Anesthesia for ORL Surgery in Children

Overview

Journal GMS Curr Top Otorhinolaryngol Head Neck Surg

Date 2015 Jan 15

PMID 25587364

Citations 2

Authors

Karin Becke

Affiliations

Soon will be listed here.

Abstract

ORL procedures are the most common operations in children - an optimal anesthetic management provides an uncomplicated, safe perioperative process with as little discomfort for the child as possible. Children at risk must already be identified preoperatively: the combination of ORL surgery, airway susceptibility and age below 3 years can increase the risk of perioperative respiratory adverse events. Postoperatively, it is important to prevent complications such as pain and PONV by dedicated prevention and treatment strategies, as well as to recognize and treat respiratory or circulatory complications competently. Interdisciplinary guidelines and agreements as well as the overall competence of the team have the potential to improve patient safety and outcome in children.

Citing Articles

Feasibility of day-case pediatric cochlear implantation.

Hugel M, Ayari-Khalfallah S, Fieux M, Coudert A, Truy E, Hermann R Eur Arch Otorhinolaryngol. 2022; 279(11):5123-5133.

PMID: 35476132 DOI: 10.1007/s00405-022-07353-3.

Perioperative complications of pediatric otorhinolaryngological operations.

Aleksandrovich Y, Rybianov V, Pshenisnov K, Razumov S Saudi J Anaesth. 2021; 14(4):446-453.

PMID: 33447185 PMC: 7796726. DOI: 10.4103/sja.SJA_99_20.

References

von Ungern-Sternberg B, Boda K, Chambers N, Rebmann C, Johnson C, Sly P . Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study. Lancet. 2010; 376(9743):773-83. DOI: 10.1016/S0140-6736(10)61193-2. View

Lerman J, Johr M . Inhalational anesthesia vs total intravenous anesthesia (TIVA) for pediatric anesthesia. Paediatr Anaesth. 2009; 19(5):521-34. DOI: 10.1111/j.1460-9592.2009.02962.x. View

Habre W, McLeod B . Analgesic and respiratory effect of nalbuphine and pethidine for adenotonsillectomy in children with obstructive sleep disorder. Anaesthesia. 1997; 52(11):1101-6. DOI: 10.1111/j.1365-2044.1997.205-az0339.x. View

Koscielny J, Ziemer S, Radtke H, Schmutzler M, Pruss A, Sinha P . A practical concept for preoperative identification of patients with impaired primary hemostasis. Clin Appl Thromb Hemost. 2004; 10(3):195-204. DOI: 10.1177/107602960401000301. View

Spencer D, Jones J . Complications of adenotonsillectomy in patients younger than 3 years. Arch Otolaryngol Head Neck Surg. 2012; 138(4):335-9. DOI: 10.1001/archoto.2012.1. View

Tweedie D, Bajaj Y, Ifeacho S, Jonas N, Jephson C, Cochrane L . Peri-operative complications after adenotonsillectomy in a UK pediatric tertiary referral centre. Int J Pediatr Otorhinolaryngol. 2012; 76(6):809-15. DOI: 10.1016/j.ijporl.2012.02.048. View

Kammerbauer N, Becke K . [Acute pain therapy in children]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2011; 46(5):344-52. DOI: 10.1055/s-0031-1277978. View

Czarnetzki C, Elia N, Lysakowski C, Dumont L, Landis B, Giger R . Dexamethasone and risk of nausea and vomiting and postoperative bleeding after tonsillectomy in children: a randomized trial. JAMA. 2008; 300(22):2621-30. DOI: 10.1001/jama.2008.794. View

Windfuhr J, Hubner R, Sesterhenn K . [Guidelines for inpatient adenoidectomy]. HNO. 2003; 51(8):622-8. DOI: 10.1007/s00106-002-0776-8. View

10.

Carroll J, McColley S, Marcus C, Curtis S, Loughlin G . Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children. Chest. 1995; 108(3):610-8. DOI: 10.1378/chest.108.3.610. View

11.

Nixon G, Kermack A, McGregor C, Davis G, Manoukian J, Brown K . Sleep and breathing on the first night after adenotonsillectomy for obstructive sleep apnea. Pediatr Pulmonol. 2005; 39(4):332-8. DOI: 10.1002/ppul.20195. View

12.

Rusch D, Eberhart L, Wallenborn J, Kranke P . Nausea and vomiting after surgery under general anesthesia: an evidence-based review concerning risk assessment, prevention, and treatment. Dtsch Arztebl Int. 2010; 107(42):733-41. PMC: 2977990. DOI: 10.3238/arztebl.2010.0733. View

13.

Brennan L . Modern day-case anaesthesia for children. Br J Anaesth. 2000; 83(1):91-103. DOI: 10.1093/bja/83.1.91. View

14.

Siebert J, Posfay-Barbe K, Habre W, Siegrist C . Influence of anesthesia on immune responses and its effect on vaccination in children: review of evidence. Paediatr Anaesth. 2007; 17(5):410-20. DOI: 10.1111/j.1460-9592.2006.02120.x. View

15.

Malisse M, Habre W . [Pediatric anesthesia and upper respiratory tract infections]. Rev Med Suisse. 2010; 6(237):380, 382-3. View

16.

Schuetz P, Muller B, Christ-Crain M, Stolz D, Tamm M, Bouadma L . Procalcitonin to initiate or discontinue antibiotics in acute respiratory tract infections. Cochrane Database Syst Rev. 2012; (9):CD007498. PMC: 6464976. DOI: 10.1002/14651858.CD007498.pub2. View

17.

Murray K, Hadzic N, Wirth S, Bassett M, Kelly D . Drug-related hepatotoxicity and acute liver failure. J Pediatr Gastroenterol Nutr. 2008; 47(4):395-405. DOI: 10.1097/MPG.0b013e3181709464. View

18.

Diab Y, Wong E, Luban N . Massive transfusion in children and neonates. Br J Haematol. 2013; 161(1):15-26. DOI: 10.1111/bjh.12247. View

19.

Eisert S, Hovermann M, Bier H, Gobel U . Preoperative screening for coagulation disorders in children undergoing adenoidectomy (AT) and tonsillectomy (TE): does it prevent bleeding complications?. Klin Padiatr. 2006; 218(6):334-9. DOI: 10.1055/s-2006-942278. View

20.

Messerer B, Gutmann A, Weinberg A, Sandner-Kiesling A . Implementation of a standardized pain management in a pediatric surgery unit. Pediatr Surg Int. 2010; 26(9):879-89. DOI: 10.1007/s00383-010-2642-1. View