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Discomfort, delirium, and PONV in infants and young children undergoing strabismus surgery

Anne M Stowman1, Erick D Bothun, Kumar G Belani

  • 1Department of Anesthesiology, University of Minnesota, USA.

Minnesota Medicine
|April 14, 2011
PubMed

Insights

Anesthesia for pediatric strabismus surgery in children under two years old requires attention to discomfort and emergence agitation/delirium, as postoperative nausea and vomiting (PONV) is not a significant concern in this age group.

Area of Science:

  • Pediatric Anesthesiology
  • Ophthalmology
  • Perioperative Medicine

Background:

  • Strabismus surgery is common in young children.
  • Anesthesia management in infants and toddlers presents unique challenges.
  • Perioperative outcomes require specific consideration for different age groups.

Purpose of the Study:

  • To analyze anesthesia care and perioperative outcomes in children up to 2 years old undergoing strabismus surgery.
  • To identify key challenges in managing anesthesia for this specific pediatric population.
  • To evaluate the incidence of discomfort, emergence agitation/delirium, and postoperative nausea and vomiting (PONV).

Main Methods:

  • Retrospective chart analysis of 74 children.
  • Study conducted over a five-year period.
  • Focus on anesthesia care and specific perioperative outcomes.

Main Results:

  • Postoperative nausea and vomiting (PONV) was not a significant issue in children under two years old.
  • Discomfort was a notable outcome in this pediatric age group.
  • Emergence agitation/delirium was identified as a relevant perioperative concern.

Conclusions:

  • Anesthesia care for strabismus surgery in very young children necessitates careful management of discomfort.
  • Emergence agitation/delirium is a critical factor to consider in the postoperative care of infants and toddlers.
  • While PONV is less common, other adverse events require attention for optimal pediatric anesthesia outcomes.

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