Peanut Fragments in Bronchus

Extraction Case

Peanuts create more bronchial inflammation than any other food. Even small nut fragments can be inhaled past the vocal cords.

As Dr. Chevalier Jackson stated (over 100 years ago), after a nut enters a toddler’s mouth, one of three things can happen: the nut can be spat out, it can swallowed whole, or it can be inhaled into a bronchus. Toddlers can not grind a nut (or even a nut fragment) to a paste, to allow safe swallowing.

For the prevention of peanut allergies, ONLY thinned, smooth peanut butter (or puffs or thin puree) should be given to infants.

Peanut Allergies Related Links:

No crunchy peanut butter – or solid nuts or nut fragments – should be given to children until at least 3 years of age.

When a piece of a nut (or another organic or plastic foreign body) partially blocks a bronchus, a plain (Inspiratory) chest Xray usually looks normal.

Please see A Problem with Xrays for more information.

Extraction Video

Optical "Peanut" forceps were designed specifically for the removal of bronchial peanuts. Even with gentle technique, bronchial nuts fragment easily. A more recently designed forceps is shown in the "Bronchial Crayon" extraction case.

Did You Know?!

The presence of older siblings in the household increases the risk for choking, possibly because toys and other objects with small parts are more likely to be present and caregiving activities, such as feeding, to be undertaken by older siblings.[Ref:44]