Childhood obesity and anesthetic morbidity

Setzer, Nancy; Saade, Edouard

doi:10.1111/j.1460-9592.2006.02128.x

Cited by 55 publications

(44 citation statements)

References 20 publications

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“…The treatment of nonunions in obese patients has been shown to be fraught with complications [6]. Anesthesia risks also increase for obese children [11,12]. Previous study of femur fractures treated with intramedullary elastic nails in children has suggested that larger children have a higher complication rate [2].…”

Section: Discussionmentioning

confidence: 99%

Complications with flexible nailing of femur fractures more than double with child obesity and weight >50 kg

Weiss

Choi

Ghatan

et al. 2009

Journal of Children's Orthopaedics

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Background Previous studies report that children above the 95th percentile in weight for their age had an increased risk for complications following titanium elastic nailing for femur fractures. The purpose of this study is to examine whether obesity, defined as body mass index (BMI) [ 95th percentile, and/or simple weight correlates with an increased rate of complications. Methods The incidence of complications was compared between obese and non-obese patients and also between patients who weighed C50 kg and those \50 kg. Results The overall complication rate was 23% (16/71). The complication rate was 17% (10/58) for ''non-obese'' patients and 46% (6/13) for ''obese'' patients. This difference was statistically significant (P = 0.03). The complication rate was 46% (6/13) in children who weighed C50 kg and 17% (10/58) in children who weighed\50 kg. This difference was also statistically significant (P = 0.03). Conclusions This study demonstrates that obesity (BMI [ 95th percentile) and weight over 50 kg predispose patients to increased risk of surgical complications when undergoing flexible elastic nailing for femur fractures. Both obese children and children weighing C50 kg were two times more likely to have a complication when undergoing this procedure.

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Section: Discussionmentioning

confidence: 99%

Complications with flexible nailing of femur fractures more than double with child obesity and weight >50 kg

Weiss

Choi

Ghatan

et al. 2009

Journal of Children's Orthopaedics

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“…18 A retrospective chart review of 1,133 children who underwent outpatient dental procedures revealed an increased incidence of oxygen desaturation requiring supplemental oxygen and unplanned overnight stay in obese children postoperatively. 19 These studies demonstrate the increased risk of respiratory compromise that may be seen in the postsurgical obese pediatric patient, and suggest that overnight stays are indicated to assure postoperative surveillance of the potential of these adverse events.…”

Section: Postoperative Considerationsmentioning

confidence: 96%

Special Considerations in the Perioperative Preparation of the Obese Child: An Evidence-Based Review

Connolly

French

2011

Bariatric Nursing and Surgical Patient Care

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“…A retrospective study of 1,133 children undergoing planned outpatient dental procedures under anaesthesia at an American children's hospital showed that obese children were more likely to suffer respiratory complications than non-obese children, leading to arterial oxygen desaturation and unexpected hospitalisation (2 vs. 0.19 % in both situations). These findings suggest that identification and awareness of childhood obesity as a risk factor for perioperative complications is important for optimising anaesthetic management and outcomes [26].…”

Section: Cardiac Arrest and Mortality In Paediatric Anaesthesiamentioning

confidence: 97%

Improved outcomes in paediatric anaesthesia: contributing factors

Somri

Coran

Hadjittofi³

et al. 2012

Pediatr Surg Int

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Despite substantial progress, there is still much room for improvement in areas such as adverse-event reporting, anaesthetic-related risk and late neurocognitive outcomes. Systematic reviews comparing paediatric patient outcomes after neuroaxial block versus general anaesthesia are currently unavailable. The future of paediatric anaesthesia will most likely be influenced by much-needed large prospective studies, which can provide further insight into patient safety and service delivery.

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Childhood obesity and anesthetic morbidity

Abstract: Our study demonstrated a small increase in minor respiratory complications in obese children who underwent anesthesia. Inhalation induction was not associated with an increase in adverse events in this population.

Cited by 55 publications

References 20 publications

Complications with flexible nailing of femur fractures more than double with child obesity and weight >50 kg

Complications with flexible nailing of femur fractures more than double with child obesity and weight >50 kg

Special Considerations in the Perioperative Preparation of the Obese Child: An Evidence-Based Review

Improved outcomes in paediatric anaesthesia: contributing factors

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