Ocular surface complications in children undergoing general anaesthesia: A prospective observational study.

IF 1.2 Q3 SURGERY

Journal of perioperative practice Pub Date : 2024-05-06 DOI:10.1177/17504589241242233

Dalia El Hadi, Stephanie Hoyeck, Elza Rachid, Zeinab El Moussawi, Julien Torbey, Marie Aouad, Christiane Al-Haddad

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引用次数: 0

Abstract

Objective: Ophthalmic complications frequently occur after procedures requiring general anaesthesia, but their incidence is widely variable and not well reported in the paediatric population. The aim was to identify the incidence and possible risk factors of postoperative ocular surface complications in a tertiary care centre.

Methods and analysis: This is a prospective study for paediatric patients undergoing general anaesthesia. An ophthalmologist performed the ocular examination after surgery. Parameters assessed were tear breakup time, punctate epithelial erosions and corneal abrasions. Multivariate logistic regression model was used to assess risk factors.

Results: A total of 108 paediatric patients were recruited, 36.1% showed abnormal corneal finding: 32 (29.6%) had decreased tear breakup time, three (2.7%) had punctate epithelial erosions, three (2.7%) had both punctate epithelial erosions and decreased tear breakup time and one (0.9%) was found to have a unilateral corneal abrasion postoperatively. A higher rate of corneal complications was noted with younger age, prolonged surgery and surgery in the head and neck region.

Conclusion: The rate of postoperative corneal abnormalities in children undergoing general anaesthesia was 36.1%, associated with younger age, prolonged surgery and surgery in the head and neck region.

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接受全身麻醉的儿童眼表并发症：前瞻性观察研究。

目的：需要全身麻醉的手术后经常会出现眼部并发症，但其发生率变化很大，而且在儿科人群中的报告也不多。本研究旨在确定一家三级医疗中心术后眼表并发症的发生率和可能的风险因素：这是一项针对接受全身麻醉的儿科患者的前瞻性研究。术后由眼科医生进行眼部检查。评估参数包括泪液破裂时间、点状上皮糜烂和角膜擦伤。采用多变量逻辑回归模型评估风险因素：共招募了 108 名儿科患者，其中 36.1%的患者发现角膜异常：32例（29.6%）泪液破裂时间缩短，3例（2.7%）点状上皮糜烂，3例（2.7%）点状上皮糜烂和泪液破裂时间缩短，1例（0.9%）术后发现单侧角膜擦伤。年龄越小、手术时间越长、头颈部手术的角膜并发症发生率越高：接受全身麻醉的儿童术后角膜异常率为 36.1%，与年龄较小、手术时间较长和头颈部手术有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of perioperative practice Nursing-Medical and Surgical Nursing

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.