A Surgical Perspective on Two Anesthesia Techniques, Using During Rigid Bronchoscopy For Child Age Group Foreign Body Aspiration Treatment

Authors : Hüseyin Fatih SEZER, Tülay ÇARDAKÖZÜ, Aykut ELİCORA

Pages : 23-33

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Publication Date : 2023-02-28

Article Type : Research Paper

Abstract :Objective: In our study, we aimed to reveal the advantages and disadvantages of inhalation and intravenous anesthesia techniques in the maintenance of anesthesia in pediatric patients whose tracheobronchial foreign body was removed by rigid bronchoscopy under general anesthesia, from both anaesthesia and surgical perspectives, different from the literature. Methods: The patients were divided into two groups, each consisting of 34 individuals, whose anaesthesia was maintained with sevoflurane inhalation or propofol infusion. Demographic characteristics of the patients, symptoms at presentation, radiological examinations, anaesthesia and surgical procedures, complications were analyzed. In addition, surgical difficulty and surgical comfort scales created from the experiences of our institution were used. The results obtained and the effects of inhalation and intravenous anaesthetics used in maintenance on the duration of the procedure, clinical, hemodynamic and surgical comfort were compared. Results: Vital signs during the procedure were similar in both groups. was similar. The duration of bronchoscopy was statistically significantly shorter in the intravenous anaesthesia group insert ignore into journalissuearticles values(p=0.014);, and secondarily, the duration of anaesthesia was significantly longer in the inhalation anaesthesia group insert ignore into journalissuearticles values(p=0.027);. While the surgical difficulty scale was similar in both groups, the surgical confort scale was significantly higher in the intravenous anesthesia group insert ignore into journalissuearticles values(p=0.017);. Intraoperative, postoperative complications were similar in both groups. Conclusion: Anaesthesia maintenance with sevoflurane prolongs the duration of bronchoscopy and accordingly the duration of anaesthesia, and also reduces surgical satisfaction independent of processing time. For these reasons, we think that while rigid bronchoscopy is performed for the removal of childhood foreign body aspirations, propofol can be preferred for anaesthesia maintenance, resulting in a shorter procedure time and higher surgical satisfaction.
Keywords : Rijit Bronkoskopi, Cerrahi konfor skalası, Cerrahi zorluk skalası