CT-guided percutaneous lung biopsy under general anesthesia: a pediatric case series and literature review. Paediatr Anaesth 2012 May;22(5):469-75
Date
01/04/2012Pubmed ID
22211910DOI
10.1111/j.1460-9592.2011.03773.xScopus ID
2-s2.0-84859609085 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
We describe 14 consecutive children who received computed tomography-guided percutaneous lung biopsy (CT-PLB) under general anesthesia over an 18-month period at our institution. Pulmonary hemorrhage (occurring in 36%) and pneumothorax (29%) were the two most common complications; the overall complication rate was 64%. When complications did occur, immediate airway management was facilitated by the presence of an endotracheal tube (ETT). We conclude as follows: (i) CT-PLB in our series is associated with a high risk of both overall and severe complications; (ii) risk of complications is increased by both patient and procedure-related factors; (iii) airway management with ETT may be preferable should a complication arise; (iv) severe complications may necessitate ICU admission, which should be available before proceeding.
Author List
Naumann H, Pittaway A, Lynn AM, Vo NJAuthor
Nghia (Jack) Vo MD Chief, Professor in the Radiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAirway Management
Anesthesia, General
Biopsy
Child
Child, Preschool
Female
Hemorrhage
Humans
Infant
Intubation, Intratracheal
Laryngeal Masks
Lung
Male
Neoplasms
Pneumothorax
Retrospective Studies
Tomography, X-Ray Computed
Young Adult
