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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >EMLA Cream coated on the rigid bronchoscope for tracheobronchial foreign body removal in children.
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EMLA Cream coated on the rigid bronchoscope for tracheobronchial foreign body removal in children.

机译：EMLA乳膏涂在硬性支气管镜上，用于去除儿童的气管支气管异物。

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摘要

OBJECTIVES: Removal of a tracheal or bronchial foreign body is a common emergent surgical procedure in children. The anesthetic management can be challenging. EMLA Cream (EC) has been widely used to provide topical anesthesia. In the present study, we evaluate the efficacy and safety of EC coated on the rigid bronchoscope for tracheobronchial foreign body removal in children undergoing intravenous anesthesia with spontaneous ventilation. STUDY DESIGN: The authors conducted a randomized, double-blind, placebo-controlled clinical trial. METHODS: Thirty patients were randomized to receive either EC or placebo (lubricant ointment) coated on the rigid bronchoscope. Intravenous anesthesia and spontaneous ventilation were performed in all patients. Heart rate, blood pressure, pulse oxygen saturation (SpO(2)) and frequency and degree of breath holding were recorded. After surgery, the bronchoscopist rated overall surgical manipulation as excellent, fair, and poor. The durations of postoperative care were also recorded. RESULTS: Episodes of oxygen desaturation (SpO(2) < 90%) occurred in 3/15 (20%) patients in the EC group and in 9/15 (60%) patients in the control group (P < .05). Occurrences and degrees of breath holding were less in the EC group than that in the control group (P < .05). Ranks of surgical manipulation were excellent in 80% of patients in the EC group versus 13% of patients in the control group (P < .05). The durations of postoperative care were shorter in the EC group than that in the control group (P < .05). CONCLUSIONS: EC coated on the rigid bronchoscope combined with intravenous anesthesia could provide more efficacious and safer anesthesia for tracheobronchial foreign body removal in children under spontaneous ventilation.
机译：目的：切除气管或支气管异物是儿童常见的紧急手术方法。麻醉管理可能具有挑战性。 EMLA乳膏（EC）已被广泛用于局部麻醉。在本研究中，我们评估了在硬性支气管镜上涂覆EC进行自发通气静脉麻醉的儿童气管支气管异物清除的有效性和安全性。研究设计：作者进行了一项随机，双盲，安慰剂对照的临床试验。方法：30例患者被随机分配接受在硬支气管镜上包被的EC或安慰剂（润滑剂软膏）。所有患者均进行静脉麻醉和自发通气。记录心率，血压，脉搏血氧饱和度（SpO（2））以及屏气的频率和程度。手术后，支气管医师将总体手术操作评定为良好，一般和较差。还记录了术后护理的时间。结果：EC组的3/15（20％）患者和对照组的9/15（60％）患者发生氧饱和度下降（SpO（2）<90％）（P <.05）。 EC组的发生率和屏息程度低于对照组（P <.05）。 EC组中80％的患者的手术操作等级极好，而对照组中13％的患者为手术优异（P <.05）。 EC组的术后护理时间短于对照组（P <.05）。结论：在硬性支气管镜上涂有EC并静脉内麻醉可为自发通气儿童清除气管支气管异物提供更有效，更安全的麻醉。

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