Effect of Obesity on the Recovery Profile After General Anesthesia in Children: A Prospective Cohort Study
Mehmet Sargin1, Emine Aslanlar2, Faruk Çiçekci2
1Selçuk University Faculty of Medicine, Department of Anesthesiology and Reanimation, Konya, Turkey. Correspondence to: Dr Mehmet Sargin, Selçuk University Faculty of Medicine, Department of Anesthesiology and Reanimation, Konya, Turkey. mehmet21sargin@yahoo.com.
Insights
Pediatric obesity does not significantly impact recovery after general anesthesia. This study found no clinical differences in recovery times for obese children compared to normal-weight peers.
Area of Science:
- Anesthesiology
- Pediatric Medicine
- Public Health
Background:
- Childhood obesity is a growing global health concern.
- Understanding its impact on medical procedures is crucial.
- General anesthesia recovery in children warrants investigation.
Purpose of the Study:
- To determine if childhood obesity affects recovery after general anesthesia.
- To compare recovery profiles between obese and normal-weight children.
Main Methods:
- A prospective cohort study involving 40 children (aged 2-12 years).
- Participants were divided into obese (BMI ≥95th percentile) and normal-weight groups.
- Recovery was assessed via time to spontaneous ventilation, airway removal, eye-opening, and PACU discharge.
Main Results:
- No statistically significant differences were observed in recovery parameters between obese and normal-weight children.
- Slightly longer recovery times in the normal-weight group were not clinically significant.
- Key recovery metrics included ventilation, airway removal, eye-opening, and discharge times.
Conclusions:
- Obesity in children does not appear to affect their recovery profile post-general anesthesia.
- Findings suggest anesthesia management can proceed similarly for obese and non-obese pediatric patients.
- Further research may explore long-term implications or specific anesthetic agents.
Background:
Obesity has become a serious problem not only in adult patients but also in pediatric patients.
Aim:
To evaluate whether obesity affects the recovery profile after general anesthesia in children.
Participants:
40 children (aged 2-12 years) who underwent surgery under general anesthesia and had an American Society of Anesthesiologists (ASA) physical I and II.
Methods:
This prospective cohort study was conducted over a period of 3 months (January- April, 2021). The patients were divided into two groups according to body mass index (BMI): Group I comprised obese children (BMI ≥95th for age percentile) (n=20) and Group II comprised children with a normal BMI (25-75th for-age percentile) (n=20). Anesthesia induction and maintenance were performed as per standard guidelines in both the groups.
Outcome:
The recovery profile was evaluated with the following parameters: time to spontaneous ventilation, laryngeal mask airway removal time, time to open eyes, and post-anesthesia care unit discharge time.
Results:
When the recovery profiles were compared, no significant differences were found between the groups. Time to spontaneous ventilation [mean difference (95% CI); 0.66 (0.09-1.42); P=0.085], laryngeal mask airway removal time [MD (95% CI); 1.12 (0.06-2.22); P=0.057), time to open eyes [MD (95% CI) 0.66 (0.40-1.74); P=0.217], and post-anesthesia care unit dis-charge time [MD (95% CI) 3.60 (0.59-7.25); P=0.054] were higher in Group II; however, these differences lacked both statistical and clinical significance.
Conclusion:
The results suggest that obesity has no effect on the recovery profile after general anesthesia in children in our setting.
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