Risk of General Anesthesia in Pediatric Skin Procedures with Projection on Tumescent Anesthesia

Background. Uses of general anaesthesia in outpatient invasive procedures have increased, especially in dermatology. Being uncooperative, children often require general anaesthesia, since surgical skin operations are mostly painful. Aim. The purpose of this study is to evaluate the safety, significa...

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Bibliographic Details
Published in:Dermatology research and practice 2020, Vol.2020 (2020), p.1-6
Main Authors: El-Malky, Ahmed M., Alharthi, Ahmed A., Alobaid, Osama A., Alhazmi, Ali M., Alhabeeb, Bader M., Alajlan, Abdulmajeed, Al-Habib, Nada I.
Format: Article
Language:English
Subjects:
Analgesics
Anesthesia
Complications and side effects
Consciousness
Cysts
Dolasetron
Fentanyl
General anesthesia
Headaches
Local anesthesia
Medical personnel
Medical research
Medicine, Experimental
Morphine
Pain
Patients
Pediatric anesthesia
Pediatrics
Skin
Surgery
Vomiting
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Summary:Background. Uses of general anaesthesia in outpatient invasive procedures have increased, especially in dermatology. Being uncooperative, children often require general anaesthesia, since surgical skin operations are mostly painful. Aim. The purpose of this study is to evaluate the safety, significant adverse events, and the complication rates related to general anaesthesia, when used among pediatric population undergoing skin procedures. Methods. We conducted a first retrospective cohort study of patient chart review during the period from September 1, 2017 through September 2019. All patients admitted for pediatric skin procedures during this period have participated in our study. We reviewed selected charts to document any unexpected admissions, adverse events, or complications. Surgical outcomes and anaesthesia complications were reviewed by three anesthesiologists. We assessed inter-rater reliability. Results. A total of 211 procedures were reported for 211 patients with 19 diagnoses. No adverse events related to anaesthesia were recognized, apart from minor complications noticed in twelve patients. The kappa value range is between 0.78 and 1.00 (95% C.I., 0.46809 to 1.00). Conclusion. Dermatologist and pediatricians can safely do necessary procedures under general anaesthesia with the supervision of pediatric-trained anesthesiologists while considering other safety and risk precautions and the pediatric age group.
ISSN:1687-6105
1687-6113
DOI:10.1155/2020/9327152