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Evaluation of the Explorer Endoscopy Mask(©) for esogastroduodenoscopy in children: a retrospective study of 173 cases.

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Potie, Arnaud [UCL] Pregardien, Caroline [UCL] Pirotte, Thierry [UCL] Stephenne, Xavier [UCL] Scheers, Isabelle [UCL] Wanty, Catherine [UCL] Smets, Françoise [UCL] Sokal, Etienne [UCL] Veyckemans, Francis [UCL]

(eng) AIMS: The aim of this study was to evaluate the usability and safety of the Explorer Endoscopy Mask(®) (EM) as an alternative to endotracheal intubation in children undergoing elective esogastroduodenoscopy (EGD) under general anesthesia (GA). METHODS: This study was a retrospective observational study. The study was undertaken at the pediatric digestive endoscopy suite in the Cliniques universitaires Saint-Luc, Brussels, Belgium. We retrospectively analyzed the occurrence of minor and major airway-related adverse effects during pediatric EGD procedures performed under GA with the EM between June 2014 and March 2015. RESULTS: During the study period, 173 patients underwent EGD. Their mean age was 8.4 years (median: 9.1 years, range 4 months to 16 years). Mean duration of endoscopy (from insertion to removal of the endoscope) was 12.6 min (median: 12 min, range 3-47 min). The use of EM was uneventful in 159 (92%) cases. There were 24 airway-related adverse events in 14 children. Hypoxemia (SpO2 <90%) (13 events, 7.5%) was the most commonly encountered complication followed by laryngo- or bronchospasm (five events, 2.89%), cough (five events, 2.89%), and intubation (one event, 0.58%). No cases of regurgitation/aspiration were observed. CONCLUSIONS: Our data support the EM use in pediatric EGD. There were few transient respiratory adverse events which were easily solved with minor interventions.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2016
Language Anglais
Journal information "Pediatric anesthesia" - Vol. 26, no. 6, p. 649-654 (2016)
Peer reviewed yes
Publisher Arnette-Blackwell ((France) Paris)
issn 1155-5645
e-issn 1460-9592
Publication status Publié
Affiliations UCL - SSS/IREC/PEDI - Pôle de Pédiatrie
UCL - (SLuc) Service de gastro-entérologie et hépatologie pédiatrique
UCL - SSS/IREC/SLUC - Pôle St.-Luc
UCL - (SLuc) Service d'anesthésiologie
Links
  1. Friedt Michael, Welsch Simon, An update on pediatric endoscopy, 10.1186/2047-783x-18-24
  2. Dar Abdul Q, Anesthesia and sedation in pediatric gastrointestinal endoscopic procedures: A review, 10.4253/wjge.v2.i7.257
  3. Patino Mario, Glynn Susan, Soberano Mark, Putnam Philip, Hossain Md Monir, Hoffmann Clifford, Samuels Paul, Kibelbek Michael J., Gunter Joel, Comparison of different anesthesia techniques during esophagogastroduedenoscopy in children: a randomized trial, 10.1111/pan.12717
  4. van Beek Elke J.A.H., Leroy Piet L.J.M., Safe and Effective Procedural Sedation for Gastrointestinal Endoscopy in Children : , 10.1097/mpg.0b013e31823a2985
  5. Orel Rok, Review on sedation for gastrointestinal tract endoscopy in children by non-anesthesiologists, 10.4253/wjge.v7.i9.895
  6. Thakkar Kalpesh, El-Serag Hashem B., Mattek Nora, Gilger Mark A., Complications of pediatric EGD: a 4-year experience in PEDS-CORI, 10.1016/j.gie.2006.03.015
  7. MD FRANZ J. FREI, MD DANIEL F. àWENGEN, MD MARKUS RUTISHAUSER, MD WOLFGANG UMMENHOFER, The airway endoscopy mask: useful device for fibreoptic evaluation and intubation of the paediatric airway, 10.1111/j.1460-9592.1995.tb00315.x
  8. Somri Mostafa, Gaitini Louis, Yanovski Boris, Tome Riad, Resnikov Igor, Karsh Karam, Shaoul Ron, Flexible Upper Videoendoscopy Through a Modified Endoscopy Mask in Infants and Young Children : , 10.1097/mpg.0b013e31818de362
  9. Wengrower D., Gozal D., Gozal Y., Meiri Ch., Golan I., Granot E., Goldin E., Complicated endoscopic pediatric procedures using deep sedation and general anesthesia are safe in the endoscopy suite, 10.1080/00365520310008467
  10. HOFFMANN CLIFFORD O., SAMUELS PAUL J., BECKMAN EILEEN, HEIN ELIZABETH A., SHACKLEFORD T. MICHAEL, OVERBEY EVELYN, BERLIN RICHARD E., WANG YU, NICK TODD G., GUNTER JOEL B., Insufflation vs intubation during esophagogastroduodenoscopy in children : AIRWAY MANAGEMENT FOR UPPER GI ENDOSCOPY, 10.1111/j.1460-9592.2010.03357.x
  11. Schwarz Steven M, Lightdale Jenifer R, Liacouras Chris A, Sedation and Anesthesia in Pediatric Endoscopy: One Size Does Not Fit All : , 10.1097/mpg.0b013e31802f6435
  12. Lamireau Thierry, Dubreuil Marc, Daconceicao Manuel, Oxygen Saturation during Esophagogastroduodenoscopy in Children: General Anesthesia versus Intravenous Sedation : , 10.1097/00005176-199808000-00008
  13. Ammar M. Samer, Pfefferkorn Marian D., Croffie Joseph M., Gupta Sandeep K., Corkins Mark R., Fitzgerald Joseph F., Complications after outpatient upper GI endoscopy in children: 30-day follow-up, 10.1111/j.1572-0241.2003.07524.x
  14. Leclerc C., Levesque C., Soulard D., Endoscopie digestive haute chez l’enfant avec masque laryngé. Une technique évaluée chez 200 patients, 10.1016/j.annfar.2011.04.009
  15. LOPEZ-GIL MAITE, BRIMACOMBE JOSEPH, DÍAZ-REGAÑON GONZALO, Anesthesia for pediatric gastroscopy: a study comparing the ProSeal laryngeal mask airway with nasal cannulae, 10.1111/j.1460-9592.2006.01924.x
Bibliographic reference Potie, Arnaud ; Pregardien, Caroline ; Pirotte, Thierry ; Stephenne, Xavier ; Scheers, Isabelle ; et. al. Evaluation of the Explorer Endoscopy Mask(©) for esogastroduodenoscopy in children: a retrospective study of 173 cases.. In: Pediatric anesthesia, Vol. 26, no. 6, p. 649-654 (2016)
Permanent URL http://hdl.handle.net/2078.1/174648