The anaesthetic consideration of tracheobronchial foreign body aspiration in children.

Abstract:

:Cases of tracheobronchial foreign body aspiration are frequently encountered emergency cases of childhood; and, delays in its recognition and treatment do result in serious morbidity and mortality. Diagnosis mainly relies on taking history which should indicate what the foreign body is, when it has been aspirated and where it is located. Belated consultation can cause misdiagnosis with the mixing of the symptoms and data with those of other pathologies common to childhood and further delays in the correct diagnosis. Bronchoscopy is required for the differential diagnosis of suspected tracheobronchial foreign body aspiration in order to eliminate other common pediatric respiratory concerns. Given the shared use of the airways by the surgeon and the anaesthesiologist, bronchoscopy is a challenging procedure requiring experienced teams with an efficient method of intercommunication, and also well planning of the anaesthesia and bronchoscopy ahead of the procedures. Despite the recent popularisation of the fiberoptic brochoscopes, the rigid bronchoscopy remains to be used commonly and is regarded to provide the gold standard technique. There have been reports in the literature on the uses of inhalation and/or intravenous (IV) anaesthesia and spontaneous or controlled ventilation methods without any demonstration of the superiority of one technique over the other. The most suitable methods of anaesthesia and ventilation would be those that reduce the risks of complications, morbidity and mortality; and, preventive measures should be taken with priority against childhood cases of tracheobronchial foreign body aspiration.

journal_name

J Thorac Dis

authors

Kendigelen P

doi

10.21037/jtd.2016.12.69

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

3803-3807

issue

12

eissn

2072-1439

issn

2077-6624

pii

jtd-08-12-3803

journal_volume

8

pub_type

杂志文章,评审
  • Serum lactate dehydrogenase activity and its isoenzyme patterns in patients with pectus excavatum.

    abstract:Background:In previous study, we found elevated serum total lactate dehydrogenase (LDH) before correction of pectus excavatum and a decrease in total LDH after the deformity correction. In the present study, we analyzed total LDH activity and its isoenzyme patterns to investigate the causes of these laboratory findings...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.09.49

    authors: Jeong SC,Kim JJ,Kim YH,Kim IS,Han JW

    更新日期:2019-10-01 00:00:00

  • PTEN gene silencing contributes to airway remodeling and induces airway smooth muscle cell proliferation in mice with allergic asthma.

    abstract:Background:Allergic asthma is a complex genetic disorder that involves interactions between genetic and environmental factors. Usage of PTEN may be a good therapeutic strategy for the management of allergic inflammation. Thus, the present study aims to explore the effects of phosphatase and tensin homolog (PTEN) gene s...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.12.104

    authors: Wen X,Yan J,Han XR,Zheng GH,Tang R,Liu LF,Wu DM,Lu J,Zheng YL

    更新日期:2018-01-01 00:00:00

  • Limiting the risk of cardiac toxicity with esophageal-sparing intensity modulated radiotherapy for locally advanced lung cancers.

    abstract:BACKGROUND:Intensity modulated radiotherapy (IMRT) is routinely utilized in the treatment of locally advanced non-small cell lung cancer (NSCLC). RTOG 0617 found that overall survival was impacted by increased low (5 Gy) and intermediate (30 Gy) cardiac doses. We evaluated the impact of esophageal-sparing IMRT on cardi...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.03.64

    authors: Woodford K,Panettieri V,Ruben JD,Senthi S

    更新日期:2016-05-01 00:00:00

  • Current views on tumor mutational burden in patients with non-small cell lung cancer treated by immune checkpoint inhibitors.

    abstract::In the last few years, the treatment of patients with non-small cell lung cancer (NSCLC) has impressively benefitted from immunotherapy, in particular from the inhibition of immune checkpoints such as programmed cell death-1 (PD-1) and programmed cell death ligand-1 (PD-L1). However, despite the significant survival b...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.11.102

    authors: Berland L,Heeke S,Humbert O,Macocco A,Long-Mira E,Lassalle S,Lespinet-Fabre V,Lalvée S,Bordone O,Cohen C,Leroy S,Hofman V,Hofman P,Ilié M

