Narrowing or blockage of the respiratory passages. The obstruction may be due to a foreign body, such as a piece of food, that becomes lodged in part of the upper airway and may result in choking. Certain disorders, such as diphtheria and lung cancer, can cause obstruction. Additionally, spasm of the muscular walls of the airway, as occurs in bronchospasm (a feature of asthma), results in breathing difficulty.
blockage of any of the passages by which air enters (and leaves) the lungs, which may be partial or complete. In partial obstruction, the patient can still move some air in and out of the lungs but often with difficulty. There may be a distinctive sound (see stridor) on inspiration through a partly obstructed airway. Complete obstruction will rapidly lead to respiratory and then cardiac arrest and requires prompt airway clearance and support.
(Ogilvie’s syndrome) n. functional impairment of intestinal peristalsis without evidence of an obstructing lesion (acute colonic pseudo-obstruction). It presents with vomiting, marked abdominal distension, and constipation. It commonly occurs in hospitalized patients with serious illness, probably caused by abnormalities in colonic autonomic regulation and often associated with trauma, sepsis, the postoperative state following abdominal, pelvic, or orthopaedic surgery, or cardiac dysfunction (heart failure, myocardial infarction). Management is usually conservative and involves treatment of the underlying condition, the ‘drip and suck’ approach (see ileus), decompression of the colon, and prokinetic agents (such as neostigmine). Surgery is required when the conservative approach fails or in cases of perforation.... pseudo-obstruction
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