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Updated: Jun 27, 2025
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Risk factors for delayed extubation after pediatric perineal anaplasty in patients less than 1 year of age: a
Qianqian Zhang1, Jing Xu1, Qinghua Huang1
1Department of Anesthesiology, The Affiliated Hospital, School of Medicine, UESTC Chengdu Women's & Children's Central Hospital, Chengdu, 610091, China.
Insights
Anesthesia methods influence extubation times in infants undergoing anorectal malformation surgery. Understanding these factors can optimize recovery and reduce intensive care unit stays for pediatric patients.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Critical Care Medicine
Background:
- Anorectal malformation (ARM) affects 1 in 5,000 births, necessitating tailored surgical interventions.
- Delayed extubation post-pediatric ARM surgery is linked to increased mortality, longer hospital stays, and higher costs.
- Risk factors for early extubation are studied in major infant surgeries, but not specifically in ARM procedures.
Purpose of the Study:
- To determine the incidence of delayed extubation in neonates and infants undergoing ARM surgery.
- To identify factors associated with delayed extubation in this pediatric population.
Main Methods:
- Retrospective study of 123 neonates and infants who underwent ARM surgery between June 2018 and June 2022.
- Data collection focused on extubation timing and associated perioperative variables.
- Statistical analysis to identify independent predictors of delayed extubation.
Main Results:
- Out of 123 patients, 74 (60.2%) had normal extubation, while 49 (39.8%) experienced delayed extubation.
- Anesthesia methods were found to be independently associated with delayed extubation (P < 0.05).
Conclusions:
- Anesthesia method is a significant independent factor associated with extubation timing in infants undergoing ARM surgery.
- Optimizing anesthesia techniques may facilitate earlier extubation and improve patient outcomes.
Background:
Anorectal malformation is a common congenital problem occurring in 1 in 5,000 births and has a spectrum of anatomical presentations, requiring individualized surgical treatments for normal growth. Delayed extubation or reintubation may result in a longer intensive care unit (ICU) stay and hospital stay, increased mortality, prolonged duration of mechanical ventilation, increased tracheostomy rate, and higher hospital costs. Extensive studies have focused on the role of risk factors in early extubation during major infant surgery such as Cardiac surgery, neurosurgery, and liver surgery. However, no study has mentioned the influencing factors of delayed extubation in neonates and infants undergoing angioplasty surgery.
Materials And Methods:
We performed a retrospective study of neonates and infants who underwent anorectal malformation surgery between June 2018 and June 2022. The principal goal of this study was to observe the incidence of delayed extubation in pediatric anorectal malformation surgery. The secondary goals were to identify the factors associated with delayed extubation in these infants.
Results:
We collected data describing 123 patients who had anorectal malformations from 2019 to 2022. It shows that 74(60.2%) in the normal intubation group and 49(39.8%) in the longer extubation. In the final model, anesthesia methods were independently associated with delayed extubation (P < 0.05).
Conclusion:
We found that the anesthesia method was independently associated with early extubation in neonates and infants who accepted pediatric anorectal malformation surgery.
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