Outcomes after rigid bronchoscopy in children with suspected or confirmed foreign body aspiration

A retrospective study

Madan Mohan Maddali, Mathew Mathew, Juhi Chandwani, Mohammed Jaffer Alsajwani, Shyam Sundar Ganguly

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: To identify the determinants of immediate outcome after rigid bronchoscopy for suspected or confirmed foreign body (FB) aspiration. The outcome may be affected by the duration of bronchoscopy, the type of FB, the time between inhalation and removal of the FB, and the type of anesthetic induction. Arterial desaturation, bronco-laryngospasm, and the need for tracheal reintubation as complications were investigated. Design: A retrospective study. Setting: A single tertiary care center. Participants: One hundred seventy-five children who underwent rigid bronchoscopy. Interventions: None. Measurements and Main Results: Age, duration after suspected or witnessed inhalation before bronchoscopy, and the type of FB had no relationship to the occurrence of complications. The prolongation of bronchoscopy beyond 30 minutes was associated with a significant increase in complications as was the use of intravenous rather than inhalation induction of anesthesia. Conclusions: Reducing the bronchoscopy time may not be an option, but an awareness of the risk of complications may prompt a more intense postanesthesia monitoring strategy.

Original languageEnglish
Pages (from-to)1005-1008
Number of pages4
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume25
Issue number6
DOIs
Publication statusPublished - Dec 2011

Fingerprint

Bronchoscopy
Foreign Bodies
Retrospective Studies
Inhalation
Laryngismus
Inhalation Anesthesia
Somatotypes
Tertiary Care Centers
Anesthetics

Keywords

  • bronchoscopy/adverse effects
  • foreign bodies/complications
  • foreign bodies/therapy
  • inhalation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

Cite this

Outcomes after rigid bronchoscopy in children with suspected or confirmed foreign body aspiration : A retrospective study. / Maddali, Madan Mohan; Mathew, Mathew; Chandwani, Juhi; Alsajwani, Mohammed Jaffer; Ganguly, Shyam Sundar.

In: Journal of Cardiothoracic and Vascular Anesthesia, Vol. 25, No. 6, 12.2011, p. 1005-1008.

Research output: Contribution to journalArticle

Maddali, Madan Mohan ; Mathew, Mathew ; Chandwani, Juhi ; Alsajwani, Mohammed Jaffer ; Ganguly, Shyam Sundar. / Outcomes after rigid bronchoscopy in children with suspected or confirmed foreign body aspiration : A retrospective study. In: Journal of Cardiothoracic and Vascular Anesthesia. 2011 ; Vol. 25, No. 6. pp. 1005-1008.
@article{70e886d0a73843a496e9679fe59c7780,
title = "Outcomes after rigid bronchoscopy in children with suspected or confirmed foreign body aspiration: A retrospective study",
abstract = "Objective: To identify the determinants of immediate outcome after rigid bronchoscopy for suspected or confirmed foreign body (FB) aspiration. The outcome may be affected by the duration of bronchoscopy, the type of FB, the time between inhalation and removal of the FB, and the type of anesthetic induction. Arterial desaturation, bronco-laryngospasm, and the need for tracheal reintubation as complications were investigated. Design: A retrospective study. Setting: A single tertiary care center. Participants: One hundred seventy-five children who underwent rigid bronchoscopy. Interventions: None. Measurements and Main Results: Age, duration after suspected or witnessed inhalation before bronchoscopy, and the type of FB had no relationship to the occurrence of complications. The prolongation of bronchoscopy beyond 30 minutes was associated with a significant increase in complications as was the use of intravenous rather than inhalation induction of anesthesia. Conclusions: Reducing the bronchoscopy time may not be an option, but an awareness of the risk of complications may prompt a more intense postanesthesia monitoring strategy.",
keywords = "bronchoscopy/adverse effects, foreign bodies/complications, foreign bodies/therapy, inhalation",
author = "Maddali, {Madan Mohan} and Mathew Mathew and Juhi Chandwani and Alsajwani, {Mohammed Jaffer} and Ganguly, {Shyam Sundar}",
year = "2011",
month = "12",
doi = "10.1053/j.jvca.2011.02.005",
language = "English",
volume = "25",
pages = "1005--1008",
journal = "Journal of Cardiothoracic and Vascular Anesthesia",
issn = "1053-0770",
publisher = "W.B. Saunders Ltd",
number = "6",

}

TY - JOUR

T1 - Outcomes after rigid bronchoscopy in children with suspected or confirmed foreign body aspiration

T2 - A retrospective study

AU - Maddali, Madan Mohan

AU - Mathew, Mathew

AU - Chandwani, Juhi

AU - Alsajwani, Mohammed Jaffer

AU - Ganguly, Shyam Sundar

PY - 2011/12

Y1 - 2011/12

N2 - Objective: To identify the determinants of immediate outcome after rigid bronchoscopy for suspected or confirmed foreign body (FB) aspiration. The outcome may be affected by the duration of bronchoscopy, the type of FB, the time between inhalation and removal of the FB, and the type of anesthetic induction. Arterial desaturation, bronco-laryngospasm, and the need for tracheal reintubation as complications were investigated. Design: A retrospective study. Setting: A single tertiary care center. Participants: One hundred seventy-five children who underwent rigid bronchoscopy. Interventions: None. Measurements and Main Results: Age, duration after suspected or witnessed inhalation before bronchoscopy, and the type of FB had no relationship to the occurrence of complications. The prolongation of bronchoscopy beyond 30 minutes was associated with a significant increase in complications as was the use of intravenous rather than inhalation induction of anesthesia. Conclusions: Reducing the bronchoscopy time may not be an option, but an awareness of the risk of complications may prompt a more intense postanesthesia monitoring strategy.

AB - Objective: To identify the determinants of immediate outcome after rigid bronchoscopy for suspected or confirmed foreign body (FB) aspiration. The outcome may be affected by the duration of bronchoscopy, the type of FB, the time between inhalation and removal of the FB, and the type of anesthetic induction. Arterial desaturation, bronco-laryngospasm, and the need for tracheal reintubation as complications were investigated. Design: A retrospective study. Setting: A single tertiary care center. Participants: One hundred seventy-five children who underwent rigid bronchoscopy. Interventions: None. Measurements and Main Results: Age, duration after suspected or witnessed inhalation before bronchoscopy, and the type of FB had no relationship to the occurrence of complications. The prolongation of bronchoscopy beyond 30 minutes was associated with a significant increase in complications as was the use of intravenous rather than inhalation induction of anesthesia. Conclusions: Reducing the bronchoscopy time may not be an option, but an awareness of the risk of complications may prompt a more intense postanesthesia monitoring strategy.

KW - bronchoscopy/adverse effects

KW - foreign bodies/complications

KW - foreign bodies/therapy

KW - inhalation

UR - http://www.scopus.com/inward/record.url?scp=82255192014&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=82255192014&partnerID=8YFLogxK

U2 - 10.1053/j.jvca.2011.02.005

DO - 10.1053/j.jvca.2011.02.005

M3 - Article

VL - 25

SP - 1005

EP - 1008

JO - Journal of Cardiothoracic and Vascular Anesthesia

JF - Journal of Cardiothoracic and Vascular Anesthesia

SN - 1053-0770

IS - 6

ER -