Rates of Perioperative Respiratory Adverse Events Among Caucasian and African American Children Undergoing General Anesthesia

Abstract

In a multivariable logistic analysis, African American pediatric patients were shown to have significantly higher odds of PRAEs when compared with the Caucasian group.

Adenotonsillectomy and postoperative respiratory adverse events: A retrospective study

“…Our data support what multiple studies have shown. Age, race/ethnicity, and ASA physical status are independent risk factors for PRAEs . Conversely, while there is literature which suggests that BMI also plays a role in PRAEs, our data did not find support this finding …”

“…Age, race/ethnicity, and ASA physical status are independent risk factors for PRAEs. 5,16,17 Conversely, while there is literature which suggests that BMI also plays a role in PRAEs, our data did not find support this finding. 5,16,18 Although it did not reach statistical significance, the odds ratio (OR) associated with dexmedetomidine administration was 0.4, suggesting that it may decrease the incidence of PRAEs.…”

“…Comorbid conditions may be contributory as sicker patients, defined by American Society of Anesthesiologists (ASA) physical status, tend to have an increased incidence of events . One study identified African‐American patients as having a higher likelihood of PRAEs relative to other ethnic groups . Data on the role of weight/body mass index (BMI) are conflicting, with some sources citing weight/BMI as an independent risk factor while others have failed to prove its significance …”

“…5 One study identified African-American patients as having a higher likelihood of PRAEs relative to other ethnic groups. 17 Data on the role of weight/body mass index (BMI) are conflicting, with some sources citing weight/BMI as an independent risk factor while others have failed to prove its significance. 5,16,18 In the current study, clinical data from a single institution were retrospectively reviewed to investigate the factors which may contribute to PRAEs in the postanesthesia care unit (PACU), specifically intraoperative dosing of opioids and adjunctive medications and patient characteristics (age, gender, race/ethnicity, BMI, and ASA status).…”

Pediatric obstructive sleep apnea: Preoperative and neurocognitive considerations for perioperative management

“…The current consensus from the limited studies investigating the role of preoperative PSG in the group <2 years of age is to confirm the diagnosis of OSA prior to surgical intervention as there is a higher risk of complications in this age group 57,76‐81 . The American Academy of Otolaryngology/Head and Neck Surgery (AAO/HNS) revised tonsillectomy guidelines published in 2019 state that children with oSDB should be referred for preoperative polysomnography (PSG) if they are (a) <2 years of age or if they exhibit any of the following: (b) obesity, (c) Down syndrome, (d) craniofacial abnormalities, (e) neuromuscular disorders, (f) sickle cell disease, or (g) mucopolysaccharidoses 1 .…”