were performed in the operating room under general anesthesia with myorelaxant using ventilating type pediatric bronchoscope (Karl Storz) of appropriate size for child's weight and age.
Rigid bronchoscopies were performed on 34 children, and flexible bronchoscopies on six children.
Thereafter, rigid bronchoscopies were performed as soon as possible.
According to our experience airway complications including bronchospasm, laryngospasm and laryngeal edema during or after anesthesia were observed more commonly in children with a chronic history and organic material (walnut, peanut, wheat, chestnut) aspiration, in foreign bodies which led to trauma in the pulmonary parenchyma (needle, bone, pen tip, toy parts), in prolonged bronchoscopies
(>1 hour), in children who had active lung infection or upper respiratory tract infection during the procedure.
Investigators identified no other source of nonsterile water used during bronchoscopies
, or other pertinent breaches in infection control practices or bronchoscope sterilization or reprocessing.
1): The total numbers of bronchoscopies
performed for foreign body bronchus across the year were eighty (80).
7,8 Theimportant point is a large number of negative bronchoscopies
in published studies which demonstrates that failed bronchoscopy to find the foreign body is much better than imposing the morbidity or even mortality to the patient from missing AFA diagnosis.
were performed using three Olympus BF-P20D (Olympus America, Inc.
Over half of the more than 300,000 bronchoscopies
performed annually in the United States in patients at high risk for lung cancer result in an inconclusive cancer diagnosis.
The three patients who sustained second degree surface burns (with 1%, 4% and 5% total surface area burned) were found to have grades G1, G2, and G1 respectively at the time of their bronchoscopies
The other third, selected at random, will undergo three bronchoscopies
, but without heat treatment of the airways.