Bronchoscopy and anesthesia for preschool-aged patients: a review of 228 cases.

Abstract:

:Pediatric bronchoscopy is a complicated, high-risk procedure. From May 2000 to May 2002, we performed bronchoscopy in 228 preschool-aged children (newborn to 6 years old) under general anesthesia with a Storz-Hopkins rigid pediatric bronchoscope. The final diagnosis and complications during anesthesia were recorded. The most common findings from bronchoscopic examination were subglottic stenosis (or granuloma) (67, 29.4%), laryngomalacia (64, 28.1%), tracheal stenosis (or malacia) (29, 12.7%), pneumonia (23, 10.1%), and atelectasis (16, 7.0%). The main complications during anesthesia were arrhythmias, oxygen desaturation, and CO2 retention (high end-tidal CO2). The most serious complication was pneumothorax in one patient. Either endotracheal intubation or tracheostomy was required in 61% of the patients in this series to secure a patent airway after bronchoscopy. Bronchoscopy is necessary as a diagnostic and therapeutic tool for certain airway diseases or anomalies in pediatric patients. It requires cooperation between the endoscopist and anesthesiologist to insure the patient's safety.

journal_name

Int Surg

journal_title

International surgery

authors

Wu KH,Man TT,Wong KL,Lin CF,Chen CC,Cheng CR

keywords:

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

252-5

issue

4

eissn

0020-8868

issn

2520-2456

journal_volume

87

pub_type

杂志文章
  • Diagnostic approach and management of active lower gastrointestinal hemorrhage.

    abstract::We evaluated 67 patients with acute bleeding of the lower gastrointestinal tract, for diagnostic accuracy of colonoscopy, and scintigraphy. Fifty-nine patients were stable after initial resuscitation and underwent colonoscopy. The source of hemorrhage was identified in 30 patients (50.8%). Tc-labeled red blood cells s...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Kouraklis G,Misiakos E,Karatzas G,Gogas J,Skalkeas G

    更新日期:1995-04-01 00:00:00

  • Mesenteric arterial steal syndrome secondary to bilateral lumbar sympathectomy.

    abstract::A case of acute mesenteric ischemia and massive intestinal infarction secondary to bilateral lumbar sympathectomy and without any other apparent precipitating factors is presented. Its characteristics and findings significantly agree with those described as part of the mesenteric arterial steal syndrome. Although this...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Cordoba A,Gordillo O

    更新日期:1979-05-01 00:00:00

  • Prognosis of patients with gastric cancer who underwent proximal gastrectomy.

    abstract::Proximal gastrectomy (PG) has been introduced for patients who are preoperatively diagnosed with early gastric cancer located in the upper third of the stomach. In the present study, we compared the prognosis of patients who underwent PG with that of patients who underwent total gastrectomy (TG). Between 1997 and 2006...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/CC150.1

    authors: Ikeguchi M,Kader A,Takaya S,Fukumoto Y,Osaki T,Saito H,Tatebe S,Wakatsuki T

    更新日期:2012-07-01 00:00:00

  • Surgical outcome of carotid artery disease: analysis of 367 carotid endarterectomies.

    abstract::Carotid endarterectomy is a method of prophylaxis. A total of 367 carotid endarterectomies in 335 patients were performed during the period of 1989-1997: 222 (66.3%) were symptomatic and 113 (33.7%) asymptomatic patients. In all, 262 (78.2%) had unilateral, 41 (12.2%) contralateral occlusion and 32 (9.6%) bilateral ar...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Dimakakos PB,Antoniou A,Mourikis D,Katsaros G

    更新日期:1998-10-01 00:00:00

  • Fracture of the penis: surgical management.

    abstract::Fracture of the penis is a rare injury, only 135 patients having been reported by 1985. Our recent experience with six patients who underwent emergency surgery, has been documented. The results of treatment were excellent with complete recovery of function. The study recommends operative management as the treatment of...

    journal_title:International surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Taha SA,Sharayah A,Kamal BA,Salem AA,Khwaja S

    更新日期:1988-01-01 00:00:00

  • Ovarian cancer in Oriental women from Singapore: disease pattern and survival.

