Respiratory Complications in the Pediatric Postanesthesia Care Unit

Anesthesiology Clinics

Volumn 32, Issue 1, 2014, Pages 45-61

  Von Ungern Sternberg, Britta S ^a,b  

^a PRINCESS MARGARET HOSPITAL FOR CHILDREN   (Australia)

^b UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

Author keywords

Pediatric anesthesia; Postanesthesia care unit; Recovery room; Respiratory complications; Risk factors

Indexed keywords

PEDIATRIC ANESTHESIA; POSTANESTHESIA CARE UNIT; RECOVERY ROOM; RESPIRATORY COMPLICATIONS; RISK FACTORS;

ADENOIDECTOMY; ANALGESICS; ANESTHESIA RECOVERY PERIOD; ANESTHETICS; CHILD; HUMANS; INTENSIVE CARE; INTENSIVE CARE UNITS, PEDIATRIC; PERIOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; RESPIRATION DISORDERS; RISK FACTORS; TONSILLECTOMY;

EID: 84895070667     PISSN: 19322275     EISSN: 22103538     Source Type: Journal    
DOI: 10.1016/j.anclin.2013.10.004     Document Type: Review

References (95)

1. Tay C.L., Tan G.M., Ng S.B. Critical incidents in paediatric anaesthesia: an audit of 10 000 anaesthetics in Singapore. Paediatr Anaesth 2001, 11:711-718.
2. Bhananker S.M., Ramamoorthy C., Geiduschek J.M., et al. Anesthesia-related cardiac arrest in children: update from the pediatric perioperative cardiac arrest registry. Anesth Analg 2007, 105:344-350.
3. von Ungern-Sternberg B.S., Boda K., Chambers N.A., et al. Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study. Lancet 2010, 376:773-783.
4. Mamie C., Habre W., Delhumeau C., et al. Incidence and risk factors of perioperative respiratory adverse events in children undergoing elective surgery. Paediatr Anaesth 2004, 14:218-224.
5. Rosenstock C., Moller J., Hauberg A. Complaints related to respiratory events in anaesthesia and intensive care medicine from 1994 to 1998 in Denmark. Acta Anaesthesiol Scand 2001, 45:53-58.
6. Cohen M.M., Cameron C.B., Duncan P.G. Pediatric anesthesia morbidity and mortality in the perioperative period. Anesth Analg 1990, 70:160-167.
7. Christensen R., Voepel-Lewis T., Lewis I., et al. Pediatric cardiopulmonary arrest in the postanesthesia care unit: analysis of data from the American Heart Association Get With The Guidelines-Resuscitation registry. Paediatr Anaesth 2013, 23:517-523.
8. Morray J.P., Geiduschek J.M., Caplan R.A., et al. Acomparison of pediatric and adult anesthesia closed malpractice claims. Anesthesiology 1993, 78:461-467.
9. Thach B.T. Sleep apnea in infancy and childhood. Med Clin North Am 1985, 69:1289-1315.
10. Carroll J.L., Agarwal A. Development of ventilatory control in infants. Paediatr Respir Rev 2010, 11:199-207.
11. Laycock G.J., McNicol L.R. Hypoxaemia during recovery from anaesthesia-an audit of children after general anaesthesia for routine elective surgery. Anaesthesia 1988, 43:985-987.
12. Motoyama E.K., Glazener C.H. Hypoxemia after general anesthesia in children. Anesth Analg 1986, 65:267-272.
13. Pullerits J., Burrows F.A., Roy W.L. Arterial desaturation in healthy children during transfer to the recovery room. Can J Anaesth 1987, 34:470-473.
14. Kurowski I., Sims C. Unplanned anesthesia-related admissions to pediatric intensive care-a 6-year audit. Paediatr Anaesth 2007, 17:575-580.
15. Ing C., Chui I., Ohkawa S., et al. Incidence and causes of perioperative endotracheal reintubation in children: a review of 28,208 anesthetics. Paediatr Anaesth 2013, 23:621-626.
