Versichelen L, Herregods L, Donadoni R, Vermeersch H
Acta Anaesthesiol Belg. 1985 Sep;36(3):222-9.
The authors present the anesthetic and ventilation techniques, used in 106 children, who were suspected of foreign body aspiration in the respiratory tract. In 62 children a foreign body was found. The youngest child was 8 months old and the oldest 13 years, with an age distribution peak in the 1 to 2 years age group. A predominance for the male sex (60%) was present. Foreign bodies of organic nature were found most frequently (80%), 39 of them consisting of peanuts. The bronchi were involved more often than the trachea and the foreign body was located more frequently at the right bronchus (38 pt). The children were ventilated initially with an intermittent oxygen jet injection technique, using a home made apparatus, but since 1978 with HFPPV, using the AGA Bronchovent. Induction of anesthesia was done with halothane and maintenance with etomidate infusion (10-20 micrograms/kg/min.) or thiopental increments (2 to 3 mg/kg). The technique so far used, proved to be satisfactory, specially since HFPPV is used. Few complications occurred. One child died during the bronchoscopic procedure and in an other child a tracheostomy had to be performed for extraction of the foreign body.
作者介绍了对106名疑似呼吸道异物吸入儿童所采用的麻醉和通气技术。在62名儿童中发现了异物。最小的儿童为8个月，最大的为13岁，年龄分布高峰在1至2岁年龄组。男性占优势（60%）。最常发现的是有机性质的异物（80%），其中39个是花生。支气管受累比气管更常见，异物更常位于右支气管（38例）。儿童最初使用自制装置通过间歇性氧气喷射注射技术进行通气，但自1978年起使用AGA支气管通气机进行高频喷射正压通气（HFPPV）。麻醉诱导采用氟烷，维持采用依托咪酯输注（10 - 20微克/千克/分钟）或硫喷妥钠增量（2至3毫克/千克）。到目前为止所采用的技术被证明是令人满意的，特别是自从使用HFPPV以来。并发症很少。1名儿童在支气管镜检查过程中死亡，另1名儿童为取出异物不得不进行气管切开术。
