title: Bronchoscopy for foreign body aspiration and effects of nebulized albuterol and budesonide combination.
abstract: OBJECTIVE
  A foreign body aspiration in the tracheobronchial tree is a dangerous medical condition in the childhood period. Although rigid bronchoscopy is a safe procedure, it may cause complications. The aim of this study was to present our bronchoscopy experience and to evaluate the efficacy of pre-operative administration of nebulized albuterol and budesonide combination for reducing intra-operative complications in foreign body aspirated cases.
  
  
  METHODS
  In this retrospective study our pediatric cases in which a foreign body was removed from tracheobronchial tree in last 8 years were analyzed. After excluding the patients who needed emergent and negative bronchoscopies, the remaining clinically stable 84 patients were compared for the effects of preoperative administration of nebulized albuterol and budesonide combination on bronchoscopy complications.
  
  
  RESULTS
  There were 51 boys (60.3%) and 33 girls (39.7%). There were 38 children in the non-nebulized group and 46 children in the nebulized group. We found that the combined albuterol and budesonide nebulization decrease complications such as arterial oxygen desaturation (p<0.05), and bronchospasm (p<0.05) during the bronchoscopic intervention.
  
  
  CONCLUSIONS
  Preoperative nebulization of albuterol and budesonide combination may decrease perioperative complications of bronchoscopy.
authors.affiliation: Bulent Akcora, MD, Associate Professor, School of Medicine, Department of Pediatric Surgery, Mustafa Kemal University, 31124, Antakya, Hatay, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Akcora
authors.affiliation: Mehmet Emin Celikkaya, MD, School of Medicine, Department of Pediatric Surgery, Mustafa Kemal University, 31124, Antakya, Hatay, Turkey.
authors.forename: Mehmet Emin
authors.initials: ME
authors.lastname: Celikkaya
authors.affiliation: Cahit Ozer, MD, Professor, School of Medicine, Department of Family Medicine, Mustafa Kemal University, 31124, Antakya, Hatay, Turkey.
authors.forename: Cahit
authors.initials: C
authors.lastname: Ozer
keywords: Albuterol; Aspiration; Budesonide; Foreign body