The removal of foreign bodies is one of the main indications for bronchoscopy in children. One hundred and eight foreign bodies were found at bronchoscopy in 123 children during the five years 1967–1971 at the Royal Children's Hospital. The majority were under three years of age, and the commonest foreign bodies were peanuts. The clinical features and diagnoses are discussed.
Various anaesthetic techniques available for bronchoscopy in children are reviewed with emphasis on inhalation agents, the use of gammahydroxybutyrate, and considerations in the use of the Venturi bronchoscopic attachment in children.
References
1.
Aguardo MattorasA., and Nalda FelipeM. A. (1966): “Anestesia para las tecnicas broncoscopicas y broncograficas en el nino”, Rev. esp. Anest., 13, 133.
2.
AustinS. (1963): “Anaesthesia for bronchoscopy and bronchography in children”, Anes. and Analg. Curr. Res., 42, 632.
3.
BlancatoL. S., PengA. T. C., and AlonsabeD. (1969): “Intravenous lignocaine as an adjunct to general anaesthesia for endoscopy”, Anesth. and Analg. Curr. Res., 48, 224.
4.
BromageP. R., and RobsonJ. G. (1961): “Concentration of lignocaine in blood after intravenous, intramuscular, epidural and endotracheal administration”, Anaesthesia, 16, 461.
5.
BrownT. C. K. (1970): “Gammahydroxybutyrate in paediatric anaesthesia”, Aust. N. Z. J. Surg., 40, 94.
6.
BrownT. C. K. (1972): “The Venturi bronchoscopic attachment—paediatric considerations”, Anaes. and Intensive Care, 1, 54.
7.
CardenE., TrappW. G., and OultonJ. (1970): “A new and simple method for ventilating patients undergoing bronchoscopy”, Anesthesiology, 33, 454.
8.
ChatterjiS., and ChatterjiP. (1972): “The management of foreign bodies in the air passages”, Anaesthesia, 27, 390.
9.
FoldesF. F., MalloyR., McNallR. G., and KoubralL. R. (1960): “Comparison of toxicity of intravenously given local anaesthetic agents in man”, J. Amer. med. Ass., 172, 1493.
10.
GianellyR., van der BroebenJ. O., SpirackiA., and HarrisonD. C. (1967): “Effect of lidocaine on ventricular arrhythmias in patients with coronary heart disease”, New Engl. J. Med., 277, 1215.
11.
KomesaroffD., and McKieB. (1972): “The ‘Bronchoflator’: A new technique for bronchoscopy under general anaesthesia”, Brit. J. Anaesth., 44, 1057.
12.
LutschE. F., and MorrisR. W. (1967): “Circadian periodicity in susceptibility to lignocaine HCl”, Science, 156, 100.
13.
MazzeR. I., and CousinsM. J. (1973): “Renal toxicity of anaesthetics with special reference to methoxyflurane”, Canad. Anaesth. Soc. J., 20, 64.
14.
PeltonD. A., and ConnA. W. (1968): “A bronchoscopic adaptor for intermittent positive pressure breathing in children”, Canad. Anaesth. Soc. J., 15, 628.
15.
PeltonD. A., DalyM., CooperP. D., and ConnA. W. (1970): “Plasma lidocaine concentrations following topical aerosol application to the trachea and bronchi”, Canad. Anaes. Soc. J., 17, 250.
16.
PymanC. (1971): “Inhaled foreign bodies in children”, Med. J. Aust., 1, 62–68.
