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

Authors
 So Yeon Kim ; Jeong Min Kim ; Bon-Nyeo Koo ; Seung Ho Jeong ; Young Ran Kang ; Jae Hoon Lee 
Citation
 Korean Journal of Anesthesiology (대한마취과학회지), Vol.65(2) : 136~141, 2013 
Journal Title
 Korean Journal of Anesthesiology  (대한마취과학회지) 
ISSN
 2005-6419 
Issue Date
2013
Abstract
BACKGROUND: Active upper respiratory tract infection (URI), orotracheal intubation and use of inhalation anesthetics are known risk factors for perioperative respiratory adverse events (RAE). This study investigated the risk factors of perioperative RAE in children with these risk factors. METHODS: The records of 159 children who underwent general anesthesia with an orotracheal tube and inhalation were reviewed. These patients also had at least one of the following URI symptoms on the day of surgery: clear or green nasal secretion, dry or moist cough, nasal congestion, or fever. RAE such as laryngospasm, bronchospasm, oxygen desaturation and sustained cough were collected before induction, during intubation, during extubation, after extubation and in the postanesthesia care unit. RESULTS: Forty-five patients had RAE. The patients with RAE were younger than those without RAE. There were more passive smokers and a greater number of intubation attempts in patients with RAE than in those without RAE. The type of surgery and type of inhalation agents were not different between patients with and without RAE. Passive smoking was the only independent risk factor for RAE. CONCLUSIONS: In children with an active URI using orotracheal tube and inhalation anesthetics, passive smoking is an important risk factor for RAE.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87772
DOI
10.4097/kjae.2013.65.2.136
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Anesthesiology and Pain Medicine
Yonsei Authors
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