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Removal of Bronchial Foreign Body under General Anesthesia with Endotracheal Intubation in Children

LEI Wen-bin1,WEN Wei-ping1,CHAI Li-ping1,ZHU Xiao-lin1,WANG Zhang-feng1,FENG Xia2, JIANG Ai-yun1,SU Zhen-zhong1(1.Otorhinolaryngology Hospital//Otorhinolaryngology Institute,2.Department of Anesthesiology,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China)  
【Objective】 This study was attempted to assess the safety and facilitation of bronchial foreign body removal under general anesthesia with endotracheal intubation(GA with ET),and summarized to improve bronchial foreign body treatment level in children.【Methods】 Retrospective analysis of 45 cases suspicious bronchial foreign body patients of our hospital was carried out.All the patients underwent bronchoscope or suspension laryngoscopy and Hopkins telescopy to remove the bronchial foreign body,under GA with ET.Operative parameters and intraoperative vital signs were closely monitored.【Results】 Fifteen cases underwent bronchoscope,30 cases underwent suspension laryngoscopy and Hopkins telescopy.All the cases were temporarily extubated.Bronchial foreign body was successfully removed in 43 cases,and not found in the other 2 cases.The mean operation time of all the cases,bronchoscope group and Hopkins telescopy group were(8.5 ± 6.0) min,(12.9 ± 6.4) min,and(5.8 ± 3.8) min,respectively.SpO2 was below 85% in 15 cases.Vital signs including PETCO2 and heart rate(HR) were stable in all the cases.There were no complications in the series.【Conclusions】 Bronchial foreign body removal via bronchoscope or suspension laryngoscopy and Hopkins telescopy under GA with ET should be promoted,since it is safe and easy for both anesthesiologists and otorhinolaryngologists to operate,with a remarkable curative effect.
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