Incidence of post-anesthetic respiratory complications in pediatrics. Observational, single-center study in Medellin, Colombia

  • Hugo Tolosa Pérez Clínica CES. Medellín Colombia.
  • Sebastián Gómez Santamaría Anesthesiology, Universidad CES. Medellín. Colombia.
  • Laura Quintana Puerta Anesthesiology, Universidad CES. Medellín. Colombia.
  • Miguel Andrés Bedoya López Anesthesiology, Universidad CES. Medellín. Colombia.
  • Nicolás Echeverri Restrepo Anesthesiology, Universidad CES. Medellín. Colombia.
  • Alejandra Gallo Parra Anesthesiology, Universidad CES. Medellín. Colombia.
  • Leyla Margarita Redondo Morales Anesthesiology, Universidad CES. Medellín. Colombia.
  • Clara Urrego Clínica Noel. Medellín, Colombia.
  • José Raúl Jaramillo Clínica Noel. Medellín, Colombia.
  • Carolina Franco Roldán Clínica Noel. Medellín, Colombia.
  • José Hugo Arias Epidemiology area, School of Medicine, Universidad CES. Medellín, Colombia. https://orcid.org/0000-0002-4845-4752
  • Nury Isabel Socha Clínica Bolivariana. Medellín, Colombia.
Keywords: Anesthesia, Bronchospasm, Child, Laryngospasm, Postoperative complications, Nursing

Abstract

Introduction: Post-anesthetic complications, particularly respiratory complications, continue to be a source of concern due to their high frequency, particularly in pediatrics.

Objective: To describe the incidence of respiratory complications in the post-anesthesia care unit of an intermediate complexity center during a six-month period, and to explore the variables associated with major respiratory complications.

Materials and Methods: Retrospective cohort study based on clinical record reviews. The records of the post-anesthesia care unit of an intermediate complexity pediatric institution located in Medellin, Colombia, were reviewed. This center uses a nursing-based care model that includes patient extubation in the post-anesthesia care unit.

Results: The records of 1181 patients were analyzed. The cumulative incidences of major complications were bronchospasm 1.44%, laryngospasm 0.68% and respiratory depression 0.59%. There were no cases of cardiac arrest or acute pulmonary edema. A history of respiratory infection less than 15 days before the procedure, rhinitis and female sex were associated with major respiratory complications.

Conclusions: A low frequency of respiratory complications was found during care provided by nursing staff trained in anesthesia recovery and pediatric airway in the post-anesthesia care unit.

References

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How to Cite
1.
Tolosa Pérez H, Gómez Santamaría S, Quintana Puerta L, Bedoya López MA, Echeverri Restrepo N, Gallo Parra A, et al. Incidence of post-anesthetic respiratory complications in pediatrics. Observational, single-center study in Medellin, Colombia. Colomb. J. Anesthesiol. [Internet]. 2021 Apr. 6 [cited 2024 Mar. 28];49(3). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/981

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Published
2021-04-06
How to Cite
1.
Tolosa Pérez H, Gómez Santamaría S, Quintana Puerta L, Bedoya López MA, Echeverri Restrepo N, Gallo Parra A, et al. Incidence of post-anesthetic respiratory complications in pediatrics. Observational, single-center study in Medellin, Colombia. Colomb. J. Anesthesiol. [Internet]. 2021 Apr. 6 [cited 2024 Mar. 28];49(3). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/981
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