Recovery from anaesthesia in children.
There are no published comprehensive surveys of paediatric recovery room experience and the incidence of complications. A prospective survey was made of 16,700 consecutive admissions to the recovery room at the Royal Manchester Children's Hospital during the years 1985-1988. The incidence of respiratory complications was low, with laryngospasm 0.85%. The incidence of hypotension was higher than that in adult studies; over 50% of children recorded a decrease in blood pressure in the recovery room of more than 20%, compared to values before operation. The incidence of vomiting in the recovery room was also lower than in comparable adult studies. Certain aspects of recovery room practice changed during the 4 years of the study; these included routine oxygen administration, parents in the recovery room, and our approach to postoperative analgesia. The implications of these changes are discussed.
McConachie
I W
IW
University Department of Anaesthesia, University Hospital of South Manchester, Withington.
Day
A
A
Morris
P
P
D000762:Anesthesia Recovery Period; D001919:Bradycardia / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D004739:England; D005260:Female; D006323:Heart Arrest / Q000209:etiology; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009325:Nausea / Q000209:etiology; D010290:Parents; D010372:Pediatrics; D011183:Postoperative Complications / Q000209:etiology*; D011184:Postoperative Period; D011446:Prospective Studies; D011997:Recovery Room; D012120:Respiration Disorders / Q000209:etiology; D013610:Tachycardia / Q000209:etiology; D014839:Vomiting / Q000209:etiology