Department of Anesthesiology, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.
Department of Anesthesiology, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fujian Branch of Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Fujian Children's Hospital, Fuzhou, China.
BMC Anesthesiol. 2022 Jul 13;22(1):219. doi: 10.1186/s12871-022-01756-9.
Reintubation is a severe complication during foreign body (FB) removal that uses flexible bronchoscopy.
To investigate the incidence and risk factors for reintubations in children undergoing FB extraction by flexible bronchoscopy in a single center.
A retrospective cross-sectional study.
All children with foreign body aspiration at Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University from January 2015 to December 2020.
Children with FB removal using a flexible bronchoscopy were enrolled in the trial according to the inclusion criteria.
Both multivariable and logistic regression analyses were used to analyze the association between characteristic data and reintubations. The results were presented as odds ratios (ORs) with 95% confidence intervals (CIs).
In total, 244 patients met with the inclusion criteria and were included in the analysis. Among those participants, 28 children (11.5%) underwent reintubations after FB removal by flexible bronchoscopy. Independent factors associated with reintubations were identified as operative time ≥ 60 min [OR: 3.68, 95% CI (1.64-8.82)] and ASA ≥ III [OR: 5.7, 95% CI (1.23-26.4)].
Children undergoing FB removal by a flexible bronchoscopy may encounter with a high incidence of postoperative reintubations. Both long operative duration and a severe physical status cause a growing risk of reintubations.
在使用软性支气管镜进行异物（FB）取出的过程中，再次插管是一种严重的并发症。
研究单中心软性支气管镜下儿童异物取出术再插管的发生率和危险因素。
回顾性横断面研究。
所有 2015 年 1 月至 2020 年 12 月在福建医科大学附属福建妇幼保健院因异物吸入而行软性支气管镜检查的儿童。
根据纳入标准，所有使用软性支气管镜取出 FB 的儿童均纳入试验。
采用多变量和逻辑回归分析来分析特征数据与再插管之间的关系。结果以比值比（ORs）和 95%置信区间（CIs）表示。
共有 244 名患者符合纳入标准并纳入分析。在这些参与者中，28 名儿童（11.5%）在软性支气管镜检查取出 FB 后需要再次插管。与再插管相关的独立因素包括手术时间≥60 分钟[OR：3.68，95%CI（1.64-8.82）]和 ASA≥III[OR：5.7，95%CI（1.23-26.4）]。
接受软性支气管镜检查的儿童在 FB 取出术后可能会发生较高的再插管发生率。手术时间长和身体状况严重都会增加再插管的风险。
