Features of Technical Problems in Pediatric Rigid Bronchoscopy

M. Ö. Kuzdan
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Abstract

Aim: Foreign body aspiration in the respiratory tract in children is a vital problem treated with rigid bronchoscopy (RB). In our study, technical problems and solutions of problems detected during RB were evaluated. Methods: Between August 2019-March 2021, 42 cases, which are operated due to foreign body aspiration, are analyzed in terms of age, gender, nature, and location of foreign body, complications, and technical problems. Results: 42 child patients (20 girls, 22 boys) were admitted to our clinic due to foreign body aspiration the respiratory tract ranged in average age from 1-16 years (average 4.6). Three of the foreign bodies were removed from the right main bronchi, 7 from the left main bronchi, and 4 from the trachea. Thirty-six were organic and 6 were inorganic. Human error was detected in 8 cases, instrument error in 27 cases, device error in 4 cases, and multiple errors in 3 cases. Conclusion: In attempts where tools and devices are used extensively, there are undesirable events and complications due to errors. We believe that analyzing error reports to reduce them is preventative
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儿童刚性支气管镜检查技术问题的特点
目的:小儿呼吸道异物吸入是硬支气管镜治疗的一个重要问题。在我们的研究中,对RB过程中发现的技术问题和解决方案进行了评估。方法:对2019年8月~ 2021年3月42例因异物吸入手术的患者进行年龄、性别、异物性质、部位、并发症及技术问题分析。结果:我院共收治呼吸道异物吸入患儿42例(女20例,男22例),平均年龄1 ~ 16岁,平均4.6岁。3个异物从右主支气管取出,7个从左主支气管取出,4个从气管取出。36个是有机的,6个是无机的。人为错误8例,仪器错误27例,器械错误4例,多重错误3例。结论:在广泛使用工具和器械的手术中,由于错误,出现了不良事件和并发症。我们相信通过分析错误报告来减少错误是预防性的
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