Risk Evaluation of General Anesthesia in Pediatric Skin Surgeries: A Retrospective Cohort Study in Saudi Arabia

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Risk Evaluation of General Anesthesia in Pediatric Skin Surgeries: A Retrospective Cohort Study in Saudi Arabia

Authors
  • Bm, Alhabeeb1
  • Aa, Alharthi2
  • Am, Nasser1
  • Oa, Alobaid1
  • Al-Habib, Mostafa3
  • Am, El-Malky4
Type
Published Article
Journal
Asploro Journal of Biomedical and Clinical Case Reports
Publisher
Asploro Open Access Publications
Publication Date
Nov 03, 2019
Volume
2
Issue
3
Pages
106–114
Identifiers
DOI: 10.36502/2019/ASJBCCR.6170
Source
MyScienceWork
Keywords
License
Green

Abstract

Background: Use of general anaesthesia in outpatient invasive procedures has increased, especially in the field of dermatology. Being uncooperative, children often require general anaesthesia. Especially since surgical skin operations are painful and lengthy, dictating the use of general anaesthesia. Aim: The purpose of this study was to evaluate the safety, significant adverse events, and the complication rates related to general anaesthesia, when used among pediatric population underwent skin surgeries. Methods: We conducted a retrospective cohort study in the form of randomly selected patient chart review, with a surgical code in the array of 8,539-16,782 for 2 years. We reviewed registers to document any unexpected admissions, adverse events or complications. Surgical outcomes and anaesthesia complications were reviewed by three anaesthesia consultants. We conducted Inter-rater reliability test analysis and per cent agreement to determine the level of agreement between raters. Results: A total of 211 procedures were reported for 211 patients with 19 diagnoses. No adverse events related to anesthesia were recognized in any of those selected patients, apart from minor complications noticed in twelve patients (P value<0.03). Kappa value range between 0.78-1.00 (95% CI, 0.46809 to 1.00) Conclusion: In case of proper deploying of staff experience, appropriateness of choice of surgical procedure, patient selection, and modern technology as non-dependent confounding variables. Pediatric-trained anesthesiologists can safely use general anaesthesia in dermatological invasive procedures without significant complications.

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