Anaesthesