Bedside hip aspiration results in decrease in total general anesthesia time in pediatric patients: A multicenter...

Area of Science:

• Pediatric Orthopedics
• Anesthesiology
• Emergency Medicine

Background:

• Hip aspiration is a common procedure in pediatric patients.
• Anesthesia management for pediatric hip aspiration varies, impacting patient outcomes.
• Comparing procedural settings and anesthesia types is crucial for optimizing care.

Purpose of the Study:

• To compare pediatric hip aspiration performed in the operating room under general anesthesia versus bedside aspiration under moderate sedation.
• To determine and compare the anesthetic time required for each procedure.

Main Methods:

• Retrospective review of 233 pediatric hip aspirations (2000-2017) at two academic institutions.
• Data collected included patient demographics, aspiration results, diagnoses, treatment, and anesthesia time.
• Procedures were categorized as either operating room (general anesthesia) or bedside (moderate sedation).

Main Results:

• Bedside aspiration averaged 29 minutes of sedation, while operating room aspiration averaged 87 minutes of anesthesia for negative results.
• Operating room anesthesia times were significantly longer for procedures performed after 5 PM.
• 49% of patients undergoing bedside aspiration avoided general anesthesia entirely.

Conclusions:

• Pediatric hip aspiration in the operating room leads to prolonged anesthesia exposure due to sample processing.
• Bedside aspiration under moderate sedation offers a significant reduction in anesthesia time and exposure.
• Implementing bedside aspiration can help avoid general anesthesia for a substantial portion of pediatric patients.