General anesthesia risk across pediatric surgical specialties: Low in otolaryngology

Kolb, Caroline M.; Tinley-Strong, Dee; Rangarajan, Rajiv; Uejima, Tetsu; Shah, Udayan K.

doi:10.1016/j.ijporl.2019.109780

Cited by 3 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Due to off-label CI at various institutions, several studies have demonstrated benefits with regard to language and audiological development among infants implanted less than 12 months and as early as 4 months (8)(9)(10). Despite such benefits, the potential for higher intraoperative surgical and anesthetic events and postoperative complications continues to underlie the apprehension toward CI in the very young and curtails the FDA age eligibility criteria (9)(10)(11). Two recent studies used the National Surgical Quality Improvement Program Pediatric Database (NSQIP-P) to characterize the incidence and nature of complications within 30 days of CI in pediatric cohorts from 2012 to 2015 (12,13).…”

mentioning

confidence: 99%

Prevalence of Surgical, Anesthetic, and Device-related Complications Among Infants Implanted Before 9 and 12 Months of Age Versus Older Children: Evidence for the Continued Expansion of Pediatric Cochlear Implant Candidacy Criteria

Chweya

Smith²,

May³

et al. 2021

Otology &Amp; Neurotology

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Prevalence of Surgical, Anesthetic, and Device-related Complications Among Infants Implanted Before 9 and 12 Months of Age Versus Older Children: Evidence for the Continued Expansion of Pediatric Cochlear Implant Candidacy Criteria

Chweya

Smith²,

May³

et al. 2021

Otology &Amp; Neurotology

View full text Add to dashboard Cite

show abstract

“…1 Tracheal intubation is a common method of airway management after general anesthesia. 2 However, tracheal intubation destroys the natural barrier of the upper respiratory tract, causing the patient's nose and throat to become vulnerable to bacterial invasion and increasing the risk of lung infection. 3 Lower respiratory tract infections are usually caused by bacteria and viruses.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing lower respiratory tract infection in older patients after general anesthesia

Chen

Yasen

et al. 2021

J Int Med Res

View full text Add to dashboard Cite

Objective Pulmonary complication is common in older patients after surgery. We analyzed risk factors of lower respiratory tract infection after general anesthesia among older patients. Methods In this retrospective investigation, we included older patients who underwent surgery with general anesthesia. Logistic regression analyses were performed to determine risk factors of lower respiratory tract infection. Results A total 418 postoperative patients with general anesthesia were included; the incidence of lower respiratory tract infection was 9.33%. Ten cases were caused by gram-positive bacteria, 26 cases by gram-negative bacteria, and 2 cases by fungus. We found significant differences in age, smoking, diabetes, oral/nasal tracheal intubation, and surgery duration. Logistic regression analysis indicated that age ≥70 years (odds ratio [OR] 2.028, 95% confidence interval [CI] 1.115–3.646), smoking (OR 2.314, 95% CI 1.073–4.229), diabetes (OR 2.185, 95% CI 1.166–4.435), nasotracheal intubation (OR 3.528, 95% CI 1.104–5.074), and duration of surgery ≥180 minutes (OR 1.334, 95% CI 1.015–1.923) were independent risk factors of lower respiratory tract infections. Conclusions Older patients undergoing general anesthesia after tracheal intubation have a high risk of lower respiratory tract infections. Clinical interventions should be provided to prevent pulmonary infections in patients with relevant risk factors.

show abstract

Accounting for General Anesthesia: A Pre-Op Primer and Post-Op Factor

Kornfeld¹,

Wild²

2021

Pediatr Ann

View full text Add to dashboard Cite

Infants and young children are in a period of rapid neurodevelopment, making them more vulnerable to neurotoxic agents. A topic of much debate is how persistent and pervasive cognitive delays are for children exposed to anesthesia at a young age. The US Food and Drug Administration issued a warning in late 2016 calling for providers to share information about such risks with families before any medical interventions requiring use of anesthetics. This article offers the pediatric generalist some background on the warning and tips for counseling families before a procedure as well as reminders for surveilling beyond a procedure. [ Pediatr Ann . 2021;50(5):e187–e189.]

show abstract

General anesthesia risk across pediatric surgical specialties: Low in otolaryngology

Cited by 3 publications

References 19 publications

Prevalence of Surgical, Anesthetic, and Device-related Complications Among Infants Implanted Before 9 and 12 Months of Age Versus Older Children: Evidence for the Continued Expansion of Pediatric Cochlear Implant Candidacy Criteria

Prevalence of Surgical, Anesthetic, and Device-related Complications Among Infants Implanted Before 9 and 12 Months of Age Versus Older Children: Evidence for the Continued Expansion of Pediatric Cochlear Implant Candidacy Criteria

Factors influencing lower respiratory tract infection in older patients after general anesthesia

Accounting for General Anesthesia: A Pre-Op Primer and Post-Op Factor

Contact Info

Product

Resources

About