Upper respiratory tract infections and general anaesthesia in children: Peri‐operative complications and oxygen saturation

L. LEVY, U. A. PANDIT*, G. I. RANDEL, I. H. LEWIS, A. R. TAIT

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

69 Scopus citations

Abstract

Conflicting reports regarding the hazards of anaesthesia in children presenting for surgery with an upper respiratory tract infection have appeared in the literature. In the present study 130 children undergoing general anaesthesia with face mask for myringotomy and grommet insertion were graded as having either an acute or recent upper respiratory tract infection or were asymptomatic according to predetermined clinical symptoms and signs. The severity of respiratory and related complications were scored during induction, emergence and recovery. The peripheral oxygen saturation was recorded during induction, emergence, transfer to the recovery ward and in the recovery ward itself. There were no significant differences (p > 0.05) in the complication scores between the three groups of children. However, the incidence of hypoxaemia (oxygen saturation ± 93%) was significantly greater during transfer in the acute infection group (p = 0.001) and the recent infection group (p = 0.02), as well as during recovery in the acute group (p = 0.03) compared with asymptomatic children.

Original languageEnglish (US)
Pages (from-to)678-682
Number of pages5
JournalAnaesthesia
Volume47
Issue number8
DOIs
StatePublished - Aug 1992

Keywords

  • Anaesthesia
  • Infection
  • paediatric
  • upper respiratory tract

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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