Anesthesia in the Ophthalmology Clinic for Infants Younger Than 1 Year Undergoing Retinoblastoma Treatment. Review of 888 Cases.

IF 1.6 4区 医学 Q2 ANESTHESIOLOGY
Vittoria Arslan-Carlon, Peter J Fusco, David H Abramson, John G Hagen
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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.

1岁以下婴儿视网膜母细胞瘤治疗的眼科临床麻醉。检讨888宗个案。
背景:12个月以下婴儿在临床环境中接受麻醉的安全性数据有限。视网膜母细胞瘤是最常见的儿童眼内癌,在门诊眼科手术中通常需要全身麻醉。方法:回顾性研究237例婴儿的888次麻醉遭遇(结果:无麻醉相关再入院发生)。中位麻醉时间分别为43分钟(0-6个月)和36分钟(7)。结论:对于接受非麻醉性局部眼内治疗的视网膜母细胞瘤患儿,门诊全麻是安全的。
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
Pediatric Anesthesia
Pediatric Anesthesia 医学-麻醉学
CiteScore
3.20
自引率
11.80%
发文量
222
审稿时长
3-8 weeks
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.
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