Prevalence and Distributive Factors Associated Perioperative Respiratory Complications in Children Undergoing Surgical Treatment for Obstructive Sleep Apnea
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Abstract
Background: Complications in surgical treatment for
obstructive sleep apnea (OSA) are rare events but most
of the complications are related to respiratory system.
Therefore, this study was conducted to find out that anesthetic
techniques were affected respiratory complications in
these circumstances.
Objective: To survey the prevalence and distributive
anesthetic factors associated perioperative respiratory
complications in pediatric patients who underwent surgical
treatment for OSA.
Methods: A retrospective cohort study was conducted in
patients aged 5-15 year who underwent surgical treatment
for OSA under general anesthesia from January 2013 to
December 2014.
Results: There were 314 patients undergoing tonsillectomy,
adenoidectomy, and adenotonsillectomy for treatment
OSA. One hundred and sixty-five patients were included
in this study. Nine cases (5.45%) had postoperative
respiratory complications. We also analyzed the risk factors
of anesthetic agents and techniques used which did not
significantly cause perioperative respiratory complication.Conclusions: The most common perioperative complications
in surgical treatment for OSA are secretion obstruction and desaturation. These events seem not to be significantly
associated with any single anesthetic agent or regimen.
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