Anterior-commissure laryngoscope extraction of esophageal coins in children using an apnea technique.

Abstract

This is a case series with chart review of 59 consecutive pediatric patients with a diagnosis of cervical esophageal coin who underwent anterior-commissure laryngoscope (ACLA) extraction during apnea. The purpose of this study was (1) to evaluate the efficacy and safety of coin extraction and (2) to analyze foreign body features and intraoperative physiological parameters (apnea time, O2 saturation and end-tidal CO2 (ETCO2) of apnea, minimum O2 during procedure, and heart rate). The technique was completed in 94.9% of the sample. The mean of the length of apnea was 57.7 ± 25.2 seconds. The median minimum O2 saturation was 99.5% (minimum = 93, maximum = 100), and the median of the ETCO2 at the end of the procedure was 35.7 ± 4.8 mm Hg. Heart rates remained at baseline values during the procedure (P < .001). This technique represents an efficient and secure modality for treatment. If successful, the patient can be safely discharged after clearance from anesthesia and a swallowing trial.

• Authors: Luis A Tarrats, Marinell Rivera-Rodríguez, Lorena González, Susana Vargas-Pinto, Miguel Garratón, Elisa Quintero, Antonio Riera-March
• Journal: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (Otolaryngol Head Neck Surg) Vol. 152 Issue 6 Pg. 1145-8 (Jun 2015) ISSN: 1097-6817 [Electronic] England
• PMID: 25805639 (Publication Type: Evaluation Study, Journal Article)
• Copyright: © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

Topics

• Apnea
• Child
• Child, Preschool
• Cohort Studies
• Esophagus (surgery)
• Female
• Follow-Up Studies
• Foreign Bodies (diagnosis, surgery)
• Humans
• Laryngoscopy (methods)
• Male
• Numismatics
• Puerto Rico
• Retrospective Studies
• Risk Assessment
• Treatment Outcome