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Treatment of Airways With Foreign Bodies in Infants

Treatment of Airways With Foreign Bodies in Infants Abstract AGREEMENT has not yet been reached regarding the treatment of foreign bodies of the airway in infants.1-3 The smaller the child, the greater the technical difficulties and frequency of complications arising from removal of foreign bodies. The reduced tolerance of infants and their particular susceptibility to anoxia requires careful bronchoscopy with delicate manipulation of instruments. Our bronchological experience in childhood are based on more than 3,000 bronchoscopies and over 1,000 bronchographies in children ranging from under 1 year to 14 years of age during a ten-year period. Some 1,800 bronchoscopies have been performed with intravenous barbiturate narcosis and succinyl muscle relaxation, including about 200 infants, the youngest being 4 days of age.4-6 Both the barbiturate narcosis and succinyl muscle relaxation were well tolerated by all the infants and the respiratory depressive action of the barbiturates was balanced by continuous oxidation. This method of anesthesia proved to be safe References 1. Atkins, J.P.: Bronchoscopic Problems of Infancy and Childhood , Arch Otolaryng 79:152 ( (Feb) ) 1964.Crossref 2. Daud, S.A.: Child Bronchoscopy in Iraq , J Laryng 79:902 ( (Oct) ) 1965.Crossref 3. Kassay, D.: Observations on One Hundred Cases of Bronchial Foreign Body , Arch Otolaryng 71:42 ( (Jan) ) 1960.Crossref 4. Kallay, F., and Kickinger, A.: Léguti idegentest eltávolitás gyermekkorban izomre[ill]axatioban , Fül-Orr-Gégegyógy 6:109 ( (Sept) ) 1960. 5. Kallay, F., and Horváth, G.: Bronchialfremdkörper im Kindesalter , Mschr Ohrenheilk 96:37 ( (Jan) ) 1962. 6. Kallay, F.; Csermely, G.; and Hirschberg, J.: Nem specifikus hörgbetörés (pyogen adenopathia) gyermekkorban , Tuberk és Tüdóbetegs 7:202 ( (July) ) 1966. 7. Thal, W.: Bronchologische Diagnostik bei Kindern , Z Kinderchir 3:20 ( (Jan) ) 1966. 8. Doesel, H.: Bronchoskopie im Kindesalter , in Opitz, H., and Schmid, F. (eds.): Handbuch der Kinderheilkunde , vol 2, Berlin: Springer Verlag, 1966, p 307. 9. Daumbin, P., and Eschapasse, H.: A propos des corps étrangers bronchiques , Ann Chir 17:420 ( (April) ) 1963. 10. Daumet, P., et al: Conduite a tenir en presence d'un corps étrangers intra-bronchique , Ann Chir 17:412 ( (April) ) 1963. 11. Delacroix, R., and Laniez, C.: Interventions chirurgicales pour corps étrangers bronchiques , Ann Chir 17:425 ( (April) ) 1963. 12. Galey, J.J., et al: Corps étrangers intrabronchiques , Ann Chir 17:403 ( (April) ) 1963. 13. Hummel, J., et al: Corps étrangers intrabronchiques , Ann Chir 17:428 ( (April) ) 1963. 14. Lochard, J., and Gille, P.: Incidences chirurgicales des corps étrangers bronchiques , Ann Chir 17:385 ( (April) ) 1963. 15. Santy, P., et al: Place de la chirurgie dans la traitment des corps étrangers bronchiques , Ann Chir 17:397 ( (April) ) 1963. 16. Toty, L., and Hertzog, P.: Corps étrangers bronchiques: A propos de quelques observations , Ann Chir 17:415 ( (April) ) 1963. 17. Friedel, H.: Die Bedeutung der modernen Bronchoscopie als Routinmethode , Deutsch Gesundh—Wes 11:181 ( (Feb) ) 1956. 18. Gewiss, E.: Fremdkörper im Kindesalter, Unter besonderer Berücksichtigung der Todesursachen , HNO 11:221 ( (Aug) ) 1963. 19. Becker, E.: Die Klinik der Bronchialfremdkörper , Z Laryng Rhinol Otol 40:149 ( (March) ) 1961. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Treatment of Airways With Foreign Bodies in Infants

