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Anaesthetic management in paediatric craniofacial surgery. A review of 126 cases
Author(s) -
MOYLAN S.,
COLLEE G.,
MACKERSIE A.,
BINGHAM R.
Publication year - 1993
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.1993.tb00086.x
Subject(s) - medicine , craniofacial , bradycardia , incidence (geometry) , sick child , craniofacial surgery , resuscitation , anesthesia , surgery , airway , general anaesthesia , airway management , pediatrics , heart rate , blood pressure , psychiatry , physics , optics , radiology
Summary The case notes of 126 of the 134 children undergoing craniofacial operations in the Hospitals for Sick Children, in the years 1986 to 1990 inclusive, were studied. The ages ranged between one month and 12 years, with 50% of cases being in the first year of life. Anaesthesia was conducted in accordance with standard neurosurgical techniques. Induced hypotension was not employed. The major problems encountered were haemorrhage (20% required transfusion in excess of the estimated blood volume) and bradycardia associated with orbital manipulation (12%). Four patients had major intraoperative complications requiring resuscitation. Thirty‐seven children required postoperative pulmonary ventilation, but the incidence decreased markedly during the series (64% in 1986 to 6.5% in 1989). There were no deaths or cases of permanent neurological impairment.