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pediatric bronchial intubation

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https://www.readbyqxmd.com/read/27763701/alternative-methods-of-lung-isolation-in-cases-of-pediatric-bilateral-thoracoscopic-surgery
#1
Mark Wigginton, Laura Lehrian
We compare airway management and lung isolation methods in two pediatric cases of congenital central hypoventilation syndrome undergoing bilateral throacoscopic phrenic-nerve-stimulator surgery. One child received lung isolation using a 7Fr bronchial blocker in conjunction with a 6.0 cuffed endotracheal tube; and the second received a technique of endobronchial intubation using a 3.5 microcuffed tube via the tracheostomy stoma in conjunction with 5.0 cuffed endotracheal intubation; a technique previously undescribed in pediatric patients...
December 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27579200/a-case-of-the-tof-with-apv-complicated-with-polyhydramnios-and-severe-bronchomalacia
#2
Ali Seven, Emine Esin Yalinbas, Rahmi Ozdemir
Absent pulmonary valve syndrome (APVS) is a rare congenital heart disease with severe pulmonary insufficiency, characterized with aneurysmal dilation in the pulmonary artery and one or both of its branches. We presented a rare case with APVS and literature review in this letter. Prenatal USG examination of the fetus at the 26th week of gestation revealed severe polyhydramnios, dilatation at right ventricle, and abnormal appearance of the heart. At the 31st gestational week, the baby was born with cesarean section...
2016: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27555184/reversal-of-profound-neuromuscular-blockade-with-sugammadex-in-an-infant-after-bronchial-foreign-body-removal
#3
Mustafa Azizoglu, Handan Birbicer, Suleyman Memis, Hakan Taşkınlar
Sugammadex is a selective chemical agent that can reverse neuromuscular blockade induced by vecuronium and rocuronium. The aim of this report is to discuss the effectiveness of sugammadex in the reversal of neuromuscular blockade in children younger than 2 years. A 16-month-old boy, weighing 10 kg, was admitted to the pediatric emergency department due to choking, cyanosis, and severe respiratory distress that occurred while he was eating peanuts. In the emergency department, the patient's condition deteriorated, and he went into respiratory arrest...
September 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27257464/persistent-bronchography-in-a-newborn-with-esophageal-atresia
#4
Giuseppe De Bernardo, Desiree Sordino, Maurizio Giordano, Nicoletta Doglioni, Daniele Trevisanuto
Esophageal atresia (EA) with tracheoesophageal fistula occurs in about 1:2,500 births. We report a case of persistent bronchography in a newborn with EA and distal tracheoesophageal fistula. A large amount of barium sulfate was injected for mistake by a tube directly in the right bronchus to evaluate the patency of the esophagus. The infant showed signs of respiratory distress; he was intubated and transported at children's Hospital Santobono Pausilipon. Here, it was performed a chest X-ray that confirmed the opacification of the right bronchial tree, and it was suspected an EA type 3b...
June 2016: Radiology case reports
https://www.readbyqxmd.com/read/27061440/cricoid-and-left-bronchial-diameter-in-the-pediatric-population
#5
Tariq M Wani, Mahmood Rafiq, Rayan Terkawi, Melissa Moore-Clingenpeel, Mazen AlSohaibani, Joseph D Tobias
BACKGROUND: Lung isolation in the pediatric population can be problematic. The diameter and length of the right and left mainstem bronchi are not well described in young children. Information regarding these measurements may help determine the appropriate size of endotracheal tubes for endobronchial intubation as well as the development of lung isolation devices for the pediatric population. The present study is based on computed tomography (CT) measurements to evaluate airway dimensions...
June 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/26203702/ventilator-associated-pneumonia-in-pediatric-traumatic-brain-injury
#6
Mitchell Hamele, Chris Stockmann, Meghan Cirulis, Jay Riva-Cambrin, Ryan Metzger, Tellen D Bennett, Susan L Bratton
Ventilator-associated pneumonia (VAP) is a common occurrence among intubated pediatric traumatic brain injury (TBI) patients. However, little is known about the epidemiology, risk factors, and microbiology of VAP in pediatric TBI. We reviewed a cohort of 119 pediatric moderate-to-severe TBI patients and identified 42 with VAP by positive protected bronchial brush specimens. Location of intubation, severity of injury, and antibiotic administration within 2 days after injury were not associated with VAP. Most treatments for elevated intracranial pressure were associated with increased risk of VAP; however, in a multi-variable analysis barbiturate coma (hazard ratio [HR], 3...
May 1, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/24988827/approach-to-one-lung-ventilation-during-the-surgical-resection-of-an-intrathoracic-ganglioneuroblastoma-in-a-three-year-old-child-a-case-report-and-review-of-the-literature
#7
REVIEW
Y Peeters, M Van de Velde, A P Neyrinck, K Vermeylen
One lung ventilation (OLV) in children is a challenge and requires creative solutions. A case of OLV with bronchial placement of a fiberscope inspection-guided vascular embolectomy catheter in a three-year-old girl, scheduled for the resection of an intrathoracic tumor through thoracotomy is described. The availability of a broad range of vascular catheters as well as of fiberscope inspection material was decisive in managing the airway intra-operatively. Over the last 20 years, the need for OLV in children has increased, and various methods for performing it have been reported...
