Simona Marinescu

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Consideration on the complication occurring during pediatric anesthesia in outside the operating room - 31/07/2015
CONSIDERATII ASUPRA COMPLICATIILOR APARUTE IN TIMPUL ANESTEZIEI IN AFARA SALII DE OPERATIE LA COPII - 31/07/2015

Articole semnate de acelasi autor in Revista Romana de Pediatrie:

Consideration on the complication occurring during pediatric anesthesia in outside the operating room

Revista Romana de PEDIATRIE | Volumul LX, Nr. 4, An 2011

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

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ICMJE- Recommendations

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Promoting Global Health

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Simona Marinescu and Mircea Chioreanu

REZUMAT

Objectives: In the context of the development of the diagnostic and therapeutic procedures, in different private offices and hospitals departaments, in this study, I intend to present complications of anesthesia given over the years, in outside the operating room in childrens.

Methods: We analized complications occurred during 210 anesthesia in childrens, with various diseases, incurred primarily for radiologic procedures: computer tomography and magnetic resonance imaging. The complication have been studied in relation to age, sex, anesthetic risk, the disease for wich they are taking the investigation, coexisting diseases, technique of anesthesia during which the complications occurred (before, after or during the anesthesia), and cronic or emergency nature of the procedures.

Results: At a total of 210 anesthesia, we recorded a number of 39 complications, including: hypoxia, vomiting, sedation failure, prolonge sedation, psychomotor agitation, laryngitis, tracheitis, bronchitis, apneea. We did not recorded deaths.

Conclusions:
• From pediatric patients on ages between 6 month to 7 years, 90% required general anesthesia/deep sedation for computer tomography or magnetic nuclear imaging procedures.
• I do not find a link between complications and: age, sex, degree of anesthetic risks, or with the procedure performed.
• Complication related to anesthetic technique were: insufficient sedation, vomiting, psychomotor agitation, hypoxia, and laryngo-bronchospasm.
• There were no complication related to allergic reaction to contrast substance, seizures, bronchial aspiration syndrome, or hypothermia.
• There were no mortality cases.
• Complications are related to those mentioned in literature, because we endeavoured to ensure safe procedures, in accordance with the protocols of monitoring, and training of the anesthesia team.

Key words: anesthesia, children, complications

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Simona Marinescu

CONSIDERATII ASUPRA COMPLICATIILOR APARUTE IN TIMPUL ANESTEZIEI IN AFARA SALII DE OPERATIE LA COPII

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Simona Marinescu and Mircea Chioreanu

REZUMAT

Obiective: În contextul dezvoltării procedurilor diagnostice şi terapeutice, în diferite cabinete private şi departamente ale spitalului, în acest studiu mi-am propus să prezint complicaţiile apărute în timpul anesteziilor date de-a lungul anilor în afara sălii de operaţie la copii.

Metode: Am analizat complicaţiile apărute în timpul a 210 anestezii la copii, cu afecţiuni variate supuşi procedurilor radiologice: computer tomografie şi rezonanţă magnetică nucleară. Complicaţiile au fost studiate în legătură cu vârsta, sexul pacienţilor, riscul anestezic, afecţiunile pentru care s-a efectuat investigaţia, afecţiunile coexistente, tehnicile anestezice în timpul cărora au apărut complicaţiile (înainte, în timpul sau după terminarea anesteziei), precum şi caracterul de urgenţă sau electiv al procedurii.

Rezultate: La un total de 210 anestezii, am înregistrat un număr de 39 de complicaţii, incluzând: hipoxia, vărsăturile, insuficienţa sedării, sedarea prelungită, agitaţie psihomotorie, laringită, traheită, bronşită, apnee. Nu am avut decese.

Concluzii:
• Pacienţii pediatrici au avut vârste cuprinse între 6 luni şi 7 ani, 90% necesitând anestezie generală/sedare profundă pentru computer tomografie şi rezonanţă magnetică nucleară.
• Nu am găsit o legătură între prezenţa complicaţiilor şi: vârsta, sexul, gradul riscului anestezic sau procedura la care a fost supus pacientul.
• Complicaţiile legate de tehnica anestezică au fost: sedare insuficientă, vărsături, agitaţie psihomotorie, hipoxia si laringo-bronhospasmul.
• Nu au existat complicaţii din categoria: reacţii alergice la substanţa de contrast, convulsii, sindromul de aspiraţie bronşică sau hipotermia.
• Nu am avut decese.
• Complicaţiile sunt în număr egal cu cele cunoscute în literatura de specialitate, pentru că ne-am străduit să asigurăm siguranţa pacientului şi eficienţa procedurilor, utilizând protocoale de monitorizare şi de training anestezic în concordanţă cu cele internaţionale.

Cuvinte cheie: anestezie, copii, complicaţii

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Simona Marinescu

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Simona Marinescu

Latest posts by Simona Marinescu (see all)

Articole semnate de acelasi autor in Revista Romana de Pediatrie:

Consideration on the complication occurring during pediatric anesthesia in outside the operating room

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