A retrospective study of anaesthetic management of foreign bodies in airway- a two & half years experience
A retrospective analysis of medical records of 76 children of suspected foreign bodies (FB) in airway posted for rigid bronchoscopy under general anaesthesia was done. Patients were 9 months to 11 years old. Seventy eight percent patients were between the age of 9 months to 4 years & 22% patient...
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Wolters Kluwer Medknow Publications
2007-01-01
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doaj-3f387817147a4e52910e5af5d7ec5e682020-11-24T22:47:32ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492007-01-01516501504A retrospective study of anaesthetic management of foreign bodies in airway- a two & half years experienceJyoti V KulkarniH P BhagatA retrospective analysis of medical records of 76 children of suspected foreign bodies (FB) in airway posted for rigid bronchoscopy under general anaesthesia was done. Patients were 9 months to 11 years old. Seventy eight percent patients were between the age of 9 months to 4 years & 22% patients were above the age of four years. Seventy one percent patients were male and 29% patients were female. In 16% (n=12) patients no FB was found while in 82.7% (n=63) patients vegetative FB like peanut, custard apple, gram and turdal, tamarind seed, garlic, chilli, coconut piece and non-vegetative foreign body i.e. ear-ring was found in 1 case. In 17 % patients foreign body was located in subglottic region, in 59 % patients FB was in right main bronchus and in 24% patients it was in left main bronchus. In 33 % patients bronchoscopy was done within 72 hours of appearance of symptoms while in 51% patients bronchoscopy was done after 72 hours to one week of appearance of symptoms. In 16% patients bronchoscopy was done after one week. Twenty percent patients required tracheostomy and 3% patients required bronchodilators, nebuliza-tion and ventilatory support in immediate post operative period. All patients were managed under general anaesthesia using ketamine, suxamethonium, oxygen and halothane. All patients were ventilated through side arm of ventilating bronchoscope.All patients were discharged from hospital & no death was reported.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=6;spage=501;epage=504;aulast=KulkarniF.B. (Foreign body)General anaesthesiaBronchoscopy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jyoti V Kulkarni H P Bhagat |
spellingShingle |
Jyoti V Kulkarni H P Bhagat A retrospective study of anaesthetic management of foreign bodies in airway- a two & half years experience Indian Journal of Anaesthesia F.B. (Foreign body) General anaesthesia Bronchoscopy |
author_facet |
Jyoti V Kulkarni H P Bhagat |
author_sort |
Jyoti V Kulkarni |
title |
A retrospective study of anaesthetic management of foreign bodies in airway- a two & half years experience |
title_short |
A retrospective study of anaesthetic management of foreign bodies in airway- a two & half years experience |
title_full |
A retrospective study of anaesthetic management of foreign bodies in airway- a two & half years experience |
title_fullStr |
A retrospective study of anaesthetic management of foreign bodies in airway- a two & half years experience |
title_full_unstemmed |
A retrospective study of anaesthetic management of foreign bodies in airway- a two & half years experience |
title_sort |
retrospective study of anaesthetic management of foreign bodies in airway- a two & half years experience |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Anaesthesia |
issn |
0019-5049 |
publishDate |
2007-01-01 |
description |
A retrospective analysis of medical records of 76 children of suspected foreign bodies (FB) in airway posted for rigid bronchoscopy under general anaesthesia was done. Patients were 9 months to 11 years old. Seventy eight percent patients were between the age of 9 months to 4 years & 22% patients were above the age of four years. Seventy one percent patients were male and 29% patients were female. In 16% (n=12) patients no FB was found while in 82.7% (n=63) patients vegetative FB like peanut, custard apple, gram and turdal, tamarind seed, garlic, chilli, coconut piece and non-vegetative foreign body i.e. ear-ring was found in 1 case.
In 17 % patients foreign body was located in subglottic region, in 59 % patients FB was in right main bronchus and in 24% patients it was in left main bronchus. In 33 % patients bronchoscopy was done within 72 hours of appearance of symptoms while in 51% patients bronchoscopy was done after 72 hours to one week of appearance of symptoms. In 16% patients bronchoscopy was done after one week. Twenty percent patients required tracheostomy and 3% patients required bronchodilators, nebuliza-tion and ventilatory support in immediate post operative period. All patients were managed under general anaesthesia using ketamine, suxamethonium, oxygen and halothane. All patients were ventilated through side arm of ventilating bronchoscope.All patients were discharged from hospital & no death was reported. |
topic |
F.B. (Foreign body) General anaesthesia Bronchoscopy |
url |
http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=6;spage=501;epage=504;aulast=Kulkarni |
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