Tracheobronchial foreign bodies in Nierian children: Clinical profile and a teachnique of administering anaesthesia during rigid bronchoscopic removal
Aim: To highlight the clinical profile of foreign body aspiration in children seen in a clinic in Enugu and the technique of rigid bronchoscopic removal of these foreign bodies under general anaesthesia. Method: The study was retrospective. The anaesthetic pre-medication was to give intravenous atro...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2003-01-01
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| Series: | International Journal of Medicine and Health Development |
| Subjects: | |
| Online Access: | http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2003;volume=8;issue=1;spage=27;epage=29;aulast=Ezeanuolue;type=0 |
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| author | B C Ezeanuolue K L A Izuora H A Ezike |
| author_facet | B C Ezeanuolue K L A Izuora H A Ezike |
| author_sort | B C Ezeanuolue |
| collection | DOAJ |
| description | Aim: To highlight the clinical profile of foreign body aspiration in children seen in a clinic in Enugu and the technique of rigid bronchoscopic removal of these foreign bodies under general anaesthesia.
Method: The study was retrospective. The anaesthetic pre-medication was to give intravenous atropine 0.01mg/kg body weight. Anaesthesia was induced with intravenous dose of ketamine 2.0mg/kg and midazolam 0.1mg/kg body weight, and followed with a bolus dose of suxamethonum 1mg/kg. An appropriate sized rigid respiratory bronchoscope assembly was inserted into the trachea. Patient was ventilated manually and bronchoscopic removal of foreign body done.
Results: They were 19 males and 11 females, with an average age of 1.6years. Groundnut was the most commonly recovered foreign body in 19(63%) patients. The right main bronchus was the commonest site of impaction in 10(33%) patients. No foreign body was recovered in 4(13.3%) patients. Two patients (6.6%) died from severe acute pulmonary oedema.
Conclusion: Foreign body aspiration is a persistent life-threatening problem among Nigerian children. We recommend that children below the age of 4 years should not be fed Whole groundnuts. |
| first_indexed | 2024-04-12T07:43:24Z |
| format | Article |
| id | doaj.art-8109f5bd96104e029c24c5611ceb0f5b |
| institution | Directory Open Access Journal |
| issn | 2635-3695 |
| language | English |
| last_indexed | 2024-04-12T07:43:24Z |
| publishDate | 2003-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Medicine and Health Development |
| spelling | doaj.art-8109f5bd96104e029c24c5611ceb0f5b2022-12-22T03:41:46ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2635-36952003-01-01812729Tracheobronchial foreign bodies in Nierian children: Clinical profile and a teachnique of administering anaesthesia during rigid bronchoscopic removalB C EzeanuolueK L A IzuoraH A EzikeAim: To highlight the clinical profile of foreign body aspiration in children seen in a clinic in Enugu and the technique of rigid bronchoscopic removal of these foreign bodies under general anaesthesia. Method: The study was retrospective. The anaesthetic pre-medication was to give intravenous atropine 0.01mg/kg body weight. Anaesthesia was induced with intravenous dose of ketamine 2.0mg/kg and midazolam 0.1mg/kg body weight, and followed with a bolus dose of suxamethonum 1mg/kg. An appropriate sized rigid respiratory bronchoscope assembly was inserted into the trachea. Patient was ventilated manually and bronchoscopic removal of foreign body done. Results: They were 19 males and 11 females, with an average age of 1.6years. Groundnut was the most commonly recovered foreign body in 19(63%) patients. The right main bronchus was the commonest site of impaction in 10(33%) patients. No foreign body was recovered in 4(13.3%) patients. Two patients (6.6%) died from severe acute pulmonary oedema. Conclusion: Foreign body aspiration is a persistent life-threatening problem among Nigerian children. We recommend that children below the age of 4 years should not be fed Whole groundnuts.http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2003;volume=8;issue=1;spage=27;epage=29;aulast=Ezeanuolue;type=0anesthesiaforeign body aspirationtracheo-bronchial tree |
| spellingShingle | B C Ezeanuolue K L A Izuora H A Ezike Tracheobronchial foreign bodies in Nierian children: Clinical profile and a teachnique of administering anaesthesia during rigid bronchoscopic removal International Journal of Medicine and Health Development anesthesia foreign body aspiration tracheo-bronchial tree |
| title | Tracheobronchial foreign bodies in Nierian children: Clinical profile and a teachnique of administering anaesthesia during rigid bronchoscopic removal |
| title_full | Tracheobronchial foreign bodies in Nierian children: Clinical profile and a teachnique of administering anaesthesia during rigid bronchoscopic removal |
| title_fullStr | Tracheobronchial foreign bodies in Nierian children: Clinical profile and a teachnique of administering anaesthesia during rigid bronchoscopic removal |
| title_full_unstemmed | Tracheobronchial foreign bodies in Nierian children: Clinical profile and a teachnique of administering anaesthesia during rigid bronchoscopic removal |
| title_short | Tracheobronchial foreign bodies in Nierian children: Clinical profile and a teachnique of administering anaesthesia during rigid bronchoscopic removal |
| title_sort | tracheobronchial foreign bodies in nierian children clinical profile and a teachnique of administering anaesthesia during rigid bronchoscopic removal |
| topic | anesthesia foreign body aspiration tracheo-bronchial tree |
| url | http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2003;volume=8;issue=1;spage=27;epage=29;aulast=Ezeanuolue;type=0 |
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