Fiber bronchoscopic foreign body removal surgery Pediatric Anesthesia.docVIP

 PAGE \* MERGEFORMAT 6 Fiber bronchoscopic foreign body removal surgery Pediatric Anesthesia [Abstract] of fiber bronchoscopic foreign body removal in children Treatment of anesthesia, 34 cases of tracheal foreign bodies in children were selected in the intramuscular injection of ketamine 2 ~ 3mg/kg burglary based anesthesia, intravenous dexamethasone 0.3 ~ 0.5mg / kg, 1% lidocaine 1mg/kg, propofol 1.5 ~ 2.5mg/kg, fentanyl 1 ~ 2g/kg induction, anesthesia was maintained with propofol 5 ~ 8mg / (kg h) infusion. Results anesthesia in children before and after the HR, MAP, SPO2 was no significant difference. 5 patients had transient respiratory depression, cough in 2 cases, after intravenous injection of dexamethasone, propofol remission. All the patients were in 20min the conscious. lidocaine, fentanyl, propofol total intravenous anesthesia in pediatric compatibility foreign body removal surgery is a relatively safe method of anesthesia and rapid recovery. [Keywords:] anesthesia tracheal foreign bodies in children Pediatric anesthesia endotracheal foreign body from the main difficulty is that anesthesia and surgery share the same respiratory tract, there is a mutual interference, increased surgical risk. By the time the class uncertain operation, demanding of anesthesia. Perioperative required to maintain adequate alveolar gas exchange and adequate depth of anesthesia to reduce the stress response, rapid recovery of surgery, respiratory smooth. In this paper, fiber bronchoscopic foreign body removal in children treatment of anesthesia as follows. 1 Materials and Methods 1.1 General Information 34 cases of foreign body in children, aged 1.5 to 6 years old. 28 males and 6 females. Weight of 12 ~ 25kg, ASA ~ grade. 1.2 Anesthesia and medication 30min preoperative intramuscular injection of atropine 0.02mg/kg, phenobarbital sodium 2mg/kg (no infants). Burglary before the intramuscular injection of ketamine 2 ~ 3mg/kg. Burglary open after int