    abstract::A retrospective analysis of 88 ovarian tumours diagnosed over five years (1980-1984) in multi-racial Singaporean Oriental women revealed 70 (79%) epithelial tumours (ET), 17 (8%) sex cordstromal (SCS), six (7%) germ cell (GCT) and five (6%) secondary (metastatic) (SEC) cancers. The racial proportions and histological ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Singh P,Arunachalam I,Singh P,Tan BY,Tock EP,Ratnam SS

    更新日期:1990-04-01 00:00:00

  • Pattern of intestinal obstruction in Khartoum.

    abstract::We operated on 138 patients for intestinal obstruction. The different causes are discussed and their pattern of occurrence is compared with that reported from England and other African countries. The 27.6% mortality rate was closely associated with the 28.2% incidence of gangrene. Factors which may lower this high mor...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Hassan El Masri S,Khalil T

    更新日期:1976-04-01 00:00:00

  • Mesenteric panniculitis causing ischemic bowel: a case report.

    abstract::This is the first publication of a rare benign tumor; mesenteric panniculitis causing acute on chronic ischemic bowel injury. ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Hobson ML,Johari AS,Woon W,Haghighi KS

    更新日期:2008-07-01 00:00:00

  • Uninhibited sigmoid colon syndrome (sigmoid hyperreflexia): description of a new clinicopathological entity.

    abstract:PURPOSE:To present 10 patients who complained of passage of frequent loose stools which was found to be due to sigmoid colon hyperreflexia, a condition that, to our knowledge, has not been described before. PATIENTS AND METHODS:Ten patients (6 women, 4 men, mean age 46.6 years) complaining of frequent loose stools of ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Shafik A

    更新日期:2000-04-01 00:00:00

  • Case of breast cancer with endocrine differentiation.

    abstract::An 89-year-old woman presented with a chief complaint of induration in the left breast persisting for 1 month. Core needle biopsy of the lesion showed invasive breast cancer. Therefore, we diagnosed the lesion as left breast cancer and performed a modified mastectomy. On the immunohistochemical study, the tumor was po...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Tanaka N,Katayama K,Negishi T,Kano H,Uchida N,Kuwano H

    更新日期:2007-07-01 00:00:00

  • Surgical treatment of proximal bile duct tumors.

    abstract::A new classification of proximal bile duct tumors mainly based on endo- and exobiliary neoplastic invasion, indicating radical or palliative surgery is proposed. Fifty-eight patients underwent radical (12) or palliative (46) surgery. The 5-year survival rate of patients treated radically is 40% compared to 0% in patie...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Gazzaniga GM,Faggioni A,Filauro M

    更新日期:1985-01-01 00:00:00

  • Cardiac tamponade as the first manifestation of bronchogenic carcinoma.

    abstract::A case of cardiac tamponade as the first manifestation of bronchogenic adenocarcinoma is presented. Diagnosis of metastatic pericarditis with effusion was made by echocardiography and cytology of the pericarditis fluid. Because of rapid recurrence of the effusion, a pericardial window was created. This operation was w...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Van Schil P,Peeters P,Seghers K

    更新日期:1985-01-01 00:00:00

  • Carcinoma of the oesophagus. Anastomotic leaks after manual sutures--incidence and treatment.

    abstract::Progress in the development of suture materials results in a lower rate of fistulas. Modern techniques for the diagnosis of leakage (contrast study, CT-scan) allow for an early diagnosis and adequate therapy: if possible conservative therapy with drainage of the abscess, adapted antibiotic therapy and parenteral and e...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Baulieux J,Adham M,de la Roche E,Meziat-Burdin A,Poupart M,Ducerf C

    更新日期:1998-10-01 00:00:00

  • Hypertonic balanced sodium solution in burn shock.

    abstract::This study was designed to ascertain the most effective sodium solution for resuscitation after potentially fatal thermal injury. Solutions containing from 75 to 300 mEq/L of sodium were administered in various doses to mice subjected to a standarized scald. Their effectiveness was evaluated by comparison of the 24-ho...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Fox CL Jr

    更新日期:1975-06-01 00:00:00

  • Adult intussusception of appendicular mucinous cystoadenoma.

