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Original Research Article Introduction: Pediatric patients differ in their drug requirements because of their smaller body size, differences in body composition and handling capacity of drugs. Usually dosages are based on body weight, because it correlates so intimately with body water compartments. Objective: To find out the Intra-Operative & Post-Operative Complications in Pediatric Anesthesia. Materials & Methods: The present study was conducted in the Department of Anaesthesiology & ICU, Cumilla Medical College, Cumilla, Bangladesh during from January 2017 to December 2017. It included 250 pediatric patients of both gender. Parents were informed regarding the study and written consent was obtained. Ethical clearance was taken from institutional ethical committee. General information such as name, age, sex, ASA status, technique of anesthesia and complications were recorded. Results: The present study was conducted to identify anesthesia-related complications in pediatric patients. The present study was conducted on 250 pediatric patients of both genders. Factors such as conscious state, colour, respiration, pulse and blood pressure were also assessed. Age group 1 month1 year had 22 males and 33 females. 1-5 years had 45 males and 50 females, 5-10 years had 15 males and 20 females and 10-14 years had 40 males and 25 females. The difference was nonsignificant (P-0.5). Patients had ASA I (180), ASA 2 (50), ASA 3 (15), ASA 4 (3) and ASA 5 (2) status. The difference was significant (P-0.05). Type of anesthesia was general anesthesia (200), general anesthesia with caudal block (27), subarachnoid block (5) and general anesthesia with local anesthesia (18). The difference was significant (P-0.01). Common intraoperative complications were bradycardia (5), tachycardia (4), hypotension (4), hypertension (3), cardiac arrest (2), brochospasm (1), hypoventilation (2), pain (3) and prolonged unconsciousness (1). The difference was significant (P-0.01). Postoperative complications were shivering (6), pain (5), hemorrhage (7), hypoventilation (3), respiratory arrest (2), laryngospasm (4) and hypoventilation (2). The difference was nonsignificant (P-0.5). Conclusion: In order to avoid or minimize these complications occurring at induction to the barest minimum, a consultant anesthetist or an experienced anesthetist must always be in attendance to handle difficult cases.

Intra-Operative & Post-Operative Complications in Pediatric Anesthesia: A Study in Cumilla Medical College, Cumilla, Bangladesh