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1968.00770010305019
Publisher site
See Article on Publisher Site

Abstract

Abstract AGREEMENT has not yet been reached regarding the treatment of foreign bodies of the airway in infants.1-3 The smaller the child, the greater the technical difficulties and frequency of complications arising from removal of foreign bodies. The reduced tolerance of infants and their particular susceptibility to anoxia requires careful bronchoscopy with delicate manipulation of instruments. Our bronchological experience in childhood are based on more than 3,000 bronchoscopies and over 1,000 bronchographies in children ranging from under 1 year to 14 years of age during a ten-year period. Some 1,800 bronchoscopies have been performed with intravenous barbiturate narcosis and succinyl muscle relaxation, including about 200 infants, the youngest being 4 days of age.4-6 Both the barbiturate narcosis and succinyl muscle relaxation were well tolerated by all the infants and the respiratory depressive action of the barbiturates was balanced by continuous oxidation. This method of anesthesia proved to be safe References 1. Atkins, J.P.: Bronchoscopic Problems of Infancy and Childhood , Arch Otolaryng 79:152 ( (Feb) ) 1964.Crossref 2. Daud, S.A.: Child Bronchoscopy in Iraq , J Laryng 79:902 ( (Oct) ) 1965.Crossref 3. Kassay, D.: Observations on One Hundred Cases of Bronchial Foreign Body , Arch Otolaryng 71:42 ( (Jan) ) 1960.Crossref 4. Kallay, F., and Kickinger, A.: Léguti idegentest eltávolitás gyermekkorban izomre[ill]axatioban , Fül-Orr-Gégegyógy 6:109 ( (Sept) ) 1960. 5. Kallay, F., and Horváth, G.: Bronchialfremdkörper im Kindesalter , Mschr Ohrenheilk 96:37 ( (Jan) ) 1962. 6. Kallay, F.; Csermely, G.; and Hirschberg, J.: Nem specifikus hörgbetörés (pyogen adenopathia) gyermekkorban , Tuberk és Tüdóbetegs 7:202 ( (July) ) 1966. 7. Thal, W.: Bronchologische Diagnostik bei Kindern , Z Kinderchir 3:20 ( (Jan) ) 1966. 8. Doesel, H.: Bronchoskopie im Kindesalter , in Opitz, H., and Schmid, F. (eds.): Handbuch der Kinderheilkunde , vol 2, Berlin: Springer Verlag, 1966, p 307. 9. Daumbin, P., and Eschapasse, H.: A propos des corps étrangers bronchiques , Ann Chir 17:420 ( (April) ) 1963. 10. Daumet, P., et al: Conduite a tenir en presence d'un corps étrangers intra-bronchique , Ann Chir 17:412 ( (April) ) 1963. 11. Delacroix, R., and Laniez, C.: Interventions chirurgicales pour corps étrangers bronchiques , Ann Chir 17:425 ( (April) ) 1963. 12. Galey, J.J., et al: Corps étrangers intrabronchiques , Ann Chir 17:403 ( (April) ) 1963. 13. Hummel, J., et al: Corps étrangers intrabronchiques , Ann Chir 17:428 ( (April) ) 1963. 14. Lochard, J., and Gille, P.: Incidences chirurgicales des corps étrangers bronchiques , Ann Chir 17:385 ( (April) ) 1963. 15. Santy, P., et al: Place de la chirurgie dans la traitment des corps étrangers bronchiques , Ann Chir 17:397 ( (April) ) 1963. 16. Toty, L., and Hertzog, P.: Corps étrangers bronchiques: A propos de quelques observations , Ann Chir 17:415 ( (April) ) 1963. 17. Friedel, H.: Die Bedeutung der modernen Bronchoscopie als Routinmethode , Deutsch Gesundh—Wes 11:181 ( (Feb) ) 1956. 18. Gewiss, E.: Fremdkörper im Kindesalter, Unter besonderer Berücksichtigung der Todesursachen , HNO 11:221 ( (Aug) ) 1963. 19. Becker, E.: Die Klinik der Bronchialfremdkörper , Z Laryng Rhinol Otol 40:149 ( (March) ) 1961.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Sep 1, 1968

References