Alveolar ventilation in children during flexible bronchoscopy

Sadot, Efraim; Gut, Guy; Sivan, Yakov

doi:10.1002/ppul.23427

Cited by 8 publications

(4 citation statements)

References 31 publications

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“…Similar data were also found in the pediatric population showing alveolar hypoventilation during flexible bronchoscopy particularly in cases requiring large amounts of sedation and in patients susceptible to complications from respiratory acidosis (8).…”

supporting

confidence: 72%

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Is bronchodilator the correct treatment for COPD subjects before EBUS?

Leoni¹,

Pignatti²,

Visca³

et al. 2017

J. Thorac. Dis.

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Endobronchial ultrasound-guided transbronchial fine needle aspiration (EBUS-TBNA) is a relatively novel, minimally invasive methodology to sample peribronchial masses with real-time guidance (1,2), widely used all over the world. The most common indications for EBUS are the staging of the mediastinum for suspected non-small cell lung cancer and the diagnosis of unexplained mediastinal lymphadenopathy. Usually EBUS is well tolerated, with very few major contraindications; guidelines suggest that patients who experienced myocardial infarction should wait 6 weeks before the procedure, which is however contraindicated when myocardial ischemia, arrhythmias, severe hypoxemia at rest, coagulation or platelet function disorders are present (1).EBUS-TBNA is less available and more expensive than rigid bronchoscopy (RB) which remains the best choice for extraction of airway foreign bodies, when a flexible scope is not suited or in case of large biopsies. However, the diagnostic power of RB in terms of lung cancer staging or evaluation of peripheral pulmonary lesions is lower compared to EBUS-TBNA (3) in the general population and speculatively in COPD patients.

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supporting

confidence: 72%

“…Different kind of bronchodilator agents were tested, such as a combination of β2-short acting and anticholinergic drugs, administered either topically and systemically (8)(9)(10)(11). Therefore, the administration of nebulized bronchodilators has been requested before flexible bronchoscopy in asthmatic patients (12).…”

mentioning

confidence: 99%

Is bronchodilator the correct treatment for COPD subjects before EBUS?

Leoni¹,

Pignatti²,

Visca³

et al. 2017

J. Thorac. Dis.

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show abstract

“…Once a bronchoscope is introduced through an ETT, the decreased effective diameter for gas exchange is associated with reductions in airflow and resultant alveolar hypoventilation. [ 100 ] This may be countered through bronchoscopy through a laryngeal mask airway or by the administration of helium along with oxygen, as the lower density of helium allows for decreased resistance to air movement. [ 19 101 ] Although rigid bronchoscopes do offer a means for ventilation through the hollow interior, the turbulent nature of flow through the bronchoscope significantly increases resistance in comparison to an ETT of a similar diameter.…”

Section: Intraoperative Anesthetic Care For Specific Diagnostic and Surgical Proceduresmentioning

confidence: 99%

Anesthesia for thoracic surgery in infants and children

Murray-Torres

Winch

Naguib

et al. 2021

Saudi Journal of Anaesthesia

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The management of infants and children presenting for thoracic surgery poses a variety of challenges for anesthesiologists. A thorough understanding of the implications of developmental changes in cardiopulmonary anatomy and physiology, associated comorbid conditions, and the proposed surgical intervention is essential in order to provide safe and effective clinical care. This narrative review discusses the perioperative anesthetic management of pediatric patients undergoing noncardiac thoracic surgery, beginning with the preoperative assessment. The considerations for the implementation and management of one-lung ventilation (OLV) will be reviewed, and as will the anesthetic implications of different surgical procedures including bronchoscopy, mediastinoscopy, thoracotomy, and thoracoscopy. We will also discuss pediatric-specific disease processes presenting in neonates, infants, and children, with an emphasis on those with unique impact on anesthetic management.

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“…Sadot et al point to a potential risk when performing bronchoscopy in children during spontaneous breathing: when only transcutaneous arterial oxygen saturations are monitored during the procedure, particularly when oxygen is concomitantly administered, alveolar hypoventilation may occur and remain undetected. The authors reported an increase in transcutaneously measured CO 2 (TcCO 2 ), with a median rise of 17 mm Hg during the procedure, and 55% of patients experiencing a rise of more than 15 mm Hg.…”

Section: Diagnostic Testing/endoscopymentioning

confidence: 99%

Pediatric Pulmonologyyear in review 2016: Part 1

et al. 2017

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Our journal covers a broad range of research and scholarly topics related to children's respiratory disorders. For updated perspectives on the rapidly expanding knowledge in our field, we will summarize the past year's publications in our major topic areas, as well as selected publications in these areas from the core clinical journal literature outside our own pages. The current review covers articles on neonatal lung disease, pulmonary physiology, and respiratory infection.Word count: 71 3

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Alveolar ventilation in children during flexible bronchoscopy

Cited by 8 publications

References 31 publications

Is bronchodilator the correct treatment for COPD subjects before EBUS?

Is bronchodilator the correct treatment for COPD subjects before EBUS?

Anesthesia for thoracic surgery in infants and children

Pediatric Pulmonologyyear in review 2016: Part 1

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