Anesthesia for rigid bronchoscopy in children: single center experience

WOS: 000437950900022Purpose: Rigid bronchoscopy is performed by general anesthesia because of inspection, taking sample and extraction of foreign body in airway. In this study, anesthesia methods, perioperative complication and hospitalization time of children performed rigid bronchoscopy was retrospectively noted. Materials and Methods: Seventy-four children performed rigid bronchoscopy were included to the study in between Jan/2015-Mar/2017. The data of patients were acquired from Nucleus Medical Information System and anesthesia registration forms. Major complaint, perioperative features, anesthesia managements, and hospitalization time were evaluated. Results: Median age was 24 (3-156) months. Forty-one (55.4%) were male and 33 (44.6%) were female. The patients were received for complaint of foreign body aspiration suspicion (40.5%) and cough (31.1%). 52.7% of patients' lung auscultation and 67.6% of their lung x-ray were found to be normal. Intravenous agents (91.8%) and non-depolarizing neuromuscular blockers (100%) for anesthesia induction and manual controlled ventilation were used. Foreign bodies were found and extracted in 58.1% of the patients. Sugammadex was used for neuromuscular block antagonism in 46% of the patients. There was one pneumothorax, and 5 patients were received to intensive care unit by intubated and supported by mechanical ventilation. Conclusion: Rigid bronchoscopy is safely performed by good managed anesthesia. Meticulous evaluation of patients preoperatively and intense follow up of patients intra-and postoperatively are very important for the prevention of potential complications