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[General anaesthesia for orthopaedic pediatric surgery].

S Lari1, M Cipressi, A Colì

  • 1Servizio di Anestesia e Rianimazione, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Minerva Anestesiologica
|January 5, 2002
PubMed
Summary

General anaesthesia in pediatric orthopaedic surgery is safe, with a low incidence of minor complications. Experienced anesthesiologists should use methods compatible with their setting.

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Area of Science:

  • Anesthesiology
  • Pediatric Surgery
  • Orthopaedic Surgery

Context:

  • The choice between general and locoregional anesthesia in pediatric patients lacks clear guidelines due to limited prospective safety data.
  • This study examines anesthesia practices in a pediatric orthopaedic setting, focusing on general anesthesia due to logistical and historical reasons.

Purpose:

  • To evaluate the safety and morbidity of general anesthesia in pediatric orthopaedic surgery.
  • To describe the pre- and post-operative management and anesthetic techniques used.
  • To analyze intra- and post-operative complications in 836 pediatric patients.

Summary:

  • A prospective study of 836 general anesthetics in a pediatric orthopaedic ward found no major complications and a 13.3% incidence of minor complications, all resolving without sequelae.

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  • Younger children, predominantly managed with halothane, spontaneous breathing, and no opiates, experienced the lowest adverse event rate (9.7%).
  • The study supports the safety of general anesthesia in this context, recommending experienced-based, logistically compatible anesthetic choices.

    • Impact:

    • Provides valuable safety and complication data for general anesthesia in pediatric orthopaedic surgery.
    • Informs clinical decision-making regarding anesthetic techniques in pediatric populations.
    • Highlights the importance of experienced-based and context-appropriate anesthetic management.