16. Keenan R.L., Shapiro J.H., Dawson K. Frequency of anesthetic cardiac arrestsin infants: effect of pediatric anesthesiologists. JClin Anesth 1991, 3:433-437.
17. Nafiu O.O., Burke C.C., Chimbira W.T., et al. Prevalence of habitual snoring in children and occurrence of peri-operative adverse events. Eur J Anaesthesiol 2011, 28:340-345.
18. von Ungern-Sternberg B.S., Saudan S., Petak F., et al. Desflurane but not sevoflurane impairs airway and respiratory tissue mechanics in children with susceptible airways. Anesthesiology 2008, 108:216-224.
19. von Ungern-Sternberg B.S., Habre W., Erb T.O., et al. Salbutamol premedication in children with a recent respiratory tract infection. Paediatr Anaesth 2009, 19:1064-1069.
20. Papastemelos C., Panitch H.B., England S.E., et al. Developmental changes in chest wall compliance in infancy and early childhood. JAppl Physiol 1995, 78:179-184.
21. Bancalari E., Clausen J. Pathophysiology of changes in absolute lung volumes. Eur Respir J 1998, 12:248-258.
22. Drummond G.B. Influence of thiopentone on upper airway muscles. Br J Anaesth 1989, 63:12-21.
23. Grounds R.M., Maxwell D.L., Taylor M.B., et al. Acute ventilatory changes during i.v.induction of anaesthesia with thiopentone or propofol in man. Br J Anaesth 1987, 59:1098-1102.
24. Dueck M.H., Oberthuer A., Wedekind C., et al. Propofol impairs the central but not the peripheral part of the motor system. Anesth Analg 2003, 96:449-455.
25. Haeseler G., Stormer M., Bufler J., et al. Propofol blocks human skeletal muscle sodium channels in a voltage-dependent manner. Anesth Analg 2001, 92:1192-1198.
26. Macklem P.T., Murphy B. The forces applied to the lung in health and disease. Am J Med 1974, 57:371-377.
27. von Ungern-Sternberg B.S., Hammer J., Schibler A., et al. Decrease of functional residual capacity and ventilation homogeneity after neuromuscular blockade in anesthetized young infants and preschool children. Anesthesiology 2006, 105:670-675.
28. von Ungern-Sternberg B.S., Frei F.J., Hammer J., et al. Impact of depth of propofol anaesthesia on functional residual capacity and ventilation distribution in healthy preschool children. Br J Anaesth 2007, 98:503-508.
29. Stocks J. Respiratory physiology during early life. Monaldi Arch Chest Dis 1999, 54:358-364.
30. Duggan M., Kavanagh B.P. Pulmonary atelectasis: a pathogenetic perioperative entity. Anesthesiology 2005, 2005:838-854.
31. von Ungern-Sternberg B.S., Regli A., Frei F.J., et al. Adeeper level of ketamine anesthesia does not affect functional residual capacity and ventilation distribution in healthy preschool children. Paediatr Anaesth 2007, 17:1150-1155.
32. von Ungern-Sternberg B.S., Regli A., Frei F.J., et al. Decrease in functional residual capacity and ventilation homogeneity after neuromuscular blockade in anesthetized preschool children in the lateral position. Paediatr Anaesth 2007, 17:841-845.
33. von Ungern-Sternberg B.S., Regli A., Schibler A., et al. The impact of positive end-expiratory pressure on functional residual capacity and ventilation homogeneity impairment in anesthetized children exposed to high levels of inspired oxygen. Anesth Analg 2007, 104:1364-1368.
34. von Ungern-Sternberg B.S., Boda K., Schwab C., et al. Laryngeal mask airway is associated with an increased incidence of adverse respiratory events in children with recent upper respiratory tract infections. Anesthesiology 2007, 107:714-719.
