Paediatric Bronchoscopy (Progress in Respiratory Research) by Kostas N. Priftis, Michael B. Anthracopoulos, Ernst Eber,

By Kostas N. Priftis, Michael B. Anthracopoulos, Ernst Eber, Anastassios C. Koumbourlis, Robert E. Wood

This e-book presents an in-depth 'state-of-the-art' severe evaluation of the process and the functions of versatile and inflexible bronchoscopy to babies and youngsters. Written by means of a global panel of specialists, it experiences the technical points of the technique, its universal and hugely really good purposes in addition to its capability choices. The chapters are superior through a wealth of unique figures. a tremendous innovation of the ebook is the inclusion of on-line movies from genuine bronchoscopies that extra illustrate and intricate at the info supplied within the textual content. The booklet is addressed to paediatric pulmonologists and otorhinolaryngologists, either skilled and in education, in addition to to different group of workers who're serious about the functionality of the techniques. moreover, it is strongly recommended to pulmonologists for adults and normal paediatricians who have to be capable of review the usefulness of bronchoscopy for his or her sufferers and pay attention to its obstacles and capability contra-indications.

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26 Malviya S, Voepel-Lewis T, Tait AR: Adverse events and risk factors associated with the sedation of children by nonanesthesiologists. Anesth Analg 1997;85:1207–1213. 27 Soodan A, Pawar D, Subramanium R: Anesthesia for removal of inhaled foreign bodies in children. Paediatr Anaesth 2004;14:947–52. 28 Tomaske M, Gerber AC, Weiss M: Anesthesia and periinterventional morbidity of rigid bronchoscopy for tracheobronchial foreign body diagnosis and removal. Paediatr Anaesth 2006;16:123–129. Jacques de Blic Paediatric Pulmonology Unit 149, rue de Sevres FR–75015 Paris (France) Tel.

Table 1 lists the main agents which are usually used to induce conscious sedation; these are briefly discussed below: • Midazolam is a water-soluble benzodiazepine. Its advantages are that it reduces anxiety and causes amnesia of the procedure. Midazolam has a short onset of action (15–30 min when administered orally), and its duration of action is approximately 90 min (peaks at 30 min). Its effects are additive to those of narcotics. Flumazenil is used as an antagonist. Midazolam is not intended for use as a sole agent in paediatric sedation but should be administered in association with a narcotic or nitrous oxide via a face mask.

Both the bronchoscopist and the anaesthetist should obtain a detailed history and perform a complete physical examination. Pre-operative assessment of the child is essential, including current respiratory status, medications and associated diseases. The ASA numerical scale, described by the American Society of Anaesthesiologists, is predictive of the peri-operative adverse events [3]. A written, fully informed consent should be obtained. The family and child (when age appropriate) should be offered detailed information on the procedure prior to admission.

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