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

Abstract

Propofol-remifentanil TIVA and spontaneous ventilation are effective and safe techniques to manage anesthesia during airway FB removal in children with preoperative respiratory impairment.

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

“…[13,25,26] There is no consensus on the use of spontaneous or controlled ventilation during anaesthesia for bronchoscopies. In our study, the bronchoscopies were performed under general anaesthesia with inhalational induction and controlled ventilation in all children.…”

Dexmedetomidine vs remifentanil intravenous anaesthesia and spontaneous ventilation for airway foreign body removal in children

“…as a bolus of 4 mg kg 21 followed by infusion of 1-2 mg kg 21 h 21 ; the bolus was given over 10 min to prevent haemodynamic depression. In Group RP, remifentanil was started at 0.05 mg kg 21 min 21 and was adjusted in 0.05 mg kg 21 min 21 increments to titrate a 50% reduction in the baseline respiratory rate. Lidocaine (1%; 2 mg kg 21 ) was sprayed on the oropharynx, supraglottic, and glottic structures, and into the trachea via a direct laryngoscope.…”

A retrospective study of anesthesia during rigid bronchoscopy for airway foreign body removal in children: propofol and sevoflurane with spontaneous ventilation

“…A literature review in 2010 showed that the mortality rate among children with aspirated foreign bodies was 0.4%. In China, tracheobronchial foreign body aspiration in children is mostly due to dietary and feeding customs . In recent years, the incidence has declined due to health education, but still remains high among children in rural areas.…”