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Anaesthesia for insertion of bone‐anchored hearing aids in children: a 7‐year audit
Author(s) -
Jones S. E. F.,
Dickson U.,
Moriarty A.
Publication year - 2001
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.2001.02058.x
Subject(s) - medicine , laryngeal mask airway , anesthesia , intubation , airway , tracheal intubation , nausea , vomiting , treacher collins syndrome , propofol , surgery , airway management , general anaesthesia , incidence (geometry) , hearing loss , craniofacial , audiology , physics , psychiatry , optics
Forty‐three children, aged 23 months to 14 years, received 102 anaesthetics for insertion of bone‐anchored hearing aids, each lasting approximately 30–60 min. Forty of the children had a recognised syndrome involving the head and neck, including Goldenhar's and Treacher Collin's syndrome. The incidence of congenital heart disease was 19%. Pre‐existing conditions, anaesthetic technique, grade of intubation, complications and discharge were audited. Sixteen of the patients were classified as Grade 3 or 4 intubations. Over the 7 years, laryngeal mask airway usage increased for airway maintenance rather than tracheal intubation, as did the use of propofol for induction rather than inhalational methods. Intra‐operative complications (5.9%) were related to the airway, and postoperative ones (17.6%) mainly to nausea and vomiting. Surgery was performed as a day case in 71% of the patients despite some long‐distance travel.