Anesthesia - related perioperative complications and cardiac arrest in children

Postgraduate Thesis uoadl:2929641 25 Read counter

Unit:
Κατεύθυνση Καρδιοαναπνευστική Αναζωογόνηση
Library of the School of Health Sciences
Deposit date:
2020-12-04
Year:
2020
Author:
Tounissidou Despoina
Supervisors info:
Νικολέττα Μ. Ιακωβίδου, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Αθανασία Τσαρουχά , Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ,
Αθανάσιος Χαλκιάς, Επίκουρος Καθηγητής, Ιατρική Σχολή, Πανεπιστήμιο Θεσσαλίας
Original Title:
Επιπλοκές της αναισθησίας και καρδιακή ανακοπή στα παιδιά κατά τη διεγχειρητική και μετεγχειρητική περίοδο
Languages:
Greek
Translated title:
Anesthesia - related perioperative complications and cardiac arrest in children
Summary:
Introduction
Adverse events remain one of the major causes of morbidity during anaesthesia, especially in children. The purpose of this study was to record the adverse perioperative events in children undergoing general anesthesia or monitored anesthesia care alone or in combination with regional anesthesia.

Materials & Methods
This prospective observational study included consecutive pediatric patients over a period of 12 months. Demographics, data from surgeries, patient history, and data from anesthesia records were recorded. Inclusion criteria were age 0-18 years, as long as there was no syndrome that seriously affected airway and no regional anesthesia was given alone.

Results
The study included 3097 patients (mean age 7.3 years ± 4.7 years, 64.4% male) who underwent 3497 surgical procedures. Intraoperative and postoperative adverse events occurred in 1819 (52%) and 219 (6.3%), respectively. Only two cases of cardiac arrest were observed (0.06%). The frequency of adverse events was related to gender (p = 0.002), age and weight (p <0.001), type of surgery, general condition of patients and ASA score (p <0.001), previous hospitalizations and anesthetic procedures (p < 0.001), respiratory infection (p = 0.026), preexisting apnea (p = 0.021), underlying cardiac, gastrointestinal and neurological diseases (p < 0.001), hypertension (p = 0.008), diabetes mellitus (p = 0.049) ), anemia and coagulation disorders (p < 0.001).

Conclusions
The results of the present study highlight the increased incidence of perioperative anesthesia complications in pediatric patients. Predisposing factors include the ASA score and comorbidities.
Main subject category:
Health Sciences
Keywords:
Pediatric anesthesia, Adverse events, Cardiac arrest, Risk factors, Perioperative
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
55
Number of pages:
98

MSc ΤΟΥΝΙΣΣΙΔΟΥ 18112020.pdf
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