Anaesthesia for Ambulatory Paediatric Surgery: Common techniques and complications

Imarengiaye, CO; Osifo, David O.; Tudjegbe, SO; I, Evbuomwan

doi:10.4314/wajm.v28i5.55006

Cited by 3 publications

(5 citation statements)

References 10 publications

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“…In the present study, more males were operated on than female. This finding is consistent with the report of other studies on pediatric day cases [8,9]. The median age of our patients are in line with the findings of similar studies [9,10], while it varies with the report of other studies [11,12].…”

Section: Discussionsupporting

confidence: 94%

Pediatric Day Case Surgery in Rural Medical Outreach Programs: Enugu Experience

Emeka

2021

BJSTR

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Background: Pediatric day case surgeries performed in the rural setting of medical outreach is of great benefit to the patients who could not have access to specialist pediatric surgical care. The purpose of study was to evaluate our experience in carrying out pediatric day case surgeries during medical outreaches in the rural settings of Enugu, south east Nigeria.Methods: This was a retrospective study of children that had day case surgeries during medical outreach in the rural areas of Enugu, south east Nigeria, over a 5-year period. The patients' demographics, duration of symptoms, diagnosis, operative procedure performed, outcome of treatment and complications of treatment were evaluated.Results: During the study period, a total of 108 cases of pediatric day case surgeries were performed which accounted for 58.7% of all medical outreach surgeries. There were 81 (75%) males and 27 (25%) females, with a male to female ratio of 3:1. The median age of the patients was 54 months with a range of 10 -72 months. The median duration of the lesions was 7 months. Herniotomy for inguinal hernia and hydrocele was the most common performed surgical procedure. All the surgeries were performed under general anesthesia. Outcome was good in most of the patients. Surgical site infection was the most common post-operative complication. There was no mortality. Conclusion:Pediatric surgical outreach programs offer opportunity for the treatment of surgical lesions of children in the rural areas who do not have access to specialist pediatric surgical care. Pediatric surgical outreach program can achieve reduction in surgical disease burden of children in the rural areas.

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Section: Discussionsupporting

confidence: 94%

Pediatric Day Case Surgery in Rural Medical Outreach Programs: Enugu Experience

Emeka

2021

BJSTR

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“…In the current study, obviously more males than females were treated on day case basis. This finding of male predominance is consistently observed in many other reports too [8,12,15,16]. The mean age and weight of our patients are in line with the findings of similar studies [15,17,18] while it varies with the report of other studies [12,19].…”

Section: Discussionsupporting

confidence: 93%

“…This is similar to the findings of other studies [12,16]. However, some of the studies included other procedures such as circumcisions, rectal biopsies, Sistrunk operations, release of tongue tie and syndactyly which were not included in the current study [18,15].…”

Section: Discussionsupporting

confidence: 86%

“…This finding on the technique of anaesthesia, is not in agreement with some other studies. Imarengiaye et al and Sadler et al in their separate studies on day case surgeries reported that facemask anaesthetic technique was used more than endotracheal intubation [15,23]. However, Moore et al in his report stated that there is no general agreement on the most appropriate choice of anaesthetic technique with regards to paediatric day case surgery [24].…”

Section: Discussionmentioning

confidence: 99%

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Paediatric Day Case Surgical Practice at a Tertiary Hospital in Enugu, Nigeria

Emeka¹,

Ikemefuna²,

Chukwuebuka³

2019

AJP

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Background: An increasing number of paediatric day case surgeries are being carried out in developing countries due to the benefits of day case surgery and lots of papers are being published. However, there is no published paper on paediatric day case surgery from Enugu State University Teaching Hospital (ESUTH), Enugu. Methodology: This was a prospective study of children who had surgery on day case basis at the paediatric surgery unit of a tertiary hospital in Enugu, south east Nigeria, over a period of one year. Result: Out of the 135 surgeries done during the period of the study, 81 cases were day case surgeries, accounting for 60% of the cases. There were 69 males (85.2%) and 12 females (14.8%). The mean age and weight of the patients was 44.9 months and 16.5 kilograms respectively. The mean duration of surgery was 35.1 minutes while the mean duration of stay in the hospital post-surgery before going home was 5.2 hours. The most common diagnosis was hydrocele and herniotomy/herniorraphy was the most common surgical procedure performed. Conclusion: Paediatric day case surgery constitutes a significant workload of the paediatric surgeon. Herniotomy/herniorraphy was the most common procedure performed and most parents were satisfied. The scope of paediatric day case can be improved and the practice made more effective.

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“…This technique has been reported to be good for day-case anesthesia by Imarengiaye et al . [ 20 ] Halothane is sweet-smelling and can be safely administered by face mask without bucking, coughing, or breath-holding.…”

Section: Discussionmentioning

confidence: 99%

Anesthesia for inguinal hernia repair: Experience with a tertiary hospital-based surgical outreach in a developing world

Nnadozie

Sunday-nweke²,

Maduba

et al. 2022

Ann Afr Med

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Background: The dearth of adequate facilities and anesthetists limits the number and extent of surgical cases that can be attended to in surgical outreach programs. Inguinal hernia remains a common health burden in the developing world. Tertiary hospitals provide good anesthetic complements to safe surgeries and will be a veritable tool in surgical outreaches. Objectives: The objective of the study is to assess the types/techniques of anesthesia used in uncomplicated open inguinal hernia repair in a tertiary hospital-based surgical outreach program. Materials and Methods: This study was a prospective analysis of anesthetic techniques used in all uncomplicated inguinal hernia repairs performed in outreach program over 1 week in May 2018. Data were collected with a pro forma, analyzed with SPSS, and presented in tables and figures. Results: One hundred and ninety-five patients with uncomplicated inguinal hernias were recruited for the study. The patients’ age ranged from 0 to 89 years, with a mean age of 33.62 ± 22.75 years. Most cases occurred in children. The male-to-female ratio was 7:1, and the majority were primary hernia repairs. Eighty-seven (44.6%) patients had local anesthesia (LA), 65 (33.3%) had general anesthesia (GA), while 43 (22.1%) had spinal anesthesia (SA). One hundred and sixty-two (83.1%) patients needed intraoperative analgesic augmentation. One hundred and sixty-nine (86.7%) patients were operated as day-case surgeries, while 26 (13.3%) patients were discharged the day after surgery. The failure rate of LA and SA put together was 74.6%, but there was no conversion to GA. Anesthetic complication was observed in 3.4% of cases. Conclusion: Organizing inguinal hernia repair outreach in a tertiary hospital offers the benefit of a full complement of anesthesia, which ensures safe and smooth surgery with low anesthetic complications. Most cases were done as daycare surgeries despite the high failure rate of LA and SA.

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Anaesthesia for Ambulatory Paediatric Surgery: Common techniques and complications

Cited by 3 publications

References 10 publications

Pediatric Day Case Surgery in Rural Medical Outreach Programs: Enugu Experience

Pediatric Day Case Surgery in Rural Medical Outreach Programs: Enugu Experience

Paediatric Day Case Surgical Practice at a Tertiary Hospital in Enugu, Nigeria

Anesthesia for inguinal hernia repair: Experience with a tertiary hospital-based surgical outreach in a developing world

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