British Journal of Anaesthesia, 1988, Vol. 61, No. 3 263-269
© 1988 The Board of Management and Trustees of the British Journal of Anaesthesia
research-article |
COMPLICATIONS RELATED TO ANAESTHESIA IN INFANTS AND CHILDREN
A Prospective Survey of 40240 Anaesthetics
Institut National de la Santé et de la Recherche Médicale Unité 164, 16 Av. Paul Vaillant-Couturier, 94807 Villejuif Cedex, France
Départment d'Anesthésiologie-Réanimation Chirurgicale, Hôpital Bichat 46 rue Henri-Huchard, 75018 Paris, France
Institut d'Anesthésiologie, 21 rue de l'Ecole de Médecine 75270 Paris, Cedex 06, France
A prospective survey of anaesthesia-related mortality and morbidity in infants and children was carried out in a representative sample of anaesthetics performed in 440 institutions chosen at random in France. A total of 40240 anaesthetics were administered to patients younger than 15 yr, 2103 (5%) involving infants (younger than 1 yr). Twenty-seven major complications related to anaesthesia occurred during or within 24 h of the anaesthesia—an incidence of 0.7 per 1000 anaesthetics. Nine, of which four were associated with cardiac arrest, were observed in infants, whereas in children there were 18 complications of which eight were associated with cardiac arrest, one with fatal outcome. The risk of complications was significantly higher (P < 0.001) in infants (4.3 per 1000) than in children (0.5 per 1000). Accidents observed in infants mainly occurred during maintenance of anaesthesia and were the result of respiratory failure. In children, circulatory failure was as frequent as respiratory failure and complications were observed almost equally during induction and maintenance and on recovery. The rate of complications increased significantly with the ASA score and the number of co-existing diseases. The incidence was also higher when a previous history of anaesthesia was present, when the procedure was an emergency, and when the duration of preoperative fasting was less than 8 h.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  K. C. Odegard, J. A. DiNardo, B. D. Kussman, A. Shukla, J. Harrington, A. Casta, F. X. McGowan Jr, P. R. Hickey, E. A. Bacha, R. R. Thiagarajan, et al. The Frequency of Anesthesia-Related Cardiac Arrests in Patients with Congenital Heart Disease Undergoing Cardiac Surgery Anesth. Analg., August 1, 2007; 105(2): 335 - 343. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. M. Bhananker, C. Ramamoorthy, J. M. Geiduschek, K. L. Posner, K. B. Domino, C. M. Haberkern, J. S. Campos, and J. P. Morray Anesthesia-Related Cardiac Arrest in Children: Update from the Pediatric Perioperative Cardiac Arrest Registry Anesth. Analg., August 1, 2007; 105(2): 344 - 350. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. P. Cravero, G. T. Blike, M. Beach, S. M. Gallagher, J. H. Hertzog, J. E. Havidich, B. Gelman, and and the Pediatric Sedation Research Consortium Incidence and Nature of Adverse Events During Pediatric Sedation/Anesthesia for Procedures Outside the Operating Room: Report From the Pediatric Sedation Research Consortium Pediatrics, September 1, 2006; 118(3): 1087 - 1096. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. K. Williams, D. C. Adams, E. V. Aladjem, J. M. Kreutz, K. H. Sartorelli, D. W. Vane, and J. C. Abajian The Safety and Efficacy of Spinal Anesthesia for Surgery in Infants: The Vermont Infant Spinal Registry Anesth. Analg., January 1, 2006; 102(1): 67 - 71. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. B. Cunningham, V. Gigler, K. Wang, L. F. Eichenfield, S. Fallon Friedlander, J. M. Garden, S. McFarlane, A. Faierman, and A. Wagner General Anesthesia for Pediatric Dermatologic Procedures: Risks and Complications Arch Dermatol, May 1, 2005; 141(5): 573 - 576. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. T. Younis The Pros and Cons of Second-Look Sinonasal Endoscopy After Endoscopic Sinus Surgery in Children Arch Otolaryngol Head Neck Surg, March 1, 2005; 131(3): 267 - 269. [Full Text] [PDF]
|
|
|
|
|
|
V. C. Baum, D. M. Barton, and H. P. Gutgesell Influence of Congenital Heart Disease on Mortality After Noncardiac Surgery in Hospitalized Children Pediatrics, February 1, 2000; 105(2): 332 - 335. [Abstract] [Full Text]
|
|
|
|
|
|
N. Burt, G. R. Haynes, and M. K. Bailey Patients with Malignant Osteopetrosis Are at High Risk of Anesthetic Morbidity and Mortality Anesth. Analg., June 1, 1999; 88(6): 1292 - 1292. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Section on Anesthesiology Guidelines for the Pediatric Perioperative Anesthesia Environment Pediatrics, February 1, 1999; 103(2): 512 - 515. [Abstract] [Full Text]
|
|
|
|
 |
|
 G S Arul, R D Spicer;, P. MCDONALD;, P N ROBINSON;, and L. SPITZ Where should paediatric surgery be performed? • Commentary • Commentary • Commentary Arch. Dis. Child., July 1, 1998; 79(1): 65 - 72. [Full Text]
|
|
|
|
|
|
D. L. Walner, M. Falciglia, J. P. Willging, and C. M. Myer III The Role of Second-Look Nasal Endoscopy After Pediatric Functional Endoscopic Sinus Surgery Arch Otolaryngol Head Neck Surg, April 1, 1998; 124(4): 425 - 428. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Green Larach, H. Rosenberg, G. A. Gronert, and G. C. Allen Hyperkalemic Cardiac Arrest During Anesthesia in Infants and Children with Occult Myopathies Clinical Pediatrics, January 1, 1997; 36(1): 9 - 16. [Abstract] [PDF]
|
|
|
|
 |
|
 W. H. Hendren Pediatric Surgery: Then and Now Arch Surg, April 1, 1994; 129(4): 345 - 352. [Abstract] [PDF]
|
|
|
|
 |
|
 R. K. Stoelting Anesthesiology JAMA, June 19, 1991; 265(23): 3103 - 3105. [Abstract] [PDF]
|
|