Intra- Operative & Post- Operative Complications in Pediatric Anesthesia
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 1
Abstract
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. 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. General information such as name, age, sex, ASA status, technique of anesthesia, and complications were recorded. 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). In order to avoid or minimize these complications occurring at induction to the barest minimum, a consultant anesthetist or an experienced anesthetist must always be in attendance to handle difficult cases.
Authors and Affiliations
Vivek Mahajan, Shailja Gupta
Keywords
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