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General anesthesia for pediatric dermatologic procedures: risks and complications
Bari B Cunningham1, Vishakha Gigler, Kim Wang
1Division of Pediatric and Adolescent Dermatology, Children's Hospital and Health Center, San Diego, California 92123, USA. bcunningham@chsd.org
Insights
General anesthesia for pediatric dermatologic procedures is safe, with 90% of patients experiencing no complications. The most common adverse event was nausea and vomiting in 4% of children.
Area of Science:
- Pediatric Anesthesiology
- Dermatologic Surgery
- Patient Safety
Background:
- General anesthesia is frequently used for pediatric dermatologic procedures.
- Assessing the safety profile of general anesthesia in this population is crucial.
Purpose of the Study:
- To evaluate the safety and adverse events associated with general anesthesia in children undergoing elective dermatologic procedures.
Main Methods:
- A multicenter retrospective review was conducted.
- Data from 269 children and adolescents (2 months to 18 years) undergoing 881 procedures were analyzed.
Main Results:
- The overall risk of complications was low, with 90% of patients experiencing no clinically relevant issues.
- Perioperative nausea and emesis occurred in 4% of patients.
- No life-threatening events or mortality were recorded.
Conclusions:
- General anesthesia for dermatologic procedures in children is associated with a low complication rate.
- The findings support the safety of using general anesthesia in this setting.
Objective:
To assess the safety and adverse events associated with the use of general anesthesia in children undergoing elective dermatologic procedures.
Design:
A multicenter retrospective review.
Setting:
Children's Hospital and Health Center, San Diego, Calif, and Northwestern University School of Medicine, Chicago, Ill.
Patients:
The study population comprised 269 children and adolescents ranging in age from 2 months to 18 years (881 procedures performed by 6 pediatric dermatologic and laser surgeons).
Main Outcome Measures:
The risk of an adverse event occurring during general anesthesia for pediatric dermatologic procedures.
Results:
The risk of general anesthesia in elective pediatric dermatologic procedures was low: 90% of patients experienced no clinically relevant complications. The most common clinically relevant adverse effect of general anesthesia was perioperative nausea and emesis, which was noted in 4% of patients. There were no serious life-threatening events noted, and the mortality rate was 0%.
Conclusion:
The use of general anesthesia for dermatologic procedures in a children's hospital setting appears safe, with a low rate of complications.
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