2014: Acta Anaesthesiologica Belgica
https://www.readbyqxmd.com/read/24184166/-hypoxic-accident-during-pediatric-anesthesia-due-to-an-inappropriate-setting-of-respirator
#8
T Garnaud, K Samii
A 3-year-old child was anesthetized for ENT examination and surgery. After induction and tracheal intubation, the patient was ventilated (controlled mode). The respirator screen showed information compatible with a failure of intubation: no expired CO2, no expired flow, no alarm of high pressure limit, and no respiratory chest movement. A fall of SpO2 appeared rapidly which recovered after extubation and manual ventilation through a face mask and reintubation. The expiratory CO2 was present when the patient was ventilated manually and disappeared under controlled ventilation...
December 2013: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/24021918/airway-ventilation-pressures-during-bronchoscopy-bronchial-blocker-and-double-lumen-endotracheal-tube-use-an-in-vitro-study
#9
Alexander S Kuo, James H Philip, Thomas Edrich
OBJECTIVE: To quantify inspiratory flow resistance of instrumented single-lumen and double-lumen endotracheal tubes. DESIGN: Bench-top in vitro experiments. SETTING: Laboratory of a university hospital. PARTICIPANTS: In vitro lung simulator. INTERVENTIONS: A lung simulator was ventilated mechanically via several single- and double-lumen endotracheal tubes (ETT) that were instrumented with adult and pediatric bronchoscopes as well as bronchial blockers...
August 2014: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/23897322/percutaneous-closure-of-atrial-septal-defects-in-spontaneously-breathing-children-under-deep-sedation-a-feasible-and-safe-concept
#10
Andreas Hanslik, Axel Moysich, K Thorsten Laser, Elisabeth Mlczoch, Deniz Kececioglu, Nikolaus A Haas
Interventional cardiac catheterization in children and adolescents is traditionally performed with the patient under general anesthesia and endotracheal intubation. However, percutaneous closure of atrial septum defect (ASD) without general anaesthesia is currently being attempted in a growing number of children. The study objective was to evaluate the success and complication rate of percutaneous ASD closure in spontaneously breathing children under deep sedation. Retrospective single centre cohort study of consecutive children undergoing percutaneous ASD closure at a tertiary care pediatric cardiology centre...
February 2014: Pediatric Cardiology
https://www.readbyqxmd.com/read/23102886/pneumomediastinum-and-subcutaneous-emphysema-from-bronchial-foreign-body-aspiration
#11
Melissa Hu, Rebecca Green, Anil Gungor
Pneumomediastinum and subcutaneous emphysema are rare presentations of an airway foreign body. Only a handful of other cases have been reported in the English literature. We present a case of a 2 year old female who presented with wheezing and a dry cough. Following a breathing treatment with a non-rebreather mask, she developed right sided facial subcutaneous emphysema. The following day, after an episode of crying, the subcutaneous emphysema rapidly progressed to involve the anterior chest wall, shoulders, neck and face...
January 2013: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/23050752/severe-intraoperative-bronchospasm-treated-with-a-vibrating-mesh-nebulizer
#12
Leonard R Golden, Helen Ann DeSimone, Farhad Yeroshalmi, Mindaugas Pranevicius, Mana Saraghi
Bronchospasm and status asthmaticus are two of the most dreaded complications that a pediatric anesthesiologist may face. With the occurrence of severe bronchospasm and the inability to ventilate, children are particularly vulnerable to apnea and ensuing hypoxia because of their smaller airway size, smaller lung functional residual capacity, and higher oxygen consumption rates than adults. Nebulized medication delivery in intubated children is also more difficult because of smaller endotracheal tube internal diameters...
2012: Anesthesia Progress
https://www.readbyqxmd.com/read/22928677/bronchial-intubation-could-be-detected-by-the-visual-stethoscope-techniques-in-pediatric-patients
#13
Tetsuro Kimura, Akira Suzuki, Soichiro Mimuro, Hiroshi Makino, Shigehito Sato
BACKGROUND: We created a system that allows the visualization of breath sounds (visual stethoscope). AIM: We compared the visual stethoscope technique with auscultation for the detection of bronchial intubation in pediatric patients. METHODS: In the auscultation group, an anesthesiologist advanced the tracheal tube, while another anesthesiologist auscultated bilateral breath sounds to detect the change and/or disappearance of unilateral breath sounds...
December 2012: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/22913578/unrecognized-bronchial-intubation-associated-with-the-uncuffed-pediatric-tracheal-tube-with-bilateral-murphy-eyes
#14
Kazuna Sugiyama, Yozo Manabe, Atsushi Kohjitani
BACKGROUND: Unreliability of breath sounds auscultation after intubation is reportedly mainly related to the presence of the Murphy eye. This study was performed to ascertain whether an uncuffed pediatric tracheal tube with bilateral Murphy eyes increases the risk of unrecognized bronchial intubation, compared to an uncuffed tube without eyes. METHODS: Following induction of anesthesia in 50 toddlers, either an uncuffed tube without eyes or an uncuffed tube with bilateral eyes was inserted into the trachea...
December 2012: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/22588986/pediatric-fiberoptic-bronchoscopy-as-adjunctive-therapy-in-acute-asthma-with-respiratory-failure
#15
J Carlos Maggi, Eliezer Nussbaum, Christopher Babbitt, Flavio E Maggi, Inderpal Randhawa
BACKGROUND: Status asthmaticus respiratory failure is associated with thickened mucus secretions necessitating aggressive pulmonary clearance. The role of bronchoscopy in pediatric mechanically ventilated asthmatic patients has not been published. METHODS: A chart review was performed on all pediatric intensive care unit (PICU) asthmatics with respiratory failure over 13 years. Forty-four patients were identified. Patients were managed per standardized guidelines for status asthmaticus with mechanical ventilation...
December 2012: Pediatric Pulmonology
https://www.readbyqxmd.com/read/22417969/isoflurane-for-life-threatening-bronchospasm-a-15-year-single-center-experience
#16
David A Turner, David Heitz, Mehrengise K Cooper, P Brian Smith, John H Arnold, Scot T Bateman
BACKGROUND: Children with severe bronchospasm requiring mechanical ventilation may become refractory to conventional therapy. In these critically ill patients, isoflurane is an inhaled anesthetic agent available in some centers to treat bronchospasm. We hypothesized that isoflurane is safe and would lead to improved gas exchange in children with life-threatening bronchospasm refractory to conventional therapy. METHODS: A retrospective review was conducted and included mechanically ventilated children treated with isoflurane in a quaternary pediatric ICU for life-threatening bronchospasm, from 1993 to 2007...
November 2012: Respiratory Care
https://www.readbyqxmd.com/read/22097660/-management-of-pediatric-iatrogenic-tracheobronchial-lesions-in-pediatric-patients
#17
REVIEW
D A Aspiazu, I Tuduri, J Morcillo, V Jiménez, J A Matute, J C De Agustín
AIM: To present our experience in the management of three cases of tracheobronchial iatrogenic injuries and the literature revision about this pathology. MATERIAL AND METHODS: We present 3 patients treated in our center with tracehobronchial iatrogenic injuries since 2005. RESULTS: Case 1. 8 year old boy who present cervical, mediastinal and facial emphysema after foreign body extraction. After 9 days of conservative management without endotracheal intubation all emphysema remited, and the bronchial injury healed...
April 2011: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/22096291/foreign-body-removal-with-repair-of-iatrogenic-tracheo-bronchial-tear-repair-an-anesthetic-challenge
#18
Vikram Uday Lahori, Shipra Aggarwal, Pemala Simick, Sudhindra Dharmavaram
Foreign body aspiration into the airway is common in the pediatric age group and its anesthetic management is a challenge. Iatrogenic tracheo-bronchial injury further worsens the situation. Flexible pediatric fiberscope is the gold standard for securing the airway in cases of airway injury. We present a case of a 7-year-old girl who presented to the hospital with signs and symptoms of foreign body aspiration and suspected tracheo-bronchial tree injury. The impacted foreign body was removed by rigid bronchoscopy and the presence of a tracheo-bronchial tear was confirmed...
October 2011: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/21518103/prospective-evaluation-of-the-self-pressurized-air-q-intubating-laryngeal-airway-in-children
#19
Narasimhan Jagannathan, Lisa E Sohn, Ravinder Mankoo, Kenneth E Langen, Andrew G Roth, Steven C Hall
OBJECTIVES: To assess the clinical efficacy of the self-pressurized air-Q ILA™ (ILA-SP). AIM:   The purpose of this prospective audit was to evaluate the feasibility of the ILA-SP in clinical practice and generate data for future comparison trials. BACKGROUND: The ILA-SP is a new first-generation supraglottic airway for children with a self-adjusting cuff and lack of a pilot balloon. METHODS: Over a 4-month period, 352 children with an ASA physical status of I-III, newborn to 18 years of age, undergoing various procedures were studied...
June 2011: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/21436000/-adverse-events-of-anesthesia-in-pediatric-surgery-scheduled-at-gabriel-toure-hospital
#20
B Samaké, M Keita, I M C Magalie, G Diallo, A Diallo
UNLABELLED: The occurrence of an event planned or unplanned during anesthesia is a concern for staff. This event may jeopardize the success of surgery gesture. Pediatric Surgery therefore has its own specific complications that it requires anesthesia. PURPOSE: To evaluate the incidence of adverse events during anesthesia in pediatric surgery scheduled. STUDY TYPE: Descriptive non-randomized study. PATIENTS AND METHODS: Descriptive non-randomized study on adverse events related to anesthesia in children over a period of seven months...
2010: Le Mali Médical
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