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.

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How to Cite
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Tolosa Pérez H, Gómez Santamaría S, Quintana Puerta L, Bedoya López MA, Echeverri Restrepo N, Gallo Parra A, Redondo Morales LM, Urrego C, Jaramillo JR, Franco Roldán C, Hugo Arias J, Socha NI. Incidence of post-anesthetic respiratory complications in pediatrics. Observational, single-center study in Medellin, Colombia. Colomb. J. Anesthesiol. [Internet]. 2021Apr.6 [cited 2021Jul.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, Redondo Morales LM, Urrego C, Jaramillo JR, Franco Roldán C, Hugo Arias J, Socha NI. Incidence of post-anesthetic respiratory complications in pediatrics. Observational, single-center study in Medellin, Colombia. Colomb. J. Anesthesiol. [Internet]. 2021Apr.6 [cited 2021Jul.28];49(3). Available from: https://www.revcolanest.com.co/index.php/rca/article/view/981
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