CT-guided percutaneous lung biopsy under general anesthesia: a pediatric case series and literature review.
We describe 14 consecutive children who received computed tomography-guided percutaneous lung biopsy (CT-PLB) under general anesthesia over an 18-month period at our institution. Pulmonary hemorrhage (occurring in 36%) and pneumothorax (29%) were the two most common complications; the overall complication rate was 64%. When complications did occur, immediate airway management was facilitated by the presence of an endotracheal tube (ETT). We conclude as follows: (i) CT-PLB in our series is associated with a high risk of both overall and severe complications; (ii) risk of complications is increased by both patient and procedure-related factors; (iii) airway management with ETT may be preferable should a complication arise; (iv) severe complications may necessitate ICU admission, which should be available before proceeding.
Department of Anesthesiology & Pain Medicine, Seattle Children's Hospital, Seattle, WA 98105, USA.
Heather
H
Naumann
Andy
A
Pittaway
Anne M
AM
Lynn
Nghia J
NJ
Vo
D000293:Adolescent; D058109:Airway Management; D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods*; D001706:Biopsy / Q000009:adverse effects / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D017214:Laryngeal Masks; D008168:Lung / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D009369:Neoplasms / Q000473:pathology; D011030:Pneumothorax / Q000209:etiology; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods*; D055815:Young Adult