    更新日期:2019-01-01 00:00:00

  • Nocturnal pulse rate and symptomatic response in patients with obstructive sleep apnoea treated with continuous positive airway pressure for one year.

    abstract:BACKGROUND:Obstructive sleep apnoea (OSA) is the most common form of sleep-disordered breathing and a known risk factor for cardiovascular disease. We hypothesised that in patients with OSA the characteristics of nocturnal pulse rate (PR) are associated with changes in blood pressure and daytime sleepiness, following c...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2014.05.09

    authors: Pengo MF,Drakatos P,Kosky C,Williams A,Hart N,Rossi GP,Steier J

    更新日期:2014-06-01 00:00:00

  • Should primary tumor be resected for non-small cell lung cancer with malignant pleural disease unexpectedly found during operation?-a systemic review and meta-analysis.

    abstract:BACKGROUND:Non-small cell lung cancer (NSCLC) with malignant pleural disease (MPD) was considered to be contraindication for surgery, but sometimes MPD was unexpectedly found intraoperatively. There was no consensus on the role of surgical intervention on the primary tumor in patients with MPD. The object of this resea...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.10.19

    authors: Xu Y,Chen N,Wang Z,Zhang Y,Mei J,Liu C,Liu L

    更新日期:2016-10-01 00:00:00

  • Carinal resection and sleeve pneumonectomy.

    abstract::Carinal resection (CR) and sleeve pneumonectomy (SP) are one of the challenging issues in thoracic surgery and performed rarely. In spite of the knowledge of the technique, the incidence of postoperative complications is higher compared to standard resections. Adequate patient selection, improved anesthetic management...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2016.08.47

    authors: Weder W,Inci I

    更新日期:2016-11-01 00:00:00

  • Expression of paired basic amino acid-cleaving enzyme 4 (PACE4) correlated with prognosis in non-small cell lung cancer (NSCLC) patients.

    abstract:BACKGROUND:Paired basic amino acid-cleaving enzyme 4 (PACE4) was shown to enhance tumor cells proliferation and invasive. This study provides the first investigation of PACE4 expression in non-small cell lung cancer (NSCLC) and the correlation with clinicopathologic features, prognostic indicators of 172 cases. METHOD...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2015.05.09

    authors: Lin YE,Wu QN,Lin XD,Li GQ,Zhang YJ

    更新日期:2015-05-01 00:00:00

  • The value of a post-polio syndrome self-management programme.

    abstract:Background:Post-polio syndrome is characterised by symptoms of fatigue, pain and new-onset neuromuscular weakness, and emerges decades after the initial poliovirus infection. We sought to evaluate the only post-polio syndrome specific self-management programme in the United Kingdom. Methods:This was a retrospective st...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-cus-2020-009

    authors: Curtis A,Lee JS,Kaltsakas G,Auyeung V,Shaw S,Hart N,Steier J

    更新日期:2020-10-01 00:00:00

  • Prognostic value of different scoring models in patients with multiple organ dysfunction syndrome associated with acute COPD exacerbation.

    abstract:BACKGROUND AND OBJECTIVE:Chronic obstructive pulmonary disease (COPD) represents an increasing healthcare concern as a leading cause of morbidity and mortality worldwide. Our objective was to predict the outcome of COPD patients associated with multiple organ dysfunction syndrome (MODS) by scoring models. METHODS:A re...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2014.11.27

    authors: Xiao K,Guo C,Su L,Yan P,Li X,Xie L

    更新日期:2015-03-01 00:00:00

  • Strong correlation between lung ultrasound and chest computerized tomography imaging for the detection of acute lung injury/acute respiratory distress syndrome in rats.

