Risk factors for adverse events in children with colds emerging from anesthesia: a logistic regression

Abstract

Specific preoperative symptoms were not useful in predicting respiratory adverse events during emergence from anesthesia.

Perioperative respiratory adverse events in children with active upper respiratory tract infection who received general anesthesia through an orotracheal tube and inhalation agents

“…In accordance with previous results [5], extubation in an awake state or under deep anesthesia was not related to RAE (Table 3). …”

“…Young age is a well-known risk factor for RAE in children with or without a URI [3,5-7,12]. Previous studies reported that the mean age of patients with RAE was 4.95 ± 4.67 yr, which is similar to results of the current study [7].…”

“…While some studies have demonstrated that copious nasal secretion and congestion are independent risk factors for RAE [4,6], another study showed no association between any particular symptoms and the rate of RAE [5]. In the current study, six symptoms - clear or green nasal discharge, dry or moist cough, nasal congestion, or fever (≥ 38℃) - were evaluated and there were no significant relationships between any individual symptom and perioperative RAE (Table 3).…”

Risk factors for laryngospasm in children during general anesthesia

“…It is more prevalent in younger children (1) with incidence ranging from 14% in <6 years old to 3.6% in >6 years old (2). Several risk factors for laryngospasm have been identified: younger age (1), higher American Society of Anesthesiologists Physical Status (ASA PS) and the type of airway device used during anesthesia (1,3–5). Upper respiratory tract infection (URI) has been found to be a risk factor for laryngospasm in many but not all studies (1,4,6–8).…”

Author's reply

“…In children with a history of mild upper respiratory infection, fever was present following surgery in more than 25% of patients as reported by Rachel Homer J et al. (3). As fever may be the first sign of a postoperative problem such as wound infection or sepsis, many physicians would carry out extensive laboratory work‐up and administer antibiotics empirically when a child has (even low‐grade) fever.…”