35. Xue F.S., Huang Y.G., Tong S.Y., et al. Acomparative study of early postoperative hypoxemia in infants, children, and adults undergoing elective plastic surgery. Anesth Analg 1996, 83:709-715.
36. Bancalari E., Claure N., Sosenko I.R. Bronchopulmonary dysplasia: changes in pathogenesis, epidemiology and definition. Semin Neonatol 2003, 8:63-71.
37. Maxwell L.G. Age-associated issues in preoperative evaluation, testing, and planning: pediatrics. Anesthesiol Clin North America 2004, 22:27-43.
38. Von Ungern-Sternberg B.S., Habre W. Pediatric anesthesia-potential risks and their assessment: part I. Paediatr Anaesth 2007, 17:206-215.
39. Motoyama E.K., Fort M.D., Klesh K.W., et al. Early onset of airway reactivity in premature infants with bronchopulmonary dysplasia. Am Rev Respir Dis 1987, 136:50-57.
40. Mathew O.P. Apnea of prematurity: pathogenesis and management strategies. JPerinatol 2011, 31:302-310.
41. Gerhardt T., Bancalari E. Apnea of prematurity: II. Respiratory reflexes. Pediatrics 1984, 74:63-66.
42. 2 during wakefulness and sleep in preterm infants. Early Hum Dev 1982, 7:1-10.
43. Kurth C.D., Spitzer A.R., Broennle A.M., et al. Postoperative apnea in preterm infants. Anesthesiology 1987, 66:483-488.
44. Tait A.R., Voepel-Lewis T., Burke C., et al. Incidence and risk factors for perioperative adverse respiratory events in children who are obese. Anesthesiology 2008, 108:375-380.
45. Olsson G.L., Hallen B. Laryngospasm during anaesthesia. A computer-aided incidence study in 136,929 patients. Acta Anaesthesiol Scand 1984, 28:567-575.
46. Olsson G.L. Bronchospasm during anaesthesia. A computer-aided incidence study of 136,929 patients. Acta Anaesthesiol Scand 1987, 31:244-252.
47. Oddy W.H., Holt P.G., Sly P.D., et al. Association between breast feeding and asthma in 6 year old children: findings of a prospective birth cohort study. BMJ 1999, 319:815-819.
48. Joseph-Bowen J., de Klerk N.H., Firth M.J., et al. Lung function, bronchial responsiveness, and asthma in a community cohort of 6-year-old children. Am J Respir Crit Care Med 2004, 169:850-854.
49. Tait A.R., Malviya S., Voepel-Lewis T., et al. Risk factors for perioperative adverse respiratory events in children with upper respiratory tract infections. Anesthesiology 2001, 95:299-306.
50. Tait A.R., Voepel-Lewis T., Munro H.M., et al. Cancellation of pediatric outpatient surgery: economic and emotional implications for patients and their families. JClin Anesth 1997, 9:213-219.
51. Whyte M.K., Choudry N.B., Ind P.W. Bronchial hyperresponsiveness in patients recovering from acute severe asthma. Respir Med 1993, 87:29-35.
52. Warner D.O., Warner M.A., Barnes R.D., et al. Perioperative respiratory complications in patients with asthma. Anesthesiology 1996, 85:460-467.
53. Parker S.D., Brown R.H., Hirshman C.A. Differential effect of glucocorticoids on pulmonary responses and eosinophils. Respir Physiol 1991, 83:323-331.
54. Fuiano N., Luciano A., Pilotto L., et al. Overweight and hypertension: longitudinal study in school-aged children. Minerva Pediatr 2006, 58:451-459.
55. Setzer N., Saade E. Childhood obesity and anesthetic morbidity. Paediatr Anaesth 2007, 17:321-326.
56. Nafiu O.O., Reynolds P.I., Bamgbade O.A., et al. Childhood body mass index and perioperative complications. Paediatr Anaesth 2007, 17:426-430.
