Association of anesthesia type with prolonged postoperative intubation in neonates undergoing inguinal hernia repair.
J Perinatol
; 41(3): 571-576, 2021 03.
Article
en En
| MEDLINE
| ID: mdl-32499596
ABSTRACT
PURPOSE:
The purpose of this study is to determine factors associated with prolonged intubation after inguinal herniorrhaphy in neonates.METHODS:
Retrospective, single institution review of neonates undergoing inguinal herniorrhaphy between 2010 and 2018. Variables recorded included demographics, comorbidities, ventilation status at time of hernia repair, and anesthetic technique.RESULTS:
We identified 97 neonates (median corrected gestational age 39.9 weeks, IQR 6.6). The majority (87.6%) received general anesthesia (GA); the remainder received caudal anesthesia (CA). Among the GA subjects, 25.8% remained intubated for at least 6 h after surgery, whereas none of the CA patients required intubation postoperatively (p = 0.03). Two risk factors associated with prolonged postoperative intubation a history of intubation before surgery (p = 0.04) and a diagnosis of bronchopulmonary dysplasia (p = 0.03).CONCLUSIONS:
Neonates undergoing inguinal herniorrhaphy under GA have a greater rate of prolonged postoperative intubation compared with those undergoing CA. A history of previous intubation and bronchopulmonary dysplasia were significant risk factors for prolonged postoperative intubation.
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Hernia Inguinal
/
Anestesia Caudal
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
/
Infant
/
Newborn
Idioma:
En
Revista:
J Perinatol
Asunto de la revista:
PERINATOLOGIA
Año:
2021
Tipo del documento:
Article
País de afiliación:
Estados Unidos