A Prospective Observational Study of Anesthetic Complications in Children Undergoing Primary Lip and Palate Repairs
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 9
Abstract
Background: Children coming for cleft lip (CL) and palate repair are at increased risk of pre-, intra-, and post-operative respiratory complications. These anatomical abnormalities associated with CL and palate and increased the risk of airway complications associated with them are studied. Aim: The aim of the study was to determine the incidence of airway and respiratory complications during CL and palate repair and identify risk factors. Materials and Methods: After the Institutional Ethics Committee approval and written informed consent, 100 children of ASA Grade I presented with CL /palate/both were enrolled for this prospective randomized observational study, standard induction was employed and intubated with a RAE tube, anesthesia maintained, and appropriate analgesia given. At the end of surgery, children were extubated. All intraoperative or immediate post-operative airway complications were documented. Results: The most common complication was desaturation (5%) followed by tube disconnection (4%). The incidence of post-operative complications is 7%, airway edema (2%), post-operative nausea and vomiting (5%) occurred, 14.89% of patients who had cleft palate (CP) repair developed complications, 12.25% who had CL repair developed complications, and 50% of patients who had combined lip and palate (CLP) repair developed complications. Complications occurred in 38.4% of patients having CP repair, 15.8% having CL repair, and 50% having CLP repair. Conclusion: Cleft repair had a high incidence of airway/respiratory complications, and more complications occurred with CP surgery. There is a need to ensure adequately skilled personnel and appropriate monitoring to minimize morbidity.
Authors and Affiliations
M Santhi Sree, P Deepak, M Hari Bhanu Teresa, K D A Prasad
Keywords
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