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Upper respiratory tract infections and general anaesthesia in children
Author(s) -
LEVY L.,
PANDIT U. A.,
RANDEL G. I.,
LEWIS I. H.,
TAIT A. R.
Publication year - 1992
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1992.tb02389.x
Subject(s) - medicine , asymptomatic , anesthesia , respiratory tract , general anaesthesia , complication , oxygen saturation , respiratory system , respiratory tract infections , upper respiratory tract infection , incidence (geometry) , surgery , oxygen , chemistry , physics , organic chemistry , optics
Summary Conflicting reports regarding the hazards of anaesthesia in children presenting for surgery with an upper respiratory tract infection have appeared in the literature. In the present study 130 children undergoing general anaesthesia with face mask for myringotomy and grommet insertion were graded as having either an acute or recent upper respiratory tract infection or were asymptomatic according to predetermined clinical symptoms and signs. The severity of respiratory and related complications were scored during induction, emergence and recovery. The peripheral oxygen saturation was recorded during induction, emergence, transfer to the recovery ward and in the recovery ward itself. There were no significant differences (p > 0.05) in the complication scores between the three groups of children. However, the incidence of hypoxaemia (oxygen saturation ± 93%) was significantly greater during transfer in the acute infection group (p = 0.001) and the recent infection group (p = 0.02), as well as during recovery in the acute group (p = 0.03) compared with asymptomatic children.

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