Kiểm soát đường thở trong nội soi đường hô hấp trẻ em tại Bệnh viện Sản nhi Nghệ An

Bài viết trình bày đánh giá cách thức gây mê và khả năng kiểm soát tốt đường thở trong quá trình nội soi đường hô hấp ở trẻ em. Đối tượng - phương pháp nghiên cứu: Bệnh nhân trẻ em dưới 15 tuổi gồm 148 bệnh nhân nhập viện từ tháng 1 năm 2023 đến tháng 10 năm 2023; được chỉ định nội soi hô hấp do dị vật hay nội soi chẩn đoán, bệnh nhân có chỉ định lấy mẫu xét nghiệm dưới gây mê tại khoa gây mê hồi sức. | Vietnam Journal of Community Medicine Vol. 64 Special Issue 11 259-266 AIRWAY CONTROL IN RESPIRATORY TRACT ENDOSCOPY FOR CHILDREN AT NGHE AN OBSTETRICS PEDIATRICS HOSPITAL Tang Xuan Hai Tran Minh Long Le Trong Thong Nghe An Obstetrics and Pediatrics Hospital - No. 19 Ton That Tung Hung Dung Ward Vinh City Nghe An Vietnam Received 14 09 2023 Revised 10 10 2023 Accepted 02 11 2023 ABSTRACT Objectives Evaluate the anesthesia method and the ability to control the airway during respiratory endoscopy in children. Subjects - methods Children under 15 years old include 148 patients hospitalized from January 2023 to October 2023 Indicated for respiratory endoscopy due to foreign bodies or diagnostic endoscopy the patient is indicated to have samples taken for testing under anesthesia at the anesthesia and resuscitation department. Monitoring data includes Patient age gender disease diagnosis chest x-ray status before screening During anesthesia SpO2 heart rate blood pressure irritation of the respiratory tract during anesthesia tracheal spasm Patients requiring endotracheal intubation and mechanical ventilation after endoscopy Time for continued mechanical ventilation resuscitation or indication for endotracheal extubation after respiratory endoscopy. Complications during or after surgery were recorded. Results All 148 patients received propofol intravenous anesthesia oropharyngeal lidocain anesthesia Then place a tracheoscope this instrument has an oxygen connection to install high flow into the patient s lungs. The prerequisite goals are deep enough anesthesia providing enough oxygen to the patient appropriate pain relief during examination and limiting respiratory reflexes. As a result 15 patients had laryngospasm and bronchospasm in . Over 90 of patients had increased heart rate over 20 compared to the baseline level 86 of patients had SpO2 drop from 60-90 then increases to 98-100 when high flow of oxygen added through the scope. Rigid bronchoscopy technique to .