Vittoria Arslan-Carlon, Peter J Fusco, David H Abramson, John G Hagen
{"title":"Anesthesia in the Ophthalmology Clinic for Infants Younger Than 1 Year Undergoing Retinoblastoma Treatment. Review of 888 Cases.","authors":"Vittoria Arslan-Carlon, Peter J Fusco, David H Abramson, John G Hagen","doi":"10.1002/pan.70316","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Safety data for infants under 12 months undergoing anesthesia in clinic settings is limited. Retinoblastoma, the most common pediatric intraocular cancer, often requires general anesthesia for outpatient ophthalmology procedures in a clinic setting.</p><p><strong>Methods: </strong>This is a retrospective study of 888 anesthesia encounters in 237 infants (< 12 months) undergoing clinic visits at MSKCC (2014-2024) for the diagnosis and localized intraocular treatment of retinoblastoma. The primary outcome was the incidence of anesthesia-related complications requiring readmission within 24 h. Secondary outcomes included anesthesia duration, recovery time, airway management approach, and use of opioid or non-opioid analgesia.</p><p><strong>Results: </strong>No anesthesia-related readmissions occurred. Median anesthesia duration was 43 min (0-6 months) and 36 min (7-< 12 months); median recovery times were 36 and 25 min, respectively. Laryngeal mask airways were used in 824 (93%) cases.</p><p><strong>Conclusions: </strong>General anesthesia in outpatient clinic settings can be safe for infants with retinoblastoma undergoing non-narcotic-requiring localized intraocular treatment procedures.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Anesthesia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pan.70316","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Safety data for infants under 12 months undergoing anesthesia in clinic settings is limited. Retinoblastoma, the most common pediatric intraocular cancer, often requires general anesthesia for outpatient ophthalmology procedures in a clinic setting.
Methods: This is a retrospective study of 888 anesthesia encounters in 237 infants (< 12 months) undergoing clinic visits at MSKCC (2014-2024) for the diagnosis and localized intraocular treatment of retinoblastoma. The primary outcome was the incidence of anesthesia-related complications requiring readmission within 24 h. Secondary outcomes included anesthesia duration, recovery time, airway management approach, and use of opioid or non-opioid analgesia.
Results: No anesthesia-related readmissions occurred. Median anesthesia duration was 43 min (0-6 months) and 36 min (7-< 12 months); median recovery times were 36 and 25 min, respectively. Laryngeal mask airways were used in 824 (93%) cases.
Conclusions: General anesthesia in outpatient clinic settings can be safe for infants with retinoblastoma undergoing non-narcotic-requiring localized intraocular treatment procedures.
期刊介绍:
Devoted to the dissemination of research of interest and importance to practising anesthetists everywhere, the scientific and clinical content of Pediatric Anesthesia covers a wide selection of medical disciplines in all areas relevant to paediatric anaesthesia, pain management and peri-operative medicine. The International Editorial Board is supported by the Editorial Advisory Board and a team of Senior Advisors, to ensure that the journal is publishing the best work from the front line of research in the field. The journal publishes high-quality, relevant scientific and clinical research papers, reviews, commentaries, pro-con debates, historical vignettes, correspondence, case presentations and book reviews.