    abstract:BACKGROUND:Lung ultrasound (LUS) is a clinical imaging technique for diagnosing acute lung injury (ALI) and acute respiratory distress syndrome (ARDS). In humans and several large animals, LUS demonstrates similar specificity and sensitivity to computerized tomography (CT) scanning. Current study evaluated the degree o...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.05.15

    authors: Ma H,Huang D,Guo L,Chen Q,Zhong W,Geng Q,Zhang M

    更新日期:2016-07-01 00:00:00

  • Ultrasound techniques in the evaluation of the mediastinum, part 2: mediastinal lymph node anatomy and diagnostic reach of ultrasound techniques, clinical work up of neoplastic and inflammatory mediastinal lymphadenopathy using ultrasound techniques and h

    abstract::Ultrasound imaging has gained importance in pulmonary medicine over the last decades including conventional transcutaneous ultrasound (TUS), endoscopic ultrasound (EUS), and endobronchial ultrasound (EBUS). Mediastinal lymph node (MLN) staging affects the management of patients with both operable and inoperable lung c...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2015.10.08

    authors: Jenssen C,Annema JT,Clementsen P,Cui XW,Borst MM,Dietrich CF

    更新日期:2015-10-01 00:00:00

  • Prognostic significance of CT-determined emphysema in patients with small cell lung cancer.

    abstract:Background:Although emphysema and small cell lung cancer (SCLC) are prevalent in smokers, no previous study has investigated the prognostic impact of computed tomography (CT)-determined emphysema in SCLC. This study was undertaken to analyze the prognostic value of emphysema scores as determined by baseline CT scans in...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.01.97

    authors: Lee HY,Kim EY,Kim YS,Ahn HK,Kim YK

    更新日期:2018-02-01 00:00:00

  • Precontrol of the pulmonary artery during thoracoscopic left upper lobectomy and systemic lymph node dissection.

    abstract::The main reasons of emergent conversion during thoracoscopic lobectomy included tumor invasion, hilar lymph node (LN) metastasis, and lymphoid tuberculosis. We presented a video which depicted a three-portal thoracoscopic left upper lobectomy with dissection of large LNs. Severe adhesions between a large LN and the fi...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.03.56

    authors: Ma L,Mei J,Liu C,Liu L

    更新日期:2016-05-01 00:00:00

  • Acute respiratory distress syndrome and pneumothorax.

    abstract::Acute respiratory distress syndrome (ARDS) can occur during the treatment of several diseases and in several interventional procedures as a complication. It is a difficult situation to handle and special care should be applied to the patients. Mechanical ventilation is used for these patients and several parameters ar...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2014.08.34

    authors: Terzi E,Zarogoulidis K,Kougioumtzi I,Dryllis G,Kioumis I,Pitsiou G,Machairiotis N,Katsikogiannis N,Lampaki S,Papaiwannou A,Tsiouda T,Madesis A,Karaiskos T,Zaric B,Branislav P,Zarogoulidis P

    更新日期:2014-10-01 00:00:00

  • Rapid detection of Streptococcus pneumoniae by real-time fluorescence loop-mediated isothermal amplification.

    abstract:BACKGROUND AND AIM OF STUDY:A significant human pathogenic bacterium, Streptococcus pneumoniae was recognized as a major cause of pneumonia, and is the subject of many humoral immunity studies. Diagnosis is generally made based on clinical suspicion along with a positive culture from a sample from virtually any place i...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2014.07.29

    authors: Xia Y,Guo XG,Zhou S

    更新日期:2014-09-01 00:00:00

  • Current concepts on coronary revascularization using BRS in patients with diabetes and small vessels disease.

    abstract::Diabetes mellitus (DM) and small vessel (SV) disease are two major predictors of adverse outcome in patients treated by percutaneous coronary intervention (PCI), even when last generation metallic drug-eluting stents (DES) are used. Bioresorbable scaffold (BRS) technology has been recently developed to overcome the di...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.06.36

    authors: Masiero G,Mojoli M,Ueshima D,Tarantini G

    更新日期:2017-08-01 00:00:00

  • Use of laryngeal mask airway for non-endotracheal intubated anesthesia for patients with pectus excavatum undergoing thoracoscopic Nuss procedure.

