Key result
In 250 pediatric patients undergoing anesthesia, common intra-operative complications included bradycardia (n=5) and tachycardia (n=4), while post-operative complications included hemorrhage (n=7) and shivering (n=6).
Why the study?
Pediatric patients differ in drug requirements and handling capacity, motivating an evaluation of intra-operative and post-operative complications in pediatric anesthesia.
What are the intra-operative and post-operative complications associated with pediatric anesthesia?
Observational (n=250)
No
What are the intra-operative and post-operative complications associated with pediatric anesthesia?
This study outlines the frequency of various intra-operative and post-operative complications in pediatric patients undergoing anesthesia in a Bangladeshi hospital setting.
Answers are grounded in this paper and cite their sources.
Observational data on pediatric anesthesia complications at one center; leaves open need for larger studies before informing risk reduction.
Introduction: Pediatric patients differ in their drug requirements because of their smaller body size, differences in body composition and handling capacity of drugs. Usually dosages are based on body weight, because it correlates so intimately with body water compartments. Objective: To find out the Intra-Operative & Post-Operative Complications in Pediatric Anesthesia. Materials & Methods: The present study was conducted in the Department of Anaesthesiology & ICU, Cumilla Medical College, Cumilla, Bangladesh during from January 2017 to December 2017. It included 250 pediatric patients of both gender. Parents were informed regarding the study and written consent was obtained. Ethical clearance was taken from institutional ethical committee. General information such as name, age, sex, ASA status, technique of anesthesia and complications were recorded. Results: The present study was conducted to identify anesthesia-related complications in pediatric patients. The present study was conducted on 250 pediatric patients of both genders. Factors such as conscious state, colour, respiration, pulse and blood pressure were also assessed. Age group 1 month-1 year had 22 males and 33 females. 1-5 years had 45 males and 50 females, 5-10 years had 15 males and 20 females and 10-14 years had 40 males and 25 females. The difference was non-significant (P-0.5). Patients had ASA I (180), ASA 2 (50), ASA 3 (15), ASA 4 (3) and ASA 5 (2) status. The difference was significant (P-0.05). Type of anesthesia was general anesthesia (200), general anesthesia with caudal block (27), subarachnoid block (5) and general anesthesia with local anesthesia (18). The difference was significant (P-0.01). Common intra-operative complications were bradycardia (5), tachycardia (4), hypotension (4), hypertension (3), cardiac arrest (2), brochospasm (1), hypoventilation (2), pain (3) and prolonged unconsciousness (1). The difference was significant (P-0.01). Post-operative complications were shivering (6), pain (5), hemorrhage (7), hypoventilation (3), respiratory arrest (2), laryngospasm (4) and hypoventilation (2). The difference was non-significant (P-0.5).
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Hossain et al. (2020) conducted an observational in Pediatric anesthesia (n=250). Pediatric anesthesia was evaluated on Intra-operative and post-operative complications. In 250 pediatric patients undergoing anesthesia, common intra-operative complications included bradycardia (n=5) and tachycardia (n=4), while post-operative complications included hemorrhage (n=7) and shivering (n=6).
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