Postoperative adverse respiratory events in preschool patients with inhaled foreign bodies: an analysis of 505 cases

Abstract

Preoperative respiratory impairment may develop the patients with FBs into postoperative adverse respiratory events.

An audit of morbidity and mortality associated with foreign body aspiration in children from a tertiary level hospital in Northern India

“…[2] In another Asian study, 5.3% of 469 patients, in whom bronchoscopy was unsuccessful, were transferred to an adjacent chest hospital for thoracotomy. [31] In contrast to these studies, Kiyan et al reported no requirement of thoracotomy or tracheotomy and no mortality in their study. [16] Although children in the late diagnosis group, in our study, had a longer duration of hospital stay, the difference was comparable statistically among the groups.…”

Propofol–remifentanil intravenous anesthesia and spontaneous ventilation for airway foreign body removal in children with preoperative respiratory impairment

“…Some anesthesiologists would prefer control ventilation for this procedure because of its rapid control of the airway and promise of no movement during the FB removal. Disadvantages of controlled ventilation include driving the FB further peripherally (19), barotrauma (6), uncertainty of the anesthesia depth, and worsening ventilation/perfusion (V/Q) ratio, especially in patients with respiratory compromise. Advantages of spontaneous ventilation include better V/Q matching, more effective alveolar ventilation, and no barotrauma.…”

“…However, Zhang et al. (6) reported that the rate of occurrence of a pneumothorax is 2.31% in children with preoperative respiratory impairment.…”

Fremdkörperaspiration im Kindesalter

“…In vielen Kliniken fehlt jedoch die entsprechende Erfahrung im Umgang mit dieser Beatmungsform und es bestehen Sorgen hinsichtlich Dislokation des Fremdkörpers durch den hohen Beatmungsdruck und Sorge vor einem Barotrauma bzw. einem Pneumothorax [18,20].…”