Royal Hospital, Muscat, Sultanate of Oman.
J Cardiothorac Vasc Anesth. 2011 Dec;25(6):1005-8. doi: 10.1053/j.jvca.2011.02.005. Epub 2011 Apr 7.
To identify the determinants of immediate outcome after rigid bronchoscopy for suspected or confirmed foreign body (FB) aspiration. The outcome may be affected by the duration of bronchoscopy, the type of FB, the time between inhalation and removal of the FB, and the type of anesthetic induction. Arterial desaturation, bronco-laryngospasm, and the need for tracheal reintubation as complications were investigated.
A retrospective study.
A single tertiary care center.
One hundred seventy-five children who underwent rigid bronchoscopy.
None.
Age, duration after suspected or witnessed inhalation before bronchoscopy, and the type of FB had no relationship to the occurrence of complications. The prolongation of bronchoscopy beyond 30 minutes was associated with a significant increase in complications as was the use of intravenous rather than inhalation induction of anesthesia.
Reducing the bronchoscopy time may not be an option, but an awareness of the risk of complications may prompt a more intense postanesthesia monitoring strategy.
明确疑似或确诊异物（FB）吸入后行硬质支气管镜检查即刻结果的决定因素。检查结果可能会受到支气管镜检查时间、异物类型、吸入到取出异物的时间间隔、麻醉诱导类型的影响。研究中调查了动脉血氧饱和度下降、喉痉挛、需要重新气管插管等并发症。
回顾性研究。
单中心三级医院。
175 例行硬质支气管镜检查的儿童。
无。
年龄、疑似或目击吸入到行支气管镜检查的时间间隔、异物类型与并发症的发生无明显关系。支气管镜检查时间超过 30 分钟，以及使用静脉而非吸入麻醉诱导与并发症发生率显著增加相关。
虽然缩短支气管镜检查时间可能不是一个选择，但了解并发症的风险可能会促使更加强化麻醉后监测策略。