    abstract::Intussusception is a rare cause of adult intestinal obstruction. Clinical manifestations are not specific, which makes a preoperative diagnosis difficult to establish and often causes delay. We report a case of acute intestinal obstruction due to ileocolic intussusception. An emergency laparoscopy was performed reveal...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/INTSURG-D-12-00005.1

    authors: Feliu F,Rueda JC,Escuder J,Gris F,Jiménez A,Vicente V

    更新日期:2013-10-01 00:00:00

  • The De Vega annuloplasty as surgical treatment for tricuspid incompetence.

    abstract::Seventy-six patients with tricuspid insufficiency associated with other valvular lesions underwent De Vega annuloplasty. There were mitral lesions in 74 patients, aortic valve lesions in eight and atrial septal defects (ASD) in four. The radiographic and electrocardiographic findings and hemodynamic data are reported ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Stolf NA,Moreira LF,Costa R,Grimberg M,Bittencourt D,Verginelli G,Pillegi F,Zerbini EJ

    更新日期:1983-07-01 00:00:00

  • Late silent complications after treatment of uterine cancer.

    abstract::Forty-one symptom-free women treated by operative and irradiation therapy for gynecological cancer 24-108 months previously were examined by small bowel barium meal, large bowel barium enema, intravenous urography and renography in order to determine whether there were any silent complications present after the therap...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Suramo I,Kauppila A,Lanning P

    更新日期:1981-07-01 00:00:00

  • Protection of trocar sites from gallbladder cancer implantation in a murine model by physically covering the sites.

    abstract::Laparoscopic surgery for malignant diseases is associated with a risk for port site recurrence (PSR), and this problem remains to be resolved. This study was performed to evaluate the role that Seprafilm and Interseed (TC7) play in the prevention of PSR, using a nude mouse model of PSR. Nude mice with 2-mm port sites ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Sasaki T,Shimura H,Tanaka T,Nakashima K,Matsuo K,Ikeda S

    更新日期:2004-10-01 00:00:00

  • Tracheobronchial tumor resection.

    abstract::Primary tracheobronchial nonbronchogenic carcinoma tumors are uncommon. The presence of these tumors may cause asthmatic-like symptoms and marked respiratory distress. When seen, the patients are usually very apprehensive and present difficult decisions regarding treatment and surgery, especially with regard to anesth...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Dieter RA Jr,Kuzycz GB,Dieter RA 3rd,Neville WE

    更新日期:2002-04-01 00:00:00

  • Follow-up study in 402 patients after parietal cell vagotomy for duodenal ulcer.

    abstract::In a recent six-year-period, a total of 402 patients underwent parietal cell vagotomy (PCV) for duodenal ulcer. An overall clinical assessment by Visik grading placed 328 (82%) in grade I, 56 (14%) in grade II, 12 (3%) in grade III and 4 (1%) with recurrent ulcer in grade IV. Results of the gastric secretory tests sho...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Romeo G,Giovinetto A,Sanfilippo G,Calì R,Catania G,Basile F

    更新日期:1981-10-01 00:00:00

  • Solid tumors of the liver. Diagnostic and therapeutic problems.

    abstract::The diagnostic and therapeutic problems involved in 29 cases of isolated hepatic tumors have been presented. In nine cases the hepatoma was discovered during emergency treatment for complications. Selective arteriography was the most accurate method of establishing the etiologic diagnosis. Suprahepatic phlebography in...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Visset J,Le Neel J,Leborgne J,Pannier M,Mitard D,Mousseau M

    更新日期:1976-08-01 00:00:00

  • Symptomatic non-parasitic congenital cysts of the liver.

    abstract::Seven cases of symptomatic non-parasitic congenital cysts of the liver are reported. Preoperative correct diagnosis can be established with non-invasive examinations, essentially with echotomography. Laparoscopy can represent a decisive investigation, permitting the direct view of the cysts. Surgical treatment of non-...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Sianesi M,Farinon AM,Sacco M

    更新日期:1982-10-01 00:00:00

  • A case report of idiopathic systemic capillary leak syndrome that occurred during the postoperative period of abdominoperineal resection for colorectal cancer.

