Esophageal balloon dilation in children: prospective analysis of hemodynamic changes and complications during general anesthesia

Clinical pharmacology of cisatracurium during nitrous oxide-propofol anesthesia in children

“…The intravenous dosage of cisatracurium in infants and children is no more than 0.2 mg/kg (4 × ED 95 ) [4][5][6][7]. On the basis of previous findings, we determined the maximal dosage of cisatracurium to be 4 times ED 95 .…”

Features and management of esophageal corrosive lesions in children in Sierra Leone: lessons learned from 175 consecutive patients

“…Recently, intramural and well-contained transmural esophageal rupture has been observed radiologically in 30% of balloon dilatation procedures [22]. In addition, balloon inflation may cause either extrinsic mechanical compression of the trachea or obstruction at the endotracheal tube tip [23]. At the beginning of our experience, we observed 2 sudden perforations and deaths during balloon dilatation.…”

Complications during esophageal endoscopy with or without baloon dilation under general anesthesia in pediatric patients: a prospective and observational study

“…Hemodynamic changes as a result of mechanic tension on esoghagus wall could be related with the theory that afferent fibers of heart and esophagus are located on the same spinal and spinothalamic tract neurons. 4 Esophagus balloon dilation may cause cardiovascular and respiratory complications due to the mechanical stress on the surface and airways by the balloon pressure and reflex mechanisms. It has been shown that, esophageal distention changes ventilation pattern and distribution of motor activity to the respiratory muscles as a reflex.…”

“…It has been shown that, esophageal distention changes ventilation pattern and distribution of motor activity to the respiratory muscles as a reflex. 4 Therefore, that reflex can be a problem for dilation procedures under sedation. Jacobsen et al, emphasize that, each four in ten (4/10) patients required medical intervention in order to supply adequate cardiovascular function, four patients developed tachycardia and three had ST deviations as the complications during balloon inflation.…”

“…There are limited data in the literature about the problems and complications regarding anesthetic management of endoscopic procedures especially in patients undergoing esophageal dilation. [2][3][4] Different complications can occur during esophageal dilation as a result of stress on the airway and vasculary structures.…”