Journals / Annals of Medical Research / 2019 / Cilt: 26 - Sayı: 8

Use of laryngeal mask airway in flexible bronchoscopy in children

Pages
1498–1502
Publication Date
2022-10-12
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Hoarseness was observed at mild level in 4 patients (12.9%) at the 0th hour.Conclusion: Providing airway with LMA in pediatric flexible bronchoscopy applications offers a safe anesthetic management, and ithas a low rate of complications.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Flexible bronchoscope is widely used by pediatric pulmonologists as a diagnostic and therapeutic tool.
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Key Findings & Data:The objective of thisstudy was to present our anesthesia experience in pediatric flexible bronchoscopy in which airway management was provided withlaryngeal mask airway (LMA) and the complications developed.Material and Methods: This study was conducted in children aged between 2-15 years who underwent bronchoscopy for diagnosisand/or treatment between January 2017 and November 2018.
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Conclusion & Impact:Hoarseness was observed at mild level in 4 patients (12.9%) at the 0th hour.Conclusion: Providing airway with LMA in pediatric flexible bronchoscopy applications offers a safe anesthetic management, and ithas a low rate of complications.
🔬Design:Research Article
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: Flexible bronchoscope is widely used by pediatric pulmonologists as a diagnostic and therapeutic tool. The objective of thisstudy was to present our anesthesia experience in pediatric flexible bronchoscopy in which airway management was provided withlaryngeal mask airway (LMA) and the complications developed.Material and Methods: This study was conducted in children aged between 2-15 years who underwent bronchoscopy for diagnosisand/or treatment between January 2017 and November 2018. Patients’ demographic data, diagnosis, anesthesia and airwaymanagement were recorded from the patient files. Times of anesthesia, operation and recovery were recorded. Complicationsduring the procedure, awakening and recovery were recorded. Patients’ sore throat and hoarseness during resting and swallowingwere recorded.Results: This study included 31 patients whose airway management was provided with LMA. The mean age was 8.58±4.14years. Persistent cough was the most common indication for bronchoscopy (35.5%). Anesthesia time was 15.46±10.99 minutes,bronchoscopy time 12.87±10.57, awakening time 16.38±4.53 minutes, and recovery time 23.32±10.24 minutes. The most commoncomplication was cough (45.2%). Sore throats of the patients were observed as mild and moderate at the 0th and 2th hours. Bothresting and swallowing sore throats were observed as mild at the 4th hour, while no sore throat was seen in any patient at the 12thhour. Hoarseness was observed at mild level in 4 patients (12.9%) at the 0th hour.Conclusion: Providing airway with LMA in pediatric flexible bronchoscopy applications offers a safe anesthetic management, and ithas a low rate of complications.

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Cite This Article

ARICAN, Ş., HACIBEYOĞLU, G., TAVLAN, A., PEKCAN, S., UZUN, S. T., ATAY, T., ERDEM, F. K. (2022). Use of laryngeal mask airway in flexible bronchoscopy in children. Annals of Medical Research, Cilt: 26 - Sayı: 8, 1498–1502. https://ajindex.com/articles/446701

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References (18)

  1. Nicolai T. Pediatric bronchoscopy. Pediatric Pulmonol 2001
  2. 64 2. Goudra BG, Singh PM, Borle A, et al. Anesthesia for Advanced Bronchoscopic Procedures: State-of-the-Art Review. Lung 2015
  3. Chadha M, Kulshrestha M, Biyani A. Anaesthesia for bronchoscopy. Indian J Anaesth 2015
  4. Abdelmalak B, Khanna A, Tetzlaff J. Fospropofol, a new sedative anesthetic, and its utility in the perioperative period. Curr Pharm Des 2012
  5. Dhooria S, Sehgal IS, Aggarwal AN, et al. Diagnostic yield and safety of cryoprobe transbronchial lung biopsy in diffuse parenchymal lung diseases: systematic review and meta-analysis. Respir Care 2016
  6. Garnock-Jones KP, Scott LJ. Fospropofol. Drugs 2010
  7. Wood RE, Parakash UBS. Pediatric flexible bronchoscopy. In: Parakash UBS, editor. Bronchoscopy. New York: Raven Press
  8. p 345-56. 8. Masters IB, Cooper P. Position paper. Pediatric flexible bronchoscopy. J Pediatr Child Health 2002
  9. KabirAL, Majumder JU, Mridha AA, et al. Pediatric flexible fiberoptic bronchoscopy. Bangladesh J Child Heal 2010
  10. Nussbaum E. Pediatric fiberoptic bronchoscopy: clinical experience with 2,836 bronchoscopies. Pediatr Crit Care Med 2002
  11. Nicolai T. The role of rigid and flexible bronchoscopy in children.Paediatr Respir Rev 2011
  12. Manna SS, Durward A, Moganasundram S, et al. Retrospective evaluation of a paediatric intensivistled flexible bronchoscopy service. Intensive Care Med 2006
  13. Rai MR, Parry TM, Dombrovskis A, et al. Remifentanil targetcontrolled infusion vs propofol target-controlled infusion for conscious sedation for awake fibreoptic intubation: a doble-blinded randomized controlled trial. Br J Anaesth 2008
  14. Aldrete JA. The post-anesthesia recovery score revisited. J Clin Anesth1995
  15. 91 15. Maggie L, Naguib MD, Daniel S, et al. Use of laryngeal mask airway in flexible bronchoscopy in ınfants and children Pediatric Pulmonol 2005
  16. 63 16. Schramm D, Yu Y, Wiemers A, et al. Pediatric flexible and rigid bronchoscopy in European centers-Availability and current practice. Pediatr Pulmonol 2017
  17. Balfour-Lynn IM, Spencer H. Bronchoscopy-how and when? Series: flexible bronchoscopy in children—the Brompton experience. Pediatr Respir Rev 2002
  18. Terkawi RS, Altirkawi KA, Terkawi AS, et al. Flexible bronchoscopy in children: Utility and complications. Int J Pediatr Adolesc Med