Anesthesia with sevoflurane and remifentanil under spontaneous respiration assisted with high-frequency jet ventilation for tracheobronchial foreign body removal in 586 children
Paediatric Anaesthesia, 05/16/2012
Hu S et al. – Inhaled sevoflurane anesthesia combined with remifentanil infusion, with spontaneous respiration assisted by high–frequency jet ventilation (HFJV) and topical airway anesthesia, is safe and effective for tracheobronchial foreign body removal.Methods
- The authors retrospectively reviewed relevant clinical findings of 586 pediatric patients treated with rigid tracheobronchoscopy under general anesthesia.
- All procedures were performed under inhaled sevoflurane anesthesia combined with remifentanil infusion, with spontaneous respiration assisted by high-frequency jet ventilation (HFJV) and topical airway anesthesia.
- Among 586 patients, the foreign body was successfully removed by rigid tracheobronchoscopy in 558 patients, and no foreign body was found in 28 patients.
- Laryngospasm was observed during the procedure in five patients.
- Hypoxemia was observed in 15 patients (2.6%).
- No severe complications or deaths occurred.
- The mean operation time was 22min and the average hospital stay was 2days.