Application of bronchofiberscopy laryngeal mask coupled with foreign body forceps in the removal of children airway foreign bodies.
- Author:
Gao WANG
1
;
Ming TIAN
;
Jiahai MA
;
Deqian XIN
;
Yan SUN
;
Hua ZHANG
;
Xicheng SONG
2
Author Information
- Publication Type:Journal Article
- MeSH: Anesthesia; Anesthesia, General; Bronchoscopes; Carbon Dioxide; Child; Foreign Bodies; surgery; Humans; Laryngeal Masks; Oxygen; Surgical Instruments
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2014;49(9):768-770
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo discuss the value of bronchofiberscopy laryngeal mask airway coupled with foreign body forceps in the removal of children airway foreign bodies.
METHODSBronchofiberscopy 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.
RESULTSAll 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).
CONCLUSIONBronchofiberscopy 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.