Çocuklarda Trakeobronşial Sistemdeki Yabancı Cisimleri Çıkarmada Anestezi Uygulaması

Öç, Bahar; Arun, Oğuzhan; Öncel, Murat; Duman, Ateş

doi:10.17827/aktd.53790

Cited by 3 publications

(3 citation statements)

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“…Reasons for admission can be observed in a wide range from nonspecific findings, normal physical examination, suspected aspiration history, and radiological findings to severe respiratory distress and respiratory arrest (7). RB is most commonly used in children due to foreign body aspiration (2). Although fiberoptic bronchoscope is used in some centers, RB is still respected as the gold standard in foreign body aspiration and our pediatric surgery clinic is preferring this method.…”

Section: Discussionmentioning

confidence: 99%

“…With this mode of therapy, it is aimed to prevent possible broncholaryngospasm by reducing edema caused by rigid bronchoscope manoeuvres or by foreign body itself lodged in the trachea and main bronchi. Although clinicians do not have a common decision on the use of steroids, some publications have emphasized the importance of routine use of them (2,8). The most common complications encountered after foreign body removal include pneumonia, atelectasis and emphysema.…”

Section: Discussionmentioning

confidence: 99%

“…Rigid bronchoscopy (RB) is widely used for this purpose. The advantages of RB is to provide safe airway and sustain ventilation during the procedure, and to enable the use of optical system along with foreign body forceps from the same channel (2,3). The most common indications of RB include endoscopic treatment of central airway obstruction, removal of foreign body, diagnosis and treatment of massive hemoptysis.…”

Section: Introductionmentioning

confidence: 99%

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Foreign Body Aspiration in Children: Review of 198 Cases from Anesthesiology Perspective

Erol

Günendi

KAYA

et al. 2022

Harran Üniversitesi Tıp Fakültesi Dergisi

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Background: Tracheobronchial foreign body aspiration is an emergency in childhood. Rigid bronchoscopy is used for diagnosis and treatment. In our retrospective study, we aimed to evaluate anesthesia man-agement, age, gender, intraoperative blood pressure, pulse, saturation, intraoperative and postoperative complications, foreign body type and localization and length of hospitalization.Materials and Methods: The file of 198 pediatric patients who underwent rigid bronchoscopy by pediatric surgery with the diagnosis of foreign body aspiration in Harran University Medical Faculty Hospital be-tween 2016-2018 were retrospectively analyzed. All cases were managed under general anesthesia. The anesthesia management, age, gender, intraoperative blood pressure, pulse, saturation, intraoperative and postoperative complications, foreign body and localization, length of stay were obtained from patient records and retrospectively evaluated.Results: Localization of foreign bodies were found to be 4.5% in trachea, 48% in right main bronchus and 33.9% in the left main bronchus. 25.3% of foreign bodies were seed, 25.62% were peanuts and 5.62% were organic substances such as beans, needle was removed in 7.6% cases, and toy pieces was removed in 9.6% cases respectively. Low levels of saturation, hypercarbia, arrhythmia, laryngospasm and bron-chospasm were observed as complications of anesthesia.Conclusions: Foreign body aspiration is an emergency that requires early diagnosis and urgent interven-tion. It is important to be aware of the complications that may occur during anesthesia and momentous to be intervened by an experienced team.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Foreign Body Aspiration in Children: Review of 198 Cases from Anesthesiology Perspective

Erol

Günendi

KAYA

et al. 2022

Harran Üniversitesi Tıp Fakültesi Dergisi

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Anesthesia for rigid bronchoscopy in children: single center experience

