• Paediatric anaesthesia · May 2012

    Review Meta Analysis

    CT-guided percutaneous lung biopsy under general anesthesia: a pediatric case series and literature review.

    • Heather Naumann, Andy Pittaway, Anne M Lynn, and Nghia J Vo.
    • Department of Anesthesiology & Pain Medicine, Seattle Children's Hospital, Seattle, WA 98105, USA.
    • Paediatr Anaesth. 2012 May 1;22(5):469-75.

    AbstractWe 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.© 2011 Blackwell Publishing Ltd.

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