    abstract:BACKGROUND:The aim of the present study was to determine the safety and feasibility of the use of laryngeal mask airway (LMA) for non-endotracheal intubated anesthesia for patients with pectus excavatum (PE) undergoing thoracoscopic Nuss procedure. METHODS:Between July 2015 and December 2015, 30 selected patients with...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.07.52

    authors: Du X,Mao S,Cui J,Ma J,Zhang G,Zheng Y,Zhou H,Xie L,Zhang D,Shi R,Chen G

    更新日期:2016-08-01 00:00:00

  • Interatrial block predicts atrial fibrillation in patients with carotid and coronary artery disease.

    abstract:Background:Interatrial block (IAB) has been previously shown to predict atrial fibrillation (AF) in cardiac populations. This study sought to evaluate the relationship between IAB and new-onset AF in a population of patients undergoing clinically indicated coronary angiography who received carotid ultrasonography. Met...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.06.53

    authors: Alexander B,Baranchuk A,Haseeb S,van Rooy H,Kuchtaruk A,Hopman W,Çinier G,Hetu MF,Li TY,Johri AM

    更新日期:2018-07-01 00:00:00

  • Perioperative outcomes and mid-term effects in performing video-assisted thoracoscopic extended thymectomy for myasthenia gravis: subxiphoid versus right thoracic approaches.

    abstract:Background:Approaches of thoracoscopic thymectomy for myasthenia gravis (MG) are debatable. The subxiphoid approach is widely utilized recent years for its better visualization of the anterior mediastinum. In the present study, we compared perioperative outcomes and mid-term effects of the extended thymectomy for MG be...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2020.03.43

    authors: Qiu Z,Chen L,Lin Q,Wu H,Sun H,Zhou X,Hu Y,Peng L,Liu Y,Xu Q

    更新日期:2020-04-01 00:00:00

  • Domiciliary use of transcutaneous electrical stimulation for patients with obstructive sleep apnoea: a conceptual framework for the TESLA home programme.

    abstract::Obstructive sleep apnoea (OSA) is a global health problem of increasing prevalence. Effective treatments are available with continuous positive airway pressure (CPAP) therapy and mandibular advancement devices (MAD). However, there is limited long-term adherence to therapy, as CPAP and MAD require permanent usage to a...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2019.05.04

    authors: He B,Al-Sherif M,Nido M,Tas R,Beach M,Schwarz EI,Cheng M,Ishak A,Lee K,Shah N,Kent B,Eze-John P,Ratneswaran C,Rafferty G,Williams AJ,Hart N,Luo Y,Moxham J,Pengo M,Steier J

    更新日期:2019-05-01 00:00:00

  • New developments in the use of positive airway pressure for obstructive sleep apnea.

    abstract::Obstructive sleep apnea (OSA) is a disorder which afflicts a large number of individuals around the world. OSA causes sleepiness and is a major cardiovascular risk factor. Since its inception in the early 1980's, continuous positive airway pressure (CPAP) has emerged as the major treatment of OSA, and it has been show...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2015.07.30

    authors: Donovan LM,Boeder S,Malhotra A,Patel SR

    更新日期:2015-08-01 00:00:00

  • An approach to antibiotic treatment in patients with sepsis.

    abstract::Sepsis is a medical emergency and life-threatening condition due to a dysregulated host response to infection, which is time-dependent and associated with unacceptably high mortality. Thus, when treating suspicious or confirmed cases of sepsis, clinicians must initiate broad-spectrum antimicrobials within the first ho...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2020.01.47

    authors: Martínez ML,Plata-Menchaca EP,Ruiz-Rodríguez JC,Ferrer R

    更新日期:2020-03-01 00:00:00

  • Optimizing the exposure in minimally invasive mitral surgery: a new left atrial retractor system.

