Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya
Introduction: Airway foreign body (AFBs) is the most common emergency for ENT-HN (Ear, Nose, Throat-Head Neck) that requires immediate treatment. The gold standard management for AFBs is a bronchoscopy performed under general anesthesia (GA). Objective: This study aims to determine the profile of AF...
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| Format: | Article |
| Language: | English |
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Universitas Airlangga, Faculty of Medicine
2022-07-01
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| Series: | Indonesian Journal of Anesthesiology and Reanimation (IJAR) |
| Subjects: | |
| Online Access: | https://e-journal.unair.ac.id/IJAR/article/view/32576 |
| _version_ | 1797765194284269568 |
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| author | Annisa Maya Sabrina Maulydia Rizka Fathoni Perdana Mariza Fitriati |
| author_facet | Annisa Maya Sabrina Maulydia Rizka Fathoni Perdana Mariza Fitriati |
| author_sort | Annisa Maya Sabrina |
| collection | DOAJ |
| description | Introduction: Airway foreign body (AFBs) is the most common emergency for ENT-HN (Ear, Nose, Throat-Head Neck) that requires immediate treatment. The gold standard management for AFBs is a bronchoscopy performed under general anesthesia (GA). Objective: This study aims to determine the profile of AFBs patients who underwent bronchoscopies with GA at Dr. Soetomo General Hospital Surabaya from January 2018 – December 2019. Methods and Materials: This is a descriptive, retrospective study that uses data from medical records. Microsoft Excel was used to analyze the data. 22 patients met the inclusion criteria. Results: The most common ages were 11 to 20-year-olds (73%), 55% were female, and 45% were male. The patients were from outside (73%) and inside (27%) Surabaya. As much as 67% of the sampled patients had coughs and 23% were symptomless. The foreign bodies found were pins (67%), clipboard nails (14%), and nuts (9%). These AFBs were located in the left main bronchus (45%), trachea (32%), and right main bronchus (18%), and in 5% of these cases, the AFBs could not be located. The duration between the event and the bronchoscopy was mostly less than 1 day (54%), 2 days (32%), and 3 days (14%). Most cases (90%) were without AFBs complications, but some had obstruction (5%), and hemoptysis (5%). Most patients also had an uncomplicated bronchoscopy (81%), however, some suffered lesions (14%) and bleeding (5%). A majority of the patients were also ASA I (68%), and the remainder were classified as ASA II (18%), and III (14%). The premedication drugs administered were fentanyl (41%), and a combination of fentanyl and midazolam (41%). Meanwhile, the most frequently maintained anesthetic agent was Isoflurane+O2 (27%). Most patients also did not have any comorbid factors (85%), but some had anemia (5%), obstruction (5%), as well as obesity followed by sputum retention and hypernatremia (5%). Conclusion: Most AFB patients who underwent bronchoscopy under GA were 11-20 years old, female, and had a cough as a clinical symptom. Most AFBs were pins at the left main bronchus. The duration between the incident and the bronchoscopy was less than 1 day. There were also mostly no complications of AFBs and bronchoscopies. The most common physical status in patients was ASA I, with fentanyl only or fentanyl and midazolam as a premedication drug. The most common agent used to maintain the anesthesia was a combination of isoflurane and O2. Most patients also had no comorbid factors for GA. |
| first_indexed | 2024-03-12T20:07:20Z |
| format | Article |
| id | doaj.art-4e6d492f496040b69e3c2370011e3a63 |
| institution | Directory Open Access Journal |
| issn | 2722-4554 2686-021X |
| language | English |
| last_indexed | 2024-03-12T20:07:20Z |
| publishDate | 2022-07-01 |
| publisher | Universitas Airlangga, Faculty of Medicine |
| record_format | Article |
| series | Indonesian Journal of Anesthesiology and Reanimation (IJAR) |
