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Common complications of pediatric oral anesthesia

2021.10.08 / Friday
Common complications of pediatric oral anesthesia





With the development of medicine, anesthesia has been able to be used routinely and safely in various operations on infants and newborns.


Among them, pediatric anesthesia-related mortality in developed countries has dropped from 0.2~2.9:10,000 in 1961~2000 to 0.0~0.69:10,000 in 2000~2011, but adverse anesthesia events in clinical work cannot be completely avoided.

Therefore, early identification of risk factors related to pediatric anesthesia, thereby optimizing the anesthesia plan and reducing the risk of pediatric anesthesia, is an important means to ensure pediatric perioperative safety.


There are several common complications in the treatment of pediatric oral anesthesia


Respiratory tract related adverse reactions


Adverse respiratory events in children undergoing non-cardiac surgery are as high as 53%, which is one of the main causes of complications and death during pediatric anesthesia. Two-thirds of perioperative emergencies are respiratory adverse events, and 30% of pediatric perioperative events Cardiac arrest is caused by respiratory causes. In adverse respiratory events, hypoxia and laryngospasm account for one-third each, while difficult intubation accounted for 13%, and bronchospasm accounted for 7%.


Fever
According to statistics, more than 60% of children with complex dental caries usually have fever after a long period of treatment.
Fever generally occurs on the day of surgery or within 24 hours. Generally, the fever lasts for 24 to 72 hours, and the body temperature can reach 38 to 40°C.
Fever is mostly caused by the onset of upper respiratory tract infection during the incubation period of children. This is due to the immature development of the child's body temperature center.
At this time, physical cooling or medication can be used to reduce the temperature, and communication with parents can be strengthened.


Other adverse reactions

Other short-term adverse reactions such as nausea, vomiting, dizziness and so on.

Short-term adverse reactions are mostly related to drugs, which will disappear after the effects of the drugs subsided. Mid-term adverse reactions are mainly pain, which is mostly related to surgical operations.