57. Nafiu O.O., Burke C.C., Gupta R., et al. Association of neck circumference with perioperative adverse respiratory events in children. Pediatrics 2011, 127:e1198-e1205.
58. Luce J.M. Respiratory complications of obesity. Chest 1980, 78:626-631.
59. von Ungern-Sternberg B.S., Regli A., Schneider M.C., et al. Effect of obesity and site of surgery on perioperative lung volumes. Br J Anaesth 2004, 92:202-207.
60. von Ungern-Sternberg B.S., Regli A., Bucher E., et al. Impact of spinal anaesthesia and obesity on maternal respiratory function during elective Caesarean section. Anaesthesia 2004, 59:743-749.
61. von Ungern-Sternberg B.S., Regli A., Reber A., et al. Comparison of perioperative spirometric data following spinal or general anaesthesia in normal-weight and overweight gynaecological patients. Acta Anaesthesiol Scand 2005, 49:940-948.
62. von Ungern-Sternberg B.S., Regli A., Reber A., et al. Effect of obesity and thoracic epidural analgesia on perioperative spirometry. Br J Anaesth 2005, 94:121-127.
63. von Ungern-Sternberg B.S., Hammer J., Frei F.J., et al. Prone equals prone? Impact of positioning techniques on respiratory function in anesthetized and paralyzed healthy children. Intensive Care Med 2007, 33:1771-1777.
64. von Ungern-Sternberg B.S., Erb T.O., Habre W., et al. The impact of oral premedication with midazolam on respiratory function in children. Anesth Analg 2009, 108:1771-1776.
65. Regli A., Habre W., Saudan S., et al. Impact of Trendelenburg positioning on functional residual capacity and ventilation homogeneity in anaesthetised children. Anaesthesia 2007, 62:451-455.
66. Von Ungern-Sternberg B.S., Saudan S., Regli A., et al. Should the use of modified Jackson Rees T-piece breathing system be abandoned in preschool children?. Paediatr Anaesth 2007, 17:654-660.
67. Murat I., Constant I., Maud'huy H. Perioperative anaesthetic morbidity in children: a database of 24,165 anaesthetics over a 30-month period. Paediatr Anaesth 2004, 14:158-166.
68. Ye J., Liu H., Zhang G., et al. Postoperative respiratory complications of adenotonsillectomy for obstructive sleep apnea syndrome in older children: prevalence, risk factors, and impact on clinical outcome. JOtolaryngol Head Neck Surg 2009, 38:49-58.
69. Nixon G.M., Kermack A.S., McGregor C.D., et al. Sleep and breathing on the first night after adenotonsillectomy for obstructive sleep apnea. Pediatr Pulmonol 2005, 39:332-338.
70. Pounder D.R., Blackstock D., Steward D.J. Tracheal extubation in children: halothane versus isoflurane, anesthetized versus awake. Anesthesiology 1991, 74:653-655.
71. Patel R.I., Hannallah R.S., Norden J., et al. Emergence airway complications in children: a comparison of tracheal extubation in awake and deeply anesthetized patients. Anesth Analg 1991, 73:266-270.
72. von Ungern-Sternberg B.S., Davies K., Hegarty M., et al. The effect of deep vs. awake extubation on respiratory complications in high-risk children undergoingadenotonsillectomy: a prospective, randomised, controlled trial. Eur J Anaesthesiol 2013, 30:529-536.
73. Soliman I.E., Patel R.I., Ehrenpreis M.B., et al. Recovery scores do not correlate with postoperative hypoxemia in children. Anesth Analg 1988, 67:53-56.
74. Weber T., Salvi N., Orliaguet G., et al. Cuffed vs non-cuffed endotracheal tubes for pediatric anesthesia. Paediatr Anaesth 2009, 19(Suppl 1):46-54.
