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Risk of General Anesthesia in Pediatric Skin Procedures with Projection on Tumescent Anesthesia

Abdulmajeed Alajlan1, Bader M Alhabeeb2, Ali M Alhazmi2

  • 1Dermatology Department, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia.

Dermatology Research and Practice
|June 20, 2020
PubMed

Insights

General anaesthesia is safe for pediatric skin procedures, with a low rate of minor complications. This approach allows dermatologists and pediatricians to perform necessary operations safely in children.

Area of Science:

  • Pediatric Anesthesiology
  • Dermatologic Surgery
  • Patient Safety

Background:

  • General anaesthesia use is rising for outpatient invasive procedures, particularly in dermatology.
  • Children often require general anaesthesia for painful skin operations due to uncooperative behavior.

Purpose of the Study:

  • To evaluate the safety of general anaesthesia in pediatric patients undergoing skin procedures.
  • To assess significant adverse events and complication rates associated with pediatric anaesthesia for dermatologic surgery.

Main Methods:

  • Retrospective cohort study of patient chart reviews from September 2017 to September 2019.
  • Inclusion of all patients admitted for pediatric skin procedures during the study period.
  • Review of charts for adverse events, complications, and unexpected admissions, with assessment by three anesthesiologists and inter-rater reliability analysis.

Main Results:

  • A total of 211 procedures were analyzed across 211 pediatric patients with 19 diagnoses.
  • No major adverse events related to anaesthesia were reported.
  • Minor complications were observed in 12 patients, with high inter-rater reliability (kappa range: 0.78–1.00).

Conclusions:

  • General anaesthesia is a safe option for pediatric skin procedures when administered under the supervision of pediatric-trained anesthesiologists.
  • Dermatologists and pediatricians can safely perform necessary procedures on children using general anaesthesia.
  • Adherence to safety precautions and consideration of the pediatric age group are crucial for risk management.
Abstract

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