Hatipoğlu

Özden

Özcengiz

2018

Cukurova Medical Journal

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AbstractÖz Purpose: Rigid bronchoscopy is performed by general anesthesia because of inspection, taking sample and extraction of foreign body in airway. In this study, anesthesia methods, perioperative complication and hospitalization time of children performed rigid bronchoscopy was retrospectively noted. Materials and Methods: Seventy-four children performed rigid bronchoscopy were included to the study in between Jan/2015-Mar/2017. The data of patients were acquired from Nucleus Medical Information System and anesthesia registration forms. Major complaint, perioperative features, anesthesia managements, and hospitalization time were evaluated. Results: Median age was 24 (3-156) months. Forty-one (55.4%) were male and 33 (44.6%) were female. The patients were received for complaint of foreign body aspiration suspicion (40.5%) and cough (31.1%). 52.7% of patients' lung auscultation and 67.6% of their lung x-ray were found to be normal. Intravenous agents (91.8%) and non-depolarizing neuromuscular blockers (100%) for anesthesia induction and manual controlled ventilation were used. Foreign bodies were found and extracted in 58.1% of the patients. Sugammadex was used for neuromuscular block antagonism in 46% of the patients. There was one pneumothorax, and 5 patients were received to intensive care unit by intubated and supported by mechanical ventilation. Conclusion: Rigid bronchoscopy is safely performed by good managed anesthesia. Meticulous evaluation of patients preoperatively and intense follow up of patients intra-and postoperatively are very important for the prevention of potential complications.Amaç: Rijit bronkoskopi, çocuklarda başta yabancı cisim çıkarılması olmak üzere havayolunun incelenmesi ve örnek alınması için genel anestezi ile uygulanan cerrahi bir girişimdir. Retrospektif yapılan bu çalışmada rijit bronkoskopi uygulanan çocuklarda anestezi yönetimi ve perioperatif komplikasyonlar değerlendirildi. Gereç ve Yöntem: Ocak 2015 -Mart 2017 tarihleri arasında rijit bronkoskopi için alınan 74 olgu değerlendirmeye alındı. Olgulara ait bilgiler, Nükleus Medikal Bilgi Sistemi ve anestezi kayıt formlarından elde edildi. Bu kayıtlardan, hastaneye başvuru nedenleri, preoperatif özellikleri, anestezi yönetimi, komplikasyonlar ve yatış süreleri değerlendirildi. Bulgular: Olguların yaş ortancası 24 (3-156) ay, 41'i (%55.4) erkek, 33'ü (%44.6) kız olarak tespit edildi. Olgular yabancı cisim şüphesi (%40.5) ve öksürük (%31.1) şikayetleri nedeniyle hastaneye getirilmişlerdi. Olguların %52.7'sinin akciğer dinleme bulgusunda ve %67.6'sının akciğer grafisinde bir özellik olmadığı belirlendi. Anestezi indüksiyonunda intravenöz ajanlar (%91.8) ve nondepolarizan kas gevşeticilerin (%100) kullanıldığı ve manuel kontrollü ventilasyonun uygulandığı saptandı. Olguların %58.1'inden yabancı cisim çıkarıldığı belirlendi. Nöromusküler blok antagonizması için olguların %46'sında sugammadeks kullanılmıştı. Bir olguda pnömotoraks gelişirken, 5 olgu entübe olarak yoğun bakıma çıkarılmış ve mekanik ventilasyon uygulanmıştır. Sonu...

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Çocuk Yaş Grubu Yabancı Cisim Aspirasyonu Tedavisinde Kullanılan Rijit Bronkoskopi Esnasında Uygulanan İki Anestezi Tekniğine Cerrahi Bir Bakış

SEZER,

ÇARDAKÖZÜ,

ELİCORA

2023

Acta Med Nicomedia

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Objective: In our study, we aimed to reveal the advantages and disadvantages of inhalation and intravenous anesthesia techniques in the maintenance of anesthesia in pediatric patients whose tracheobronchial foreign body was removed by rigid bronchoscopy under general anesthesia, from both anaesthesia and surgical perspectives, different from the literature. Methods: The patients were divided into two groups, each consisting of 34 individuals, whose anaesthesia was maintained with sevoflurane inhalation or propofol infusion. Demographic characteristics of the patients, symptoms at presentation, radiological examinations, anaesthesia and surgical procedures, complications were analyzed. In addition, surgical difficulty and surgical comfort scales created from the experiences of our institution were used. The results obtained and the effects of inhalation and intravenous anaesthetics used in maintenance on the duration of the procedure, clinical, hemodynamic and surgical comfort were compared. Results: Vital signs during the procedure were similar in both groups. was similar. The duration of bronchoscopy was statistically significantly shorter in the intravenous anaesthesia group (p=0.014), and secondarily, the duration of anaesthesia was significantly longer in the inhalation anaesthesia group (p=0.027). While the surgical difficulty scale was similar in both groups, the surgical confort scale was significantly higher in the intravenous anesthesia group (p=0.017). Intraoperative, postoperative complications were similar in both groups. Conclusion: Anaesthesia maintenance with sevoflurane prolongs the duration of bronchoscopy and accordingly the duration of anaesthesia, and also reduces surgical satisfaction independent of processing time. For these reasons, we think that while rigid bronchoscopy is performed for the removal of childhood foreign body aspirations, propofol can be preferred for anaesthesia maintenance, resulting in a shorter procedure time and higher surgical satisfaction.

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Çocuklarda Trakeobronşial Sistemdeki Yabancı Cisimleri Çıkarmada Anestezi Uygulaması

Cited by 3 publications

References 55 publications

Foreign Body Aspiration in Children: Review of 198 Cases from Anesthesiology Perspective

Foreign Body Aspiration in Children: Review of 198 Cases from Anesthesiology Perspective

Anesthesia for rigid bronchoscopy in children: single center experience

Çocuk Yaş Grubu Yabancı Cisim Aspirasyonu Tedavisinde Kullanılan Rijit Bronkoskopi Esnasında Uygulanan İki Anestezi Tekniğine Cerrahi Bir Bakış

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