Pediatrics: Foreign Body Aspiration

2018 ◽  
pp. 109-114
Author(s):  
Aimee Kakascik
Keyword(s):  
Foreign Body ◽  
Airway Management ◽  
Pediatric Patient ◽  
Vascular Access ◽  
Foreign Body Aspiration ◽  
Main Topic ◽  
Anesthesia Induction ◽  
Preoperative Management ◽  
Inhalational Anesthesia ◽  
Respiratory Status

In this chapter the essential aspects of anesthesia for foreign body aspiration in the pediatric patient are reviewed. Subtopics include airway management in a patient with a foreign body aspiration, interventions to avoid, and drugs indicated for securing the airway in a patient with this condition. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Issues related to preoperative management include assessment of respiratory status, vascular access, and airway management. Intraoperative topics discussed include, inhalational anesthesia, induction, and the patient’s emergence from anesthesia. Postoperative concerns addressed are postoperative stridor and nausea.

Pediatrics: Tracheoesophageal Fistula Repair

2018 ◽  
pp. 115-120
Author(s):  
Peggy Wingard
Keyword(s):  
Airway Management ◽  
Pediatric Patient ◽  
Tracheoesophageal Fistula ◽  
Main Topic ◽  
Fistula Repair ◽  
Inhalation Induction ◽  
Respiratory Status ◽  
Intraoperative Management

In this chapter the essential aspects of tracheoesophageal fistula repair are discussed. Subtopics include the classic signs of symptoms of this disease in the pediatric patient as well as airway management. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. In the preoperative section the various types (A-F) of tracheoesophageal fistula are outlined and assessment of the patient’s respiratory status reviewed. Issues discussed in relation to intraoperative management include monitors used, inhalation induction, intubation, and positioning of the patient. Postoperative concerns discussed include extubation of the patient and complications of tracheoesophageal fistula repair.

scholarly journals Use of Awake Flexible Fiberoptic Bronchoscopic Nasal Intubation in Secure Airway Management for Reconstructive Surgery in a Pediatric Patient with Burn Contracture of the Neck

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Tolga Totoz ◽  
Kerem Erkalp ◽  
Sirin Taskin ◽  
Ummahan Dalkilinc ◽  
Aysin Selcan
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Pediatric Patient ◽  
Reconstructive Surgery ◽  
Management Technique ◽  
Anesthesia Induction ◽  
Nasal Intubation ◽  
Stepwise Approach ◽  
Patient Cooperation ◽  
Trial Phase

Although the use of awake flexible fiberoptic bronchoscopic (FFB) intubation is a well-recognized airway management technique in patients with difficult airway, its use in smaller children with burn contractures or in an uncooperative older child may be challenging. Herein, we report successful management of difficult airway in a 7-year-old boy with burn contracture of the neck, by application of FFB nasal intubation in a stepwise approach, first during an initial preoperative trial phase to increase patient cooperation and then during anesthesia induction for the reconstructive surgery planned for burn scars and contractures. Our findings emphasize the importance of a preplanned algorithm for airway control in secure airway management and feasibility of awake FFB intubation in a pediatric patient with burn contracture of the neck during anesthesia induction for reconstructive surgery. Application of FFB intubation based on a stepwise approach including a trial phase prior to operation day seemed to increase the chance of a successful intubation in our patient in terms of technical expertise and increased patient cooperation and tolerance by enabling familiarity with the procedure.

Emergency bronchoscopy for foreign-body aspiration in a child with type I mucopolysaccharidosis: a challenging airway management experience

2016 ◽  
Vol 30 (4) ◽  
pp. 696-698 ◽  
Author(s):  
Pinar Kendigelen ◽  
Yusuf Tunali ◽  
Ayse Tutuncu ◽  
Gulruh Ashyralyyeva ◽  
Senol Emre ◽  
...  
Keyword(s):  
Foreign Body ◽  
Airway Management ◽  
Foreign Body Aspiration ◽  
Type I ◽  
Management Experience

scholarly journals Successful emergency airway management in a case of removal of foreign body bronchus in a pediatric patient

2014 ◽  
Vol 8 (2) ◽  
pp. 250 ◽  
Author(s):  
Sarbari Swaika ◽  
SumantraSarathi Banerjee ◽  
Jagabandhu Sheet ◽  
Anamitra Mandal ◽  
Bikash Bisui ◽  
...  
Keyword(s):  
Foreign Body ◽  
Airway Management ◽  
Pediatric Patient ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Foreign Body Bronchus

scholarly journals Broncoscopia urgente por aspiración de cuerpo extraño punzante en paciente pediátrico.

