patients at risk are those with an abnormal bleeding tendency or on anticoagulant therapy.

Haematomas that arise in the neck following surgery may lead to obstruction. This requires immediate suture or clip removal, followed by evacuation of the blood.

Obstruction may occur in the form of airway oedema or tissue oedema following neck surgery.

Foreign body

Pre-existing disorders

Fig 1 Obstructed airway

The causes of upper airway obstruction can be divided into:

Decreased muscle tone

Secretions

Bleeding/oedema

Foreign body
This includes teeth, dentures and throat packs.

Pre-existing disorders

Fig 1 Obstructed airway

The causes of upper airway obstruction can be divided into:

Decreased muscle tone

Secretions

Bleeding/oedema

Foreign body

Pre-existing disorders
An example of a pre-existing disorder is sleep apnoea which is characterized by pauses in breathing during sleep. In obstructive sleep apnoea there is a physical block to airflow. This may be exacerbated by anaesthesia. Another example is airway tumours.

Fig 1 Obstructed airway