Anesthesia related Complications in Pediatric GI Endoscopy

Authors

1 Fellowship of Pediatric Anesthesiology, Assistant Professor of Anesthesiology, Cardiac Anesthesia Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Associate Professor of Anesthesiology, Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Associate Professor of Pediatric Gastroenterolog, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Presenter, Fellowship of Critical Care, Assistant Professor of Anesthesiology, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Resident of Anesthesiology and Member of Student Research Committee,Department of Anesthesiology, Faculty of Medicine, Mashhad University of medical siences, Mashhad ,Iran.

6 Pediatric Surgen, Surgery Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction:
Elective upper and lower GI endoscopy is usually performed in children on an outpatient basis with the child under sedation or general anesthesia (GA). The objective of this study was to describe Anesthesia related complications in   children undergoing elective GI endoscopy.
 
Materials and Methods:
The study design was descriptive on 1388 patients undergoing elective GI endoscopy in Sheikh Hospital from 2009 to 2013. All patient received propofol or standard inhalational anesthesia. We examined patients’ demographic data  ,  location of GI endoscopy ,  perioperative vital singe ,  recovery time , respiratory and cardiac complications , post operative nausea and vomiting , agitation , diagnosis and outcome
 
Results:
Pediatric patients aged 2 to 17 years. 29 % of elective GI endoscopy was upper GI endoscopy and 70.3 % was lower GI endoscopy and 0.7 was both of them. 47.7 % of Pediatric patients were female and 52.3 % was male. We haven’t significant or fatal anesthesia related respiratory and cardiac complications (no apnea, no cardiac arrest). 8 patients (0.5%) have transient bradicardia in post operative care Unit. 83 patients (5.9%) have post operative nausea and vomiting controlled by medication.  6 patients (0.4%) have post operative agitation controlled by medication.
 
Conclusions:
General anesthesia and deep sedation in children undergoing elective GI endoscopy haven’t significant or fatal anesthesia related complications. We suggest Anesthesia for infants, young children, children with neurologic impairment, and some anxious older children undergoing elective GI endoscopy.
Keyword: Anesthesia, Complication, Endoscopy, Pediatric.

Keywords