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CT‐guided percutaneous lung biopsy under general anesthesia: a pediatric case series and literature review
Author(s) -
Naumann Heather,
Pittaway Andy,
Lynn Anne M.,
Vo Nghia J.
Publication year - 2012
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2011.03773.x
Subject(s) - medicine , pneumothorax , complication , percutaneous , surgery , lung biopsy , airway , radiology , biopsy , lung , anesthesia
Summary 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.