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Risk factors associated with reintubations in children undergoing foreign body removal using flexible bronchoscopy: a

Su-Jing Zhang1,2,3, Hong-Bin Gu2,4, Min Zhou1,2,3

  • 1Department of Anesthesiology, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.

BMC Anesthesiology
|July 13, 2022
PubMed

Insights

Reintubation is a significant risk after pediatric foreign body removal via flexible bronchoscopy. Long operative times and severe physical status (ASA III or higher) increase this risk.

Area of Science:

  • Pediatric Pulmonology
  • Bronchoscopy Procedures
  • Respiratory Complications

Background:

  • Reintubation is a serious complication following foreign body (FB) removal using flexible bronchoscopy.
  • Understanding the incidence and risk factors for reintubation is crucial for improving patient safety.

Purpose of the Study:

  • To determine the incidence of reintubation after flexible bronchoscopy for foreign body extraction in children.
  • To identify independent risk factors associated with reintubation in this pediatric population.

Main Methods:

  • A retrospective cross-sectional study was conducted.
  • Data from 244 children undergoing foreign body removal via flexible bronchoscopy were analyzed.
  • Logistic regression and multivariable analyses identified associations between patient characteristics and reintubation.

Main Results:

  • The incidence of reintubation after flexible bronchoscopy for foreign body removal was 11.5% (28 out of 244 children).
  • Independent risk factors for reintubation included operative time ≥ 60 minutes (OR: 3.68) and ASA physical status ≥ III (OR: 5.7).

Conclusions:

  • Flexible bronchoscopy for foreign body removal in children carries a notable risk of postoperative reintubation.
  • Prolonged operative duration and severe physical status are significant risk factors contributing to increased reintubation rates.
Abstract

Keywords:
Flexible bronchoscopyForeign bodyReintubation

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