75. Ong M., Chambers N.A., Hullet B., et al. Laryngeal mask airway and tracheal tube cuff pressures in children: are clinical endpoints valuable for guiding inflation?. Anaesthesia 2008, 63:738-744.
76. Cammu G., De Witte J., De Veylder J., et al. Postoperative residual paralysis in outpatients versus inpatients. Anesth Analg 2006, 102:426-429.
77. Beemer G.H., Rozental P. Postoperative neuromuscular function. Anaesth Intensive Care 1986, 14:41-45.
78. Bevan D.R., Smith C.E., Donati F. Postoperative neuromuscular blockade: a comparison between atracurium, vecuronium, and pancuronium. Anesthesiology 1988, 69:272-276.
79. Bevan D.R., Kahwaji R., Ansermino J.M., et al. Residual block after mivacurium with or without edrophonium reversal in adults and children. Anesthesiology 1996, 84:362-367.
80. Baillard C., Gehan G., Reboul-Marty J., et al. Residual curarization in the recovery room after vecuronium. Br J Anaesth 2000, 84:394-395.
81. Fuchs-Buder T., Fink H., Hofmockel R., et al. Application of neuromuscular monitoring in Germany. Anaesthesist 2008, 57:908-914.
82. Crumrine R.S., Yodlowski E.H. Assessment of neuromuscular function in infants. Anesthesiology 1981, 54:29-32.
83. Debaene B., Plaud B., Dilly M.P., et al. Residual paralysis in the PACU after a single intubating dose of nondepolarizing muscle relaxant with an intermediate duration of action. Anesthesiology 2003, 98:1042-1048.
84. Fisher D.M. Neuromuscular blocking agents in paediatric anaesthesia. Br J Anaesth 1999, 83:58-64.
85. von Ungern-Sternberg B.S. Muscle relaxants are obligatory for pediatric intubation: con. Anaesthesist 2011, 60:476-478.
86. Brown K.A., Laferriere A., Lakheeram I., et al. Recurrent hypoxemia in children is associated with increased analgesic sensitivity to opiates. Anesthesiology 2006, 105:665-669.
87. Raghavendran S., Bagry H., Detheux G., et al. An anesthetic management protocol to decrease respiratory complications after adenotonsillectomy in children with severe sleep apnea. Anesth Analg 2010, 110:1093-1101.
88. Keating M., Johnson J., Erb T.O., et al. Computed tomography changes of alveoli and airway collapse after laryngospasm. Anaesth Intensive Care 2011, 39:958-960.
89. Krodel D.J., Bittner E.A., Abdulnour R., et al. Case scenario: acute postoperative negative pressure pulmonary edema. Anesthesiology 2010, 113:200-207.
90. Halter J.M., Steinberg J.M., Schiller H.J., et al. Positive end-expiratory pressure after a recruitment maneuver prevents both alveolar collapse and recruitment/derecruitment. Am J Respir Crit Care Med 2003, 167:1620-1626.
91. von Ungern-Sternberg B.S., Erb T.O., Reber A., et al. Opening the upper airway-airway maneuvers in pediatric anesthesia. Paediatr Anaesth 2005, 15:181-189.
92. Koka B.V., Jeon I.S., Andre J.M., et al. Postintubation croup in children. Anesth Analg 1977, 56:501-505.
93. Anene O., Meert K.L., Uy H., et al. Dexamethasone for the prevention of postextubation airway obstruction: a prospective, randomized, double-blind, placebo-controlled trial. Crit Care Med 1996, 24:1666-1669.
94. Koren G., Frand M., Barzilay Z., et al. Corticosteroid treatment of laryngotracheitis v spasmodic croup in children. Am J Dis Child 1983, 137:941-944.
95. Kuusela A.L., Vesikari T. Arandomized double-blind, placebo-controlled trial ofdexamethasone and racemic epinephrine in the treatment of croup. Acta Paediatr Scand 1988, 77:99-104.