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Intercostal retractions - Treatment

Alternative Names

Retractions of the chest muscles

Home Care:

This is an emergency, requiring immediate medical attention.

Call your health care provider if:

Seek immediate medical attention if intercostal retractions occur. This can be a sign of airway obstruction, which can quickly become life threatening.

Also seek medical care if the skin, lips, or nailbeds turn blue, or if the person becomes confused, drowsy, or is hard to wake up.

What to expect at your health care provider's office:

In emergency situations, the health care team will first take steps to help the patient breathe. This may include oxygen, medicines to reduce swelling, and other treatments.

When the person is stable, the health care provider will perform a physical exam to determine the cause of the airway obstruction. Questions will be asked about the symptoms and the person's medical history, including:

  • When did the problem start?
  • Is it getting better, worse, or staying the same?
  • Does it occur all the time?
  • Did you notice anything significant that might have caused an airway obstruction?
  • Have you or the child been ill, coughing, or complaining of a sore throat?
  • Has the child put anything in the mouth that might have been inhaled into the airway?
  • What other symptoms are present? For example, did the child turn blue, wheeze, or have a high-pitched sound when breathing (stridor)?

Diagnostic tests may include:

  • Reviewed last on: 5/8/2008
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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