Nazia Akhtar, Muhammad Athar, Arif Tarar.
Outcome of General Anesthesia for Rigid Bronchoscopy for Removal of Aspirated Tracheobronchial Foreign Body in Children.
Pak Paed J Jan ;38(2):102-7.

Objective: To study the immediate postoperative recovery outcome of General Anesthesia for removal of aspirated foreign body in children. Patients and Methods: This prospective study was conducted at the Children’s Hospital Lahore, from 2010 - 2012. During the study, 88 patients were studied by applying standard guidelines of general anesthesia for rigid bronchoscopy, Recovery room monitoring and post-operative problems were studied for 45 - 90 minutes. Results: In our study, 88 children for the removal of tracheobronchial foreign body under general anesthesia were included. Most patients were below 3 years of age with mean of 2.3 years. Clinical, radiological features, types and location of foreign body were studied. History of chocking was in 58 children (65-90%). 59 children (67.04%) presented within 24 hours of foreign body aspiration. 18 children (20.45%) presented between 1–7 days. Organic foreign body was removed in 70 children (79.54%). In recovery room arterial desaturation periods were noted as SpO2 ≤ 92% in children with delayed presentation, with pre-op wheeze and on oxygen inhalation, and bronchosopy time ≥ 20 minutes. Periods of desaturation was treated. Patients were shifted safely to wards and high dependency unit (HDU) and managed accordingly. Conclusion: General anesthesia is required for removal of tracheobronchial foreign body in children. By applying standard guidelines, enhanced communication, effective co-operation, teamwork and skills resulted in good outcome even in demanding cases.

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