Application of endotracheal intubation in the rescue of children with severe trachea and bronchial foreign body.
- Author:
Zhenfeng GAO
;
Xiaolan CAI
;
Xuanyan ZHOU
- Publication Type:Journal Article
- MeSH:
Bronchi;
physiopathology;
Bronchoscopy;
Child;
Foreign Bodies;
therapy;
Humans;
Intubation, Intratracheal;
Retrospective Studies;
Trachea;
physiopathology
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2015;29(11):988-990
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To discuss the application of endotracheal intubation in the rescue of children with severe trachea and bronchial foreign body. By observing the patient's clinical pathological characteristics, the diagnosis and treatment experience were summarized.
METHOD:A retrospective analysis of 10 children with severe tracheal and bronchial foreign bodies were performed. They were given emergency intubation and cardiopulmonary resuscitation to relieve respiratory and circulatory failure after reaching hospital. After the restoration of spontaneous respiration, oxygen saturation increased by more than 90 percent and vital signs stable, the foreigh body was removed with bronchoscopy. The role of endotracheal intubation before and after the treatment of tracheal and bronchial foreign bodies in children was observed.
RESULT:Ten cases of children were rescued successfully. No one died and the complications such as cerebral palsy, pneumothorax and pneumomediastinum didn't happened.
CONCLUSION:For the children with severe tracheal and bronchial foreign body, endotracheal intubation can establish effective ventilation in a shorter period of time. The earlier endotracheal intubation, the shorter time required and the higher success rate. Endotracheal intubation can increase the survival rate of children with cardiopulmonary resuscitation, and can reduce disability.