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

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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