
An International Publisher for Academic and Scientific Journals
Author Login
SAS Journal of Surgery | Volume-11 | Issue-01
Perioperative Anesthetic Management in Children: A Retrospective Analysis
Dr. Shamim Ara Sultana, Dr. Rahnuma Tasnim, Dr. Mohammed Badrul Alam, Dr. Taj Uddin Ahmed, Dr. Mehedi Masud, Dr. Md. Shahadat Hossain, Dr. Hassnul Alam
Published: Jan. 15, 2025 |
45
40
DOI: https://doi.org/10.36347/sasjs.2025.v11i01.011
Pages: 54-58
Downloads
Abstract
Background: Anesthetic management in paediatric patients is challenging due to physiological and developmental differences compared to adults. The perioperative process includes preoperative preparation, intraoperative techniques and postoperative care which requires meticulous attention to avoid complications and ensure optimal outcomes. This study aims to evaluate the perioperative management of anesthesia in children, focusing on risk factors, preferred methods and areas for practice improvement. Methods: A retrospective observational study was conducted at Department of Anesthesiology, Bangabandhu Sheikh Mujib Medical University (BSMMU) from July 2022 to June 2023. A total of 250 paediatric patients who underwent surgical procedures requiring anesthesia during the study period were included. Demographics characteristics, surgical details, anesthetic approaches, preoperative interventions, intraoperative techniques and postoperative outcomes were included. SPSS version 25 was used for statistical analysis. Results: Majority of the patients aged between 1–5 years (38%) with a predominance of males (59.6%). General anesthesia is most commonly used technique (72%) with oral midazolam as the preferred premedication (60.8% with 90% success rate). Airway management and blood loss were intraoperative challenges with nausea and vomiting (16.4%) and pain (12.8%) the most common postoperative complications. Pharmacological interventions and parents were effective in anxiety reduction and improved outcomes. Conclusion: Perioperative strategies tailored for paediatric patients significantly improve patient safety and minimize complications. More refinement of protocols would be needed in future studies to take care of perioperative patients further.