Anesthetic management of preschool children with penetrating eye injuries: postal survey of pediatric anesthetists and review of the available evidence

Summary Background : Pediatric anesthetists were surveyed regarding their anesthesia management of a screaming child with a penetrating eye injury. The results are reviewed in relation to the available evidence in the literature. Methods : A postal survey was sent to all the members of the APA livin...

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Bibliographic Details
Published in:Pediatric anesthesia 2006-07, Vol.16 (7), p.769-776
Main Authors: SEIDEL, JOCHEN, Dorman, TERESA
Format: Article
Language:English
Subjects:
Anesthesia
anesthesia management
Anesthesia, Inhalation
Anesthesia, Intravenous
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthesiology - statistics & numerical data
Biological and medical sciences
Child, Preschool
children
Eye Injuries, Penetrating - surgery
Health Care Surveys
Humans
Hypnotics and Sedatives
Intraocular Pressure
Ireland
Medical sciences
Muscle Relaxants, Central
penetrating eye injury
Treatment Outcome
United Kingdom
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Summary:Summary Background : Pediatric anesthetists were surveyed regarding their anesthesia management of a screaming child with a penetrating eye injury. The results are reviewed in relation to the available evidence in the literature. Methods : A postal survey was sent to all the members of the APA living in the UK. Seven clinical questions were asked regarding the management of penetrating eye injury and two questions regarding seniority and the number of cases seen. Results : Of the 318 questionnaires sent out 238 were evaluated. Of the responders indicating the number of cases seen, 21.2% had never seen a single case, 55.1% had seen 10 cases. Suxamethonium was used more often by respondents who had handled more cases; 42.9% of those doing >10 compared with 10% of those doing less than five cases. Senior anesthetists preferred the use of techniques without relaxants and to extubate children under deep anesthesia. Conclusions : Few people have extensive experience managing a penetrating eye injury in a child. A variety of anesthesia techniques are used for induction with anesthetists avoiding suxamethonium, despite there being little evidence in the literature that the use of suxamethonium is harmful to the open globe.
ISSN:1155-5645
1460-9592
DOI:10.1111/j.1460-9592.2006.01854.x