Clinical approach to foreign body aspirations in children and legal results

Sezer, Hüseyin Fatih; Çolak, Başar; Topçu, Salih; Avcı, Adil; Abdullayev, Galbinur

doi:10.5578/tt.68442

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tracheobronchial foreign body aspiration (TBFBA) is a life-threatening condition that is frequently observed in childhood. 1,2 In the diagnosis and treatment of children TBFBAs due to the need for sedation and difficulty in cooperation in this process, rigid bronchoscopy (RB) is generally preferred under general anaesthesia instead of Flexible bronchoscopy (FB). [3][4][5] General anaesthesia induction and maintenance is accomplished with intravenous (iv.)…”

Section: Introductionmentioning

confidence: 99%

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

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

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

Self Cite

View full text Add to dashboard Cite

show abstract

“…[ 8 , 9 ] Currently, the removal by surgery is the best treatment modality for foreign bodies in the respiratory tract, but the results can be affected by various factors, including operating conditions, patient's condition before surgery, surgical approaches, and the medication habits of clinicians. [ 10 , 11 ] In addition, the changes of heart rate and oxygen saturation of patients during the operation can also affect the process of operation. [ 12 ] The heart rate ≥160 bpm is usually considered the beginning of the heart failure (HF), which is the manifestation of sympathetic nerve activation and cardiac dysfunction.…”

Section: Introductionmentioning

confidence: 99%

“…Early diagnosis and timely removal of foreign bodies are very crucial for decreasing the incidence of complications and mortality [8,9] . Currently, the removal by surgery is the best treatment modality for foreign bodies in the respiratory tract, but the results can be affected by various factors, including operating conditions, patient's condition before surgery, surgical approaches, and the medication habits of clinicians [10,11] . In addition, the changes of heart rate and oxygen saturation of patients during the operation can also affect the process of operation [12] .…”

Section: Introductionmentioning

confidence: 99%

Predictors for intraoperative heart failure in children undergoing foreign-body removal

et al. 2021

View full text Add to dashboard Cite

This study aimed to determine the predictors for intraoperative heart failure (HF) in children undergoing foreign-body removal. The clinical data of all children with tracheobronchial foreign-body aspiration admitted to the First, Second, and Fourth Affiliated Hospitals of Harbin Medical University between January 1996 and September 2018 were analyzed. The variables with significant difference in univariate analysis were involved into the multivariate Logistic model to determine the predictors for intraoperative tachycardia. In total, 300 tracheobronchial foreign-body aspiration children were eligible for the study, among whom 60 cases (20%) suffered from HF during the operation. Between the children HF and those without HF, the differences were pronounced in history of allergy, history of asthma, congenital heart disease, preoperative respiratory infection, retention time of foreign bodies, duration of operation, and poor anesthesia effect ( P < .05). Multivariate analysis results showed that history of allergy (odds ratio [OR]: 1.395, 95% confidence interval [95% CI]: 1.202–1.620, P < .001), congenital heart disease [OR: 3.071, 95% CI: 1.141–8.264, P < .001], preoperative respiratory infection [OR: 2.345, 95% CI: 1.027–5.355, P = .043], retention time of foreign bodies [OR: 1.013, 95% CI: 1.010–1.016, P < .001], duration of operation [OR: 1.030, 95% CI: 1.027–1.033, P < .001], and poor anesthesia effect [OR: 1.125, 95% CI: 1.117–1.134, P < .001] were identified as the influencing factors for intraoperative HF. In conclusions, for children undergoing foreign-body removal, history of allergy, congenital heart disease, preoperative respiratory infection, retention time of foreign bodies, duration of operation, and poor anesthesia effect are associated with an increased risk of intraoperative HF.

show abstract

Clinical approach to foreign body aspirations in children and legal results

Cited by 2 publications

References 0 publications

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

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

Predictors for intraoperative heart failure in children undergoing foreign-body removal

Contact Info

Product

Resources

About