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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Main Authors: Jyoti V Kulkarni, H P Bhagat
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access: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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spelling 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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