Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25673454
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25673454
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Chin+Med+J+(Engl)
2015 ; 128
(4
): 504-9
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
A time series observation of Chinese children undergoing rigid bronchoscopy for
an inhaled foreign body: 3,149 cases in 1991-2010
#MMPMID25673454
Zhang X
; Li WX
; Cai YR
Chin Med J (Engl)
2015[Feb]; 128
(4
): 504-9
PMID25673454
show ga
BACKGROUND: In China, tracheobronchial foreign body (TFB) aspiration, a major
cause of emergency episode and accident death in children, remains a challenge
for anesthetic management. Here, we share our experience and discuss the
anesthetic consideration and management of patients with TFB aspiration. METHODS:
This was a single-institution retrospective study in children with an inhaled
foreign body between 1991 and 2010 that focused on the complications following
rigid bronchoscopy (RB). Data including the clinical characteristics of patients
and TFB, anesthetic method, and postoperative severe complications were analyzed
by different periods. RESULTS: During the 20-year study period, the charts of
3149 patients who underwent RB for suspected inhaled TFB were reviewed. There
were 2079 male and 1070 female patients (1.94:1). A nut (84%) was the most
commonly inhaled object. The study revealed a 9% (n = 284) overall rate of severe
postoperative complications related to severe hypoxemia, laryngeal edema,
complete laryngospasm, pneumothorax, total segmental atelectasis, and death with
incidences of 3.2%, 0.9%, 1.3%, 0.3%, 0.3%, and 0.1%, respectively. The rates of
preoperative airway impairment, negative findings of TFB, and adverse
postoperative events have been on the rise in the past 5 years. CONCLUSIONS: The
survey results confirmed that hypoxemia remains the most common postoperative
complication in different periods. Both controlled ventilation and spontaneous
ventilation were effective during the RB extraction of the foreign body at our
hospital in the modern technique period. An active respiratory symptom was
commonly seen in the groups with negative findings.