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Epidemiology in pediatric anesthesia. A computerized survey of 10,000 anesthetics
1Department of Anesthesiology, Ondokuz Mayis University Faculty of Medicine, Samsun.
Insights
This study analyzed 10,000 pediatric anesthesia cases, finding general anesthesia and endotracheal intubation were most common. Epi-Info software proved effective for evaluating anesthesia practices and complications in children.
Area of Science:
- Pediatric Anesthesiology
- Epidemiological Analysis
- Healthcare Quality Improvement
Background:
- Anesthesia practices in pediatric populations require detailed evaluation for safety and efficacy.
- Understanding demographic and procedural trends is crucial for optimizing pediatric care.
- The use of epidemiological tools can enhance the analysis of anesthesia data.
Purpose of the Study:
- To analyze and evaluate the practice of anesthesia in a large cohort of 10,000 children.
- To identify trends in anesthetic procedures, patient demographics, and surgical sites.
- To assess the incidence of complications and the utility of Epi-Info software for data analysis.
Main Methods:
- Retrospective analysis of 10,000 pediatric anesthesia cases.
- Data collected and analyzed using Epi-Info Version 5 software.
- Evaluation of patient demographics, anesthetic techniques, surgical procedures, and complications.
Main Results:
- General anesthesia was administered in 98.5% of cases, with endotracheal intubation in 86%.
- Most common procedures involved head and neck, eye, and genitourinary regions.
- Serious complications occurred in 4.4% of cases, including 28 cardiac arrests with a 71% resuscitation rate.
Conclusions:
- Epi-Info Version 5 is a satisfactory tool for epidemiological analysis and evaluation of anesthesia practices in children.
- The study provides valuable insights into pediatric anesthesia, highlighting common procedures and complication rates.
- Findings support the need for continued monitoring and improvement of anesthesia care for pediatric patients.
Abstract:
The practice of anesthesia in 10,000 children was analysed and evaluated with the aid of Epi-Info, Version 5. There were 545 newborns, 1573 infants, 3147 children between the ages of 1 and 5 years, and 4735 children between the ages of 6 and 15 years. Female:male ratio was 1:1.9. In 92% anesthesia was provided for surgical and in 8% for diagnostic procedures. The most common sites of surgery were head and neck (19%), eye (12%), genitalia (9%) and inguinal region (8%). The type of admission was elective in 76%, emergency in 16% and outpatient in 8% of patients. The distribution within the ASA classes was 92% in I, 4% in II, 2.7% in III and 1.1% in IV+V. Premedication was given to 66% of cases. 98.5% had a general anesthetic and the remaining were given regional blocks. Induction was carried out with intravenous agents in 59% and maintenance with inhalational agents in 92%. The use of muscle relaxants was 82%, mainly succinylcholine followed by vecuronium. Endotracheal intubation was done in 86% of cases, with serious difficulties in 1.3%. 91% of the newborn babies were intubated, 2.8% with difficulty. 9.2% had blood transfusions. There were serious complications in 4.4% and 28 cardiac arrests, of which 20 were successfully resuscitated. Epi-Info, Version 5 was found satisfactory for epidemiological analysis and evaluation in anesthesia, and the information obtained with its aid was discussed in light of published data.