Predictive factors for respiratory complications in pediatric anesthesia
Department of Pediatric and Maternal Anesthesiology and Intensive Care, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Research Article
World Journal of Advanced Research and Reviews, 2023, 18(01), 915–922
Article DOI: 10.30574/wjarr.2023.18.1.0701
Publication history:
Received on 09 March 2023; revised on 17 April 2023; accepted on 20 April 2023
Abstract:
We conducted a prospective observational, descriptive, and analytical study covering all patients under 16 years of age who were admitted to the operating room for scheduled or urgent surgery between July and August 2022. The purpose of this study was to identify the epidemiological characteristics of our population, describe the means of upper airway management in our practice, and analyze postoperative respiratory complications in pediatric anesthesia and their predictive factors. A total of 200 children were included in this study, with an average age of six years and an average weight of 21 kg. Of these, 53 (26.5%) underwent sedation with propofol 3 mg/kg and ketamine 1 mg/kg or a combination of a hypnotic (propofol or ketamine) and fentanyl at the dose of 2 gamma/kg. General anesthesia was used for 93 (46.5%) patients, while the remaining 54 (27%) were operated on under locoregional anesthesia associated with sedation. Depending on the type of surgery and anesthesia, the upper airway management protocol was chosen: 85 (42.5%) patients were operated on under an oxygen mask, 12 (6%) under a face mask, 10 (5%) under a laryngeal mask and 93 (46.5%) were intubated. Postoperative respiratory complications occurred in 28 patients (14%), with desaturation being the most common complication (10.5%). In multivariate statistical analysis, the factors found to be associated with the occurrence of postoperative respiratory complications were: weight less than 10 kg (p = 0.006, OR = 4.16 [1.54-11.22]) and unipulmonary ventilation (p = 0.008, OR = 14.77 [2.09-104.02]).
Keywords:
Pediatric anesthesia; Airways; Respiratory complications; Intubation; Recent infection of the airways
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Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0