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[Perioperative adverse respiratory events in overweight and obese children]

J Ulrici1, G Hempel1, M Sasse2

  • 1Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig, Liebigstraße 20, 04103, Leipzig, Deutschland.

Der Anaesthesist
|October 12, 2016
PubMed

Insights

Overweight children in anesthesia experienced more coughing and higher Mallampati scores. However, overall airway complications were infrequent, suggesting obesity is not a major issue in German pediatric anesthesia.

Area of Science:

  • Anesthesiology
  • Pediatric Medicine
  • Public Health

Background:

  • Rising rates of overweight and obesity present challenges in pediatric anesthesia.
  • Understanding airway-related complications in this population is crucial.

Purpose of the Study:

  • To investigate airway complications in overweight and obese children during general anesthesia.
  • To assess the relevance of these complications in the German context.

Main Methods:

  • Observational study of 504 pediatric patients (aged 2-18) undergoing elective surgery.
  • Data collected included Mallampati Score, ventilation/intubation difficulty, airway obstructions, coughing, and desaturation.

Main Results:

  • Overweight children showed significantly higher Mallampati Scores and coughing prevalence (p < 0.05).
  • Incidence of desaturation (9.5% vs 6.3%) and airway obstructions (4.1% vs 2.7%) were slightly higher in overweight children.
  • No other significant differences in airway-related parameters were observed.

Conclusions:

  • The study observed a low incidence of respiratory problems in pediatric anesthesia.
  • This may be attributed to a lower proportion of morbidly obese children and older age of overweight patients in this cohort compared to other studies.
Abstract

Keywords:
Airway complicationsAnesthesiaChildhoodObesityOverweight

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