Laryngeal mask airway facilitated fibreoptic bronchoscopy in infants

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
H P BandlaM P Kiernan

Abstract

To assess the efficacy of the laryngeal mask airway (LMA) for fibreoptic bronchoscopy (FOB) and bronchoalveolar lavage (BAL) in infants. Observations were made in 19 consecutive infants undergoing FOB under general anaesthesia (GA) plus topical local anaesthesia. Anaesthesia was induced with N2O, O2, and halothane or sevoflurane except in two patients who received propofol and one who received thiopentone. Anaesthesia was maintained with oxygen and either sevoflurane, halothane, desflurane, or propofol infusion. No neuromuscular blockers were used. Size #1 or #2 LMAs were used through which a 3.5 mm fibreoptic bronchoscope was introduced. ECG, noninvasive blood pressure, pulse oximetry and, PETCO2 were measured. Intra- and post-procedural complications were recorded. Mean age was 6 months; mean weight was 6.6 kg. Chronic wheezing was the indication for FOB in eight patients. Minor complications occurred in five patients: difficult LMA placement in one patient required changing size from #2 to #1; two patients had laryngospasm and bronchospasm that resolved with deepened anaesthesia and nebulised bronchodilator; one patient had transient arterial O2 desaturation, responding to increased FIO2, and one patient required tracheal in...Continue Reading

References

Oct 1, 1992·Anaesthesia·A MizushimaD L Simpson
Mar 1, 1992·Anaesthesia·M W JonesJ R Green
May 1, 1991·Anaesthesia and Intensive Care·A McCrirrickJ A Hickman
Sep 1, 1990·Anaesthesia·D G Mason, R M Bingham
Jul 1, 1990·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J R MaltbyN C Watson
Jan 1, 1974·New York State Journal of Medicine·M S KaretzkyR D Brandstetter
Dec 1, 1994·Anaesthesia·M A Hasan, A E Black
Apr 1, 1994·Anaesthesia and Intensive Care·C M Johnson, C Sims
Feb 1, 1993·British Journal of Anaesthesia·I G Wilson
Mar 1, 1993·Anesthesia and Analgesia·M DubreuilC Ecoffey
Dec 1, 1996·Archives of Otolaryngology--head & Neck Surgery·D E Tunkel, Q A Fisher
Oct 1, 1996·Archives of Disease in Childhood·A R SmythR L Smyth

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Citations

May 10, 2008·Veterinary Anaesthesia and Analgesia·Iris Wiederstein, Yves P S Moens
Aug 19, 2010·Paediatric Anaesthesia·Paul A BakerJohn M D Thompson
May 16, 2009·European Journal of Anaesthesiology·Khalid A Al-MazrouMohamed E Abdelmeguid
Feb 24, 2006·Paediatric Anaesthesia·Luciano BortoneFabio Martorana
Apr 2, 2004·Pediatrics International : Official Journal of the Japan Pediatric Society·Bodo NiggemannAndreas Machotta
Oct 26, 2000·European Journal of Anaesthesiology·Y OkudaT Asai
Mar 3, 2010·Anaesthesia and Intensive Care·B S Von Ungern-SternbergN A Chambers

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