title: Outcomes after rigid bronchoscopy in children with suspected or confirmed foreign body aspiration: a retrospective study.
abstract: OBJECTIVE
  To identify the determinants of immediate outcome after rigid bronchoscopy for suspected or confirmed foreign body (FB) aspiration. The outcome may be affected by the duration of bronchoscopy, the type of FB, the time between inhalation and removal of the FB, and the type of anesthetic induction. Arterial desaturation, bronco-laryngospasm, and the need for tracheal reintubation as complications were investigated.
  
  
  METHODS
  A retrospective study.
  
  
  METHODS
  A single tertiary care center.
  
  
  METHODS
  One hundred seventy-five children who underwent rigid bronchoscopy.
  
  
  METHODS
  None.
  
  
  RESULTS
  Age, duration after suspected or witnessed inhalation before bronchoscopy, and the type of FB had no relationship to the occurrence of complications. The prolongation of bronchoscopy beyond 30 minutes was associated with a significant increase in complications as was the use of intravenous rather than inhalation induction of anesthesia.
  
  
  CONCLUSIONS
  Reducing the bronchoscopy time may not be an option, but an awareness of the risk of complications may prompt a more intense postanesthesia monitoring strategy.
authors.affiliation: Royal Hospital, Muscat, Sultanate of Oman. madan@omantel.net.om
authors.forename: Madan Mohan
authors.initials: MM
authors.lastname: Maddali
authors.forename: Mathew
authors.initials: M
authors.lastname: Mathew
authors.forename: Juhi
authors.initials: J
authors.lastname: Chandwani
authors.forename: Mohammed Jaffer
authors.initials: MJ
authors.lastname: Alsajwani
authors.forename: Shyam Sundar
authors.initials: SS
authors.lastname: Ganguly
mesh_terms: D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy; D000768:Anesthesia, General; D001794:Blood Pressure / Q000502:physiology; D001999:Bronchoscopy / Q000009:adverse effects / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D003490:Cyanosis / Q000209:etiology / Q000628:therapy; D005260:Female; D005547:Foreign Bodies / Q000628:therapy*; D006801:Humans; D007223:Infant; D007902:Length of Stay; D008297:Male; D011229:Preanesthetic Medication; D011300:Preoperative Care; D012121:Respiration, Artificial / Q000379:methods; D053120:Respiratory Aspiration; D056152:Respiratory Rate; D012189:Retrospective Studies; D016896:Treatment Outcome