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Related Experiment Videos

Immunization and anesthesia - an international survey.

Judith A Short1, Johan H van der Walt, David C Zoanetti

  • 1Department of Paediatric Anaesthesia, Leeds General Infirmary, West Yorkshire, UK. judith.short@virgin.net

Paediatric Anaesthesia
|May 9, 2006
PubMed
Summary

Pediatric anesthetists lack consensus on managing anesthesia and surgery in recently immunized children. A cautious approach is recommended, postponing elective procedures for 1-3 weeks post-vaccination.

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Area of Science:

  • Pediatric Anesthesiology
  • Immunology
  • Vaccinology

Background:

  • No direct evidence links childhood immunization with anesthetic agents.
  • Potential for anesthesia/surgery to decrease vaccine effectiveness or increase complications.
  • Postoperative symptoms in immunized children can complicate diagnosis.

Purpose of the Study:

  • To survey pediatric anesthetists' views on anesthesia and immunization.
  • To understand current practices regarding vaccine timing and elective surgery.

Main Methods:

  • International postal survey of pediatric anesthetists.
  • Members of the Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI) and the Society for Paediatric Anaesthesia of New Zealand and Australia (SPANZA) surveyed.

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  • Analysis of 296 APAGBI and 86 SPANZA responses.

    • Main Results:

    • No consensus among surveyed anesthetists regarding risks.
    • 60% would proceed with anesthesia within 1 week of live attenuated vaccine; 40% would not.
    • Few hospitals have formal policies; guidance lacks evidence of safety.

    Conclusions:

    • Theoretical risk exists for anesthesia/surgery in recently immunized children.
    • Survey revealed no consensus among pediatric anesthetists.
    • Recommend postponing elective surgery: 1 week post-inactive vaccine, 3 weeks post-live attenuated vaccine.