A systematic review and meta‐analysis of acute severe complications of pediatric anesthesia

Abstract

The data on pediatric anesthesia acute severe complications are poorly defined with large variation in the specificity of diagnostic reporting even within studies. We suggest that it is vital for future studies in this area to be based on a standardized system of diagnostic reporting (possibly with a hierarchical system of coding) with adequate description of population details to describe heterogeneity of data.

The effect of endotracheal tubes versus laryngeal mask airways on perioperative respiratory adverse events in infants: a randomised controlled trial

“…Perioperative respiratory adverse events (PRAE) are the most common critical incidents encountered in paediatric anaesthesia, [1][2][3][4] and account for a third of anaesthesia-related cardiac arrests. 5 While the incidence of PRAE is 15% in a general paediatric population, the rate of PRAE is doubled in infants.…”

Unreported deaths in pediatric surgery and anesthesia: a national, twenty year report

“…(12,13) Our findings cannot be compared to other published studies, since this was the first time that an attempt was performed to estimate unexpected and unreported perioperative mortality through mass media report. We included all kinds of complications, both surgical and anesthesiological while other reviews and databases selectively report anesthesiological or surgical complications, (1,3,14,15) not allowing an understanding of the real overall mortality rate in the pediatric surgical setting.…”

“…(14) A recent meta-analysis of acute severe complications of pediatric anesthesia failed to find any strong data regarding mortality, underlying the fact that the majority of the studies analyzed failed to provide data. (15) Children are often scheduled together with adults on operating lists in non-pediatric hospitals, but several studies suggested that in pediatric surgery, outcomes could be associated with hospitals' operative volumes or the surgeon's experience. (16) …”

Advances in the Management of Perioperative Patients' Thirst

“…Adverse respiratory events are related to pediatric morbidity and mortality . Sedatives and anesthetics can depress the central nervous system, causing respiratory failure.…”