Aspirasi Jarum Pentul yang Tertanam 10 Hari di Bronkus Kanan Seorang Remaja

Pradjoko, Isnu; Syafa’ah, Irmi; Subianto, Aries

doi:10.20473/jr.v3-i.2.2017.47-51

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Rigid bronchoscopy with magnifying telescope produces superior visualization and adequate ventilation, which is recommended in managing FBA, including those with complications such as hemoptysis, surrounded by granulation tissues, or sharp FBs requiring certain manoeuvres [11,15]. The success rate of rigid bronchoscopy reached 90.4% in the first attempt in Egypt [11,17]. Ganie et al reported 52/55 patients with successful extraction, whilst 3/55 patients underwent thoracotomy [18].…”

Section: Discussionmentioning

confidence: 99%

“…Flexible bronchoscopy is relatively more accessible and safer under an experienced operator. The mortality rate declined from 12% to 1% with flexible bronchoscopy compared with rigid bronchoscopy [15,17]. A systematic review showed a successful extraction rate of 61-100% with flexible bronchoscopy compared with 3-40% with rigid bronchoscopy [3,19].…”

Section: Discussionmentioning

confidence: 99%

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Indonesian adolescent with delayed management of airway foreign body (straight pins) aspiration

Hardianingwati

Perdana

2022

ijhs

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Indonesian adolescent with delayed management of airway foreign body (straight pins) aspiration

Hardianingwati

Perdana

2022

ijhs

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Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya

Sabrina

Maulydia²,

Perdana³

et al. 2022

IJAR

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Introduction: Airway foreign body (AFBs) is the most common emergency for ENT-HN (Ear, Nose, Throat-Head Neck) that requires immediate treatment. The gold standard management for AFBs is a bronchoscopy performed under general anesthesia (GA). Objective: This study aims to determine the profile of AFBs patients who underwent bronchoscopies with GA at Dr. Soetomo General Hospital Surabaya from January 2018 – December 2019. Methods and Materials: This is a descriptive, retrospective study that uses data from medical records. Microsoft Excel was used to analyze the data. 22 patients met the inclusion criteria. Results: The most common ages were 11 to 20-year-olds (73%), 55% were female, and 45% were male. The patients were from outside (73%) and inside (27%) Surabaya. As much as 67% of the sampled patients had coughs and 23% were symptomless. The foreign bodies found were pins (67%), clipboard nails (14%), and nuts (9%). These AFBs were located in the left main bronchus (45%), trachea (32%), and right main bronchus (18%), and in 5% of these cases, the AFBs could not be located. The duration between the event and the bronchoscopy was mostly less than 1 day (54%), 2 days (32%), and 3 days (14%). Most cases (90%) were without AFBs complications, but some had obstruction (5%), and hemoptysis (5%). Most patients also had an uncomplicated bronchoscopy (81%), however, some suffered lesions (14%) and bleeding (5%). A majority of the patients were also ASA I (68%), and the remainder were classified as ASA II (18%), and III (14%). The premedication drugs administered were fentanyl (41%), and a combination of fentanyl and midazolam (41%). Meanwhile, the most frequently maintained anesthetic agent was Isoflurane+O2 (27%). Most patients also did not have any comorbid factors (85%), but some had anemia (5%), obstruction (5%), as well as obesity followed by sputum retention and hypernatremia (5%). Conclusion: Most AFB patients who underwent bronchoscopy under GA were 11-20 years old, female, and had a cough as a clinical symptom. Most AFBs were pins at the left main bronchus. The duration between the incident and the bronchoscopy was less than 1 day. There were also mostly no complications of AFBs and bronchoscopies. The most common physical status in patients was ASA I, with fentanyl only or fentanyl and midazolam as a premedication drug. The most common agent used to maintain the anesthesia was a combination of isoflurane and O2. Most patients also had no comorbid factors for GA.

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Aspirasi Jarum Pentul yang Tertanam 10 Hari di Bronkus Kanan Seorang Remaja

Cited by 2 publications

References 10 publications

Indonesian adolescent with delayed management of airway foreign body (straight pins) aspiration

Indonesian adolescent with delayed management of airway foreign body (straight pins) aspiration

Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya

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