Management of anesthesia and complications in children with Tracheobronchial Foreign Body Aspiration

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dc.authoridkaraaslan, erol/0000-0002-8534-3680
dc.authoridYILDIZ, Turan/0000-0001-5317-7537
dc.authorwosidkaraaslan, erol/ABI-2700-2020
dc.authorwosidYILDIZ, Turan/ABI-1293-2020
dc.contributor.authorKaraaslan, Erol
dc.contributor.authorYildiz, Turan
dc.date.accessioned2024-08-04T20:46:49Z
dc.date.available2024-08-04T20:46:49Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjectives: Delayed diagnosis and treatment of tracheobronchial foreign body aspiration (FBA) in children may lead to morbidity and mortality. Our objective was to evaluate the anesthetic management, periand post-operative complications, and predisposing factors for postoperative intensive care unit (ICU) admission in children undergoing rigid bronchoscopy due to tracheobronchial FBA. Methods: This retrospective study included 81 children who underwent rigid bronchoscopy between January 2010 to July 2018 at Inonu University, Department of Pediatric Surgery, Turkey. Data regarding demographic characteristics, anesthetic management, length of ICU and hospital stays, and peri- and postoperative complications were retrieved from the hospital database. Results: The patients included 54 (66.7%) boys and 27 (33.3%) girls with a mean age of 29.6 +/- 31.2 months. The most common presenting symptom was the suspicion of FBA, followed by acute-onset cough, cyanosis, wheezing and respiratory distress. Mean duration of anesthesia was 44.40 +/- 14.72 min. Of the 81 patients, 18 (22.2%) were transferred to ICU and 63 (77.8%) patients were transferred to the ward postoperatively. Of the patients transferred to the ICU, 5 of them required mechanical ventilation. Some peri and postoperative complications, desaturation (n=16; 19.7%; p=0.001), mucosal bleeding (n=6; 7.4%; p=0.02), laryngeal edema (n=11; 13.6%; p<0.001), laryngospasm (n=13; 16.3%; p<0.001), were affected the frequency of intensive care transfer. Conclusion: Bronchoscopy with general anesthesia remains the golden standard for the management of tracheobronchial FBA. In such patients, a combination consisting of a detailed preoperative clinical evaluation of the patient, selection of short-acting anesthetic agents with minimal side effects for the induction and maintenance of anesthesia, and the administration of controlled ventilation can be recommended. Additionally, early diagnosis of peri- and post-operative complications, prediction of postoperative ICU requirement, and a close cooperation of anesthesiologists and surgeons are highly important.en_US
dc.identifier.doi10.12669/pjms.35.6.1225
dc.identifier.endpage1597en_US
dc.identifier.issn1682-024X
dc.identifier.issn1681-715X
dc.identifier.issue6en_US
dc.identifier.pmid31777499en_US
dc.identifier.scopus2-s2.0-85073540174en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1592en_US
dc.identifier.urihttps://doi.org/10.12669/pjms.35.6.1225
dc.identifier.urihttps://hdl.handle.net/11616/98981
dc.identifier.volume35en_US
dc.identifier.wosWOS:000489058400022en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherProfessional Medical Publicationsen_US
dc.relation.ispartofPakistan Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnesthetic managementen_US
dc.subjectBronchoscopyen_US
dc.subjectComplicationsen_US
dc.subjectIntensive careen_US
dc.subjectTracheobronchial foreign bodyen_US
dc.titleManagement of anesthesia and complications in children with Tracheobronchial Foreign Body Aspirationen_US
dc.typeArticleen_US

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