    abstract::Optimal exposure of the mitral valve is paramount in minimally invasive surgery (MIS) and a prerequisite for successful mitral valve repair or replacement. We report the concept of a new left atrial retractor (Karl Storz GmbH, Tuttlingen, Germany) dedicated to MIS. The effectiveness of the device was evaluated in a pr...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.12.61

    authors: Greco E,Rose D,Irace F,Frati G

    更新日期:2016-12-01 00:00:00

  • Extended sleeve-lobectomy for centrally located locally advanced non-small cell lung cancer is a feasible approach to avoid pneumonectomy.

    abstract:Backgrounds:The aim of this study was to report our Institutional experience with extended sleeve lobectomy (ESL) in centrally located non-small cell lung cancer (NSCLC), focusing on technical details, post-operative results, recurrence and survival, to determine whether ESL can be accepted as a favorable alternative p...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-1241

    authors: Voltolini L,Gonfiotti A,Viggiano D,Borgianni S,Farronato A,Bongiolatti S

    更新日期:2020-08-01 00:00:00

  • Long-term oncological outcome after thoracoscopic lobectomy for non-small cell lung cancer patients.

    abstract:Background:Thoracoscopic surgery (TS) has been used more commonly as a less invasive procedure for early-stage non-small cell lung cancer (NSCLC) than conventional thoracotomy (TH) in Japan. However, limited evidential data are available to compare the treatment efficacy of TS and TH. The purpose of this study was to r...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.07.02

    authors: Nakao M,Ichinose J,Matsuura Y,Nakagawa K,Okumura S,Mun M

    更新日期:2019-07-01 00:00:00

  • Cost and effectiveness of lung lobectomy by video-assisted thoracic surgery for lung cancer.

    abstract:BACKGROUND:Video-assisted thoracic surgery (VATS) emerged as a minimally invasive surgery for diseases in the field of thoracic surgery. We herein reviewed our experience on thoracoscopic lobectomy for early lung cancer and evaluated Health System use. METHODS:A cost-effectiveness study was performed comparing VATS vs...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.07.51

    authors: Mafé JJ,Planelles B,Asensio S,Cerezal J,Inda MD,Lacueva J,Esteban MD,Hernández L,Martín C,Baschwitz B,Peiró AM

    更新日期:2017-08-01 00:00:00

  • Influence of cannula positioning on brain injury during extracorporeal membrane oxygenation.

    abstract:Background:In veno-arterial extracorporeal membrane oxygenation (V-A ECMO), a patient is cannulated using either an atrio-aortic technique (central type ECMO; cECMO) or a femoro-femoral technique (peripheral type ECMO; pECMO). The direction of the pump flow at the aortic arch is anterograde from the ascending aorta in ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.10.74

    authors: Jeong SC,Kim HJ,Shin YS,Han JW,Lim JY,Son HS

    更新日期:2018-11-01 00:00:00

  • Smoking and pulmonary complications: respiratory prehabilitation.

    abstract::The severity of the clinical condition and co-morbidities of the patients for esophagectomy require a complex assessment and risk stratification before the operation, and most of the cases need complex management. We did a literature search and considered the data on risk stratification and complex management of patie...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.12.11

    authors: Varga JT

    更新日期:2019-04-01 00:00:00

  • Nonintubated uniportal thoracoscopic surgery for resection of lung lesions.

    abstract:BACKGROUND:Sporadic case reports have shown that wedge resection and lobectomy can be performed via nonintubated video-assisted thoracoscopic surgery (VATS) with a single incision. We report the feasibility and safety of nonintubated uniportal VATS for resection of various lung lesions. METHODS:From January 2014 to Ju...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2016.02.09

    authors: Hung WT,Hsu HH,Hung MH,Hsieh PY,Cheng YJ,Chen JS

    更新日期:2016-03-01 00:00:00