Application of bronchofiberscopy laryngeal mask coupled with foreign body forceps in the removal of children airway foreign bodies
10.3760/cma.j.issn.1673-0860.2014.09.014
- VernacularTitle:纤维支气管镜检查型喉罩及配套异物钳在小儿气道异物取出术中的应用
- Author:
Gao WANG
1
;
Ming TIAN
;
Jiahai MA
;
Deqian XIN
;
Yan SUN
;
Hua ZHANG
;
Xicheng SONG
Author Information
1. 264000,烟台毓璜顶医院麻醉科
- Keywords:
Trachea;
Foreign bodies;
Bronchoscopy;
Laryngeal masks;
Child
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2014;49(9):768-770
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the value of bronchofiberscopy laryngeal mask airway coupled with foreign body forceps in the removal of children airway foreign bodies.Methods Bronchofiberscopy laryngeal mask airway and its mating foreign body forceps were designed.Ninety-two children with airway foreign bodies were hospitalized from Jan.2011 to Oct.2013 underwent removal surgeries through bronchofiberscopy via laryngeal mask airway coupled with the mating foreign body forceps under fast induction general anesthesia.The fluctuation of the patients' blood pressure (BP),heart rate (HR),saturation of pulse oxygen (SpO2) and pressure of end-tidal carbon dioxide (PetCO2) were recorded.SPSS 13.0 software was used to analyze the data.Results All the operations were successful,and the haemodynamics indexes of the patients were stable with good ventilation.No side effect and complications were found.Compared with the basic value before anesthesia,there was no statistically significant difference in pulse blood pressure PetCO2 between immediately after laryngeal mask,laryngeal mask after 3 minutes,bronchoscope into the glottis instantly,immediately after laryngeal mask.SpO2 increased after laryngeal mask(F =3.04,P ＜ 0.05).Conclusion Bronchofiberscopy laryngeal mask airway coupled with foreign body forceps applied in the removal surgery of children airway foreign body is safe,effective and with less complication.