1970 ◽  
Vol 11 (5) ◽  
pp. 1
Author(s):  
Aida Fernández García ◽  
Gema Pino Sanz ◽  
Rubén Ferreras Vega ◽  
Manuel Romero Layos
Keyword(s):  
Foreign Body ◽  
Pediatric Patient ◽  
Clinical Case ◽  
Pediatric Population ◽  
Anesthetic Management ◽  
Foreign Body Aspiration ◽  
Sharp Foreign Body ◽  
Cuerpos Extraños

La aspiración de cuerpos extraños en niños es una urgencia frecuente y potencialmente grave. A través de un caso clínico,  se revisa el manejo anestésico de la broncoscopia urgente tras broncoaspiración en paciente pediátrico, el tipo de anestesia más adecuada y modo ventilatorio, así como sus complicaciones. ABSTRACT Emergency bronchoscopy due to sharp foreign body aspiration in pediatric patient. Foreign body aspiration in children is a frequent and potentially serious emergency. Through a clinical case, we review anesthetic management in emergency bronchoscopy after breathing in pediatric population, the most appropriate anaesthesia and acute respiratory as well as its complications.       

FOREIGN BODY ASPIRATION IN THE PEDIATRIC PATIENT

1978 ◽  
Vol 22 (2) ◽  
pp. 111???117
Author(s):  
CHARLES H. LOCKHART ◽  
JAMES I. GILMAN
Keyword(s):  
Foreign Body ◽  
Pediatric Patient ◽  
Foreign Body Aspiration

scholarly journals Our Anesthesia Experiences in the Tracheobronchial Foreign Body Aspirations of Pediatric Patients During Rigid Bronchoscopy

2021 ◽  
Author(s):  
Yiğit Şahin ◽  
Tülay Çardaközü ◽  
Hüseyin Fatih Sezer
Keyword(s):  
Foreign Body ◽  
General Anesthesia ◽  
Similar Rate ◽  
Rigid Bronchoscopy ◽  
Muscle Relaxants ◽  
Foreign Body Aspiration ◽  
Anesthesia Induction ◽  
Inhalation Anesthetics ◽  
Tracheobronchial Foreign Body ◽  
The Right

Objective: Bronchoscopy is the gold standard in the diagnosis and treatment of tracheobronchial foreign body aspiration (TBFBA) in children. Rigid bronchoscopy (RB) under general anesthesia is generally preferred in children. In this article, our anesthesia experiences during rigid bronchoscopy performed for tracheobronchial foreign body aspiration and removal of foreign bodies in children are shared. Methods: The medical records of all patients aged between 0-18 years who underwent RB under general anesthesia due to suspicion of TBFBA between January 1, 2014 and December 31, 2018 were retrospectively analyzed. Results: TBFBA was more common in boys and organic foreign body aspiration was significantly higher in patients between 13-36 months of age. Patients most frequently presented with cough and wheezing. Most of them were operated between 8 am and 4 pm. TFBs were localized in the right and left main bronchi at a similar rate. Anesthesia induction was usually achieved with iv. propofol, total intravenous anesthesia and sevoflurane inhalation was administered for maintenance of anesthesia. Except for proximally located TBFBs, intermediate-or short-acting muscle relaxants were applied to most of the cases depending on the duration of the procedure. Three patients were intubated postoperatively and transferred to intensive care unit. Respiratory distress responded to medical treatment in 25 patients. No cardiac arrest or death occurred during the procedure. Conclusion: RB and anesthesia procedure for TBYCA requires experience. There is no clear recommendation about premedication, the use of muscle relaxants should be evaluated according to the localization of TBYC. In anesthesia management, intravenous or inhalation anesthetics can be used.

Esophageal Foreign Body Aspiration Presenting as Asthma in the Pediatric Patient

2004 ◽  
Vol 97 (1) ◽  
pp. 93-95 ◽  
Author(s):  
Shireen Mohiuddin ◽  
M. Saif-ur-Rehman Siddiqui ◽  
James F. Mayhew
Keyword(s):  
Foreign Body ◽  
Pediatric Patient ◽  
Foreign Body Aspiration ◽  
Esophageal Foreign Body

Pediatrics: Epiglottitis

2018 ◽  
pp. 135-140
Author(s):  
Julio Olaya
Keyword(s):  
Airway Management ◽  
Respiratory Distress ◽  
Pediatric Patient ◽  
Preoperative Evaluation ◽  
Postoperative Management ◽  
Main Topic ◽  
Anesthetic Technique ◽  
Patient Volume ◽  
Chest X Ray ◽  
Selection Of

In this chapter the essential aspects of anesthesia for epiglottitis are reviewed. Subtopics include defining the classic chest X-ray signs in patients with this disease, such as the thumb print sign, airway management, and steps to take to avoid laryngospasm in these patients. The case presented is a pediatric patient with emergent respiratory distress. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Issues addressed for preoperative evaluation include diagnosis in this patient, volume status, and selection of anesthetic technique. Intraoperative topics focus on airway management. Postoperative management addresses primarily extubation.

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