| spelling | doaj.art-4e6d492f496040b69e3c2370011e3a632023-08-02T02:00:12ZengUniversitas Airlangga, Faculty of MedicineIndonesian Journal of Anesthesiology and Reanimation (IJAR)2722-45542686-021X2022-07-0142727910.20473/ijar.V4I22022.72-7926714Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital SurabayaAnnisa Maya Sabrina0https://orcid.org/0000-0001-5601-3431Maulydia1https://orcid.org/0000-0003-3248-4540Rizka Fathoni Perdana2https://orcid.org/0000-0002-8327-9160Mariza Fitriati3https://orcid.org/0000-0002-4143-3764Faculty of Medicine, Universitas Airlangga, SurabayaDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, SurabayaDepartment of Otorhinolaryngology and Head-Neck Surgery, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, SurabayaDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital, SurabayaIntroduction: Airway foreign body (AFBs) is the most common emergency for ENT-HN (Ear, Nose, Throat-Head Neck) that requires immediate treatment. The gold standard management for AFBs is a bronchoscopy performed under general anesthesia (GA). Objective: This study aims to determine the profile of AFBs patients who underwent bronchoscopies with GA at Dr. Soetomo General Hospital Surabaya from January 2018 – December 2019. Methods and Materials: This is a descriptive, retrospective study that uses data from medical records. Microsoft Excel was used to analyze the data. 22 patients met the inclusion criteria. Results: The most common ages were 11 to 20-year-olds (73%), 55% were female, and 45% were male. The patients were from outside (73%) and inside (27%) Surabaya. As much as 67% of the sampled patients had coughs and 23% were symptomless. The foreign bodies found were pins (67%), clipboard nails (14%), and nuts (9%). These AFBs were located in the left main bronchus (45%), trachea (32%), and right main bronchus (18%), and in 5% of these cases, the AFBs could not be located. The duration between the event and the bronchoscopy was mostly less than 1 day (54%), 2 days (32%), and 3 days (14%). Most cases (90%) were without AFBs complications, but some had obstruction (5%), and hemoptysis (5%). Most patients also had an uncomplicated bronchoscopy (81%), however, some suffered lesions (14%) and bleeding (5%). A majority of the patients were also ASA I (68%), and the remainder were classified as ASA II (18%), and III (14%). The premedication drugs administered were fentanyl (41%), and a combination of fentanyl and midazolam (41%). Meanwhile, the most frequently maintained anesthetic agent was Isoflurane+O2 (27%). Most patients also did not have any comorbid factors (85%), but some had anemia (5%), obstruction (5%), as well as obesity followed by sputum retention and hypernatremia (5%). Conclusion: Most AFB patients who underwent bronchoscopy under GA were 11-20 years old, female, and had a cough as a clinical symptom. Most AFBs were pins at the left main bronchus. The duration between the incident and the bronchoscopy was less than 1 day. There were also mostly no complications of AFBs and bronchoscopies. The most common physical status in patients was ASA I, with fentanyl only or fentanyl and midazolam as a premedication drug. The most common agent used to maintain the anesthesia was a combination of isoflurane and O2. Most patients also had no comorbid factors for GA.https://e-journal.unair.ac.id/IJAR/article/view/32576afbsbronchoscopygeneral anesthesiagood health and well beingprofilesociodemography |
| spellingShingle | Annisa Maya Sabrina Maulydia Rizka Fathoni Perdana Mariza Fitriati Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya Indonesian Journal of Anesthesiology and Reanimation (IJAR) afbs bronchoscopy general anesthesia good health and well being profile sociodemography |
| title | Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya |
| title_full | Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya |
| title_fullStr | Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya |
| title_full_unstemmed | Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya |
| title_short | Airway Foreign Bodies in Patients that Underwent Bronchoscopies with General Anesthesia in Dr. Soetomo General Academic Hospital Surabaya |
| title_sort | airway foreign bodies in patients that underwent bronchoscopies with general anesthesia in dr soetomo general academic hospital surabaya |
| topic | afbs bronchoscopy general anesthesia good health and well being profile sociodemography |
| url | https://e-journal.unair.ac.id/IJAR/article/view/32576 |
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