    abstract::A 57-year-old woman without any past medical history underwent abdominoperineal resection for rectal cancer in our department. On postoperative day 15, the patient complained of sudden abdominal pain, and high fever was noted in addition to the appearance of erythema around the stoma. The diagnosis of phlegmon was mad...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/INTSURG-D-13-00206.1

    authors: Ozawa T,Yamaguchi H,Kiyomatsu T,Saito S,Ishihara S,Sunami E,Kitayama J,Watanabe T

    更新日期:2015-01-01 00:00:00

  • Postoperative pseudomembranous colitis associated with ampicillin therapy.

    abstract::A case of pseudomembranous colitis in a 66-year-old subject is presented. The disease appeared on the fourth postoperative day following prostatectomy. On the first postoperative day ampicillin was administered intramuscularly (4 g/day). On the seventh postoperative day, toxic megacolon complicated the disease and a d...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Theodoropoulos G,Archimandritis A,Golematis B,Papacharalampous N,Melissinos K

    更新日期:1980-05-01 00:00:00

  • Selective approach to repair of ureteropelvic junction obstruction: results of 126 pyeloplasties assessed on clinical and radiological bases.

    abstract::Record-files of 126 pyeloplasties of different types performed on 119 patients (7 bilaterally), between 1966 and 1989, have been reviewed in an attempt to illustrate the selective approach to hydronephrosis due to ureteropelvic junction obstruction. Clinical success was achieved in all cases. A new grading system for ...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Marya SK,Gupta AK

    更新日期:1992-07-01 00:00:00

  • The integration of diagnostic tests and the role of outpatient surgery in the management of breast disease.

    abstract::The aim of the earliest possible diagnosis of breast carcinoma achieved through the integration of clinical, mammographic, sonographic and cytologic data has determined an increased detection of breast lesions and a greater accuracy in their description. Nevertheless, the nature of some of these lesions cannot be well...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Ranieri E,D'Andrea MR,D'Alessio A,Bergomi S,Virno F

    更新日期:1995-04-01 00:00:00

  • Diagnosis and management of heterotopic pancreas.

    abstract::Fifteen patients with 16 histologically verified heterotopic pancreas lesions were encountered at our department during a period of 22 years. The incidence was 0.25% of the findings of all abdominal operations during the same period. Heterotopic pancreas caused symptoms in 5 patients. All the remaining 10 patients wer...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Tanaka K,Tsunoda T,Eto T,Yamada M,Tajima Y,Shimogama H,Yamaguchi T,Matsuo S,Izawa K

    更新日期:1993-01-01 00:00:00

  • Scar endometriosis in a patient with bladder exstrophy.

    abstract::Endometriosis is an ectopic occurrence of tissue morphologically and functionally resembling endometrial tissue in regions outside the uterine cavity. Although scar endometriosis after surgery has been shown to be most common among all the extrapelvic forms of endometriosis, endometriosis after bladder exstrophy surge...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:10.9738/INTSURG-D-12-00011.1

    authors: Kitajima T,Inoue M,Uchida K,Otake K,Kusunoki M

    更新日期:2013-04-01 00:00:00

  • Results of surgical treatment of esophageal achalasia. Multicenter retrospective study of 1,856 cases. GEEMO (Groupe Européen Etude Maladies Oesophagéennes) Multicentric Retrospective Study.

    abstract::A retrospective analysis of 1,856 patients treated by esophageal achalasia in 23 different surgical departments from seven countries is reported. The predominant symptom was dysphagia (100%), pain, vomiting and weight loss (76.1%). The most useful diagnostic methods were: barium meal (85%), manometry (100%), endoscopy...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Moreno González E,Garcia Alvarez A,Landa Garcia I,Gómez Gutierrez M,Rico Selas P,Garcia Garcia I,Jover Navalón JM,Arias Diaz J

    更新日期:1988-04-01 00:00:00

  • Eyelid reconstruction with irradiated human tarsal plate and aorta.

    abstract::Reconstruction of posterior lamellar eyelid defects requires a tissue substitute that is either identical to the tissue lost (ex. surrounding or nearby tarsus) or donor tissue from another site that serves the same supportive role. Irradiated homologous tarsal plate and irradiated homologous aorta are potential poster...

    journal_title:International surgery

    pub_type: 杂志文章

    doi:

    authors: Jordan DR,Anderson RL

    更新日期:1997-10-01 00:00:00