Adverse events related to gastrointestinal endoscopic procedures in pediatric patients under anesthesia care and a pbkp_redictive risk model (AEGEP Study)

Abstract:

Background Multiple studies have analyzed perioperative factors related to adverse events (AEs) in children who require gastrointestinal endoscopic procedures (GEP) in settings where deep sedation is the preferred anesthetic technique over general anesthesia (GA) but not for the opposite case. Methods We reviewed our anesthesia institutional database, seeking children less than 12 years who underwent GEP over a 5-year period. A logistic regression was used to determine significant associations between preoperative conditions, characteristics of the procedure, airway management, anesthetic approaches and the presence of serious and non-serious AEs. Results GA was preferred over deep sedation [77.8% vs. 22.2% in 2178 GEP under anesthesia care (n = 1742)]. We found 96 AEs reported in 77 patients, including hypoxemia (1.82%), bronchospasm (1.14%) and laryngospasm (0.91%) as the most frequent …

Año de publicación:

2014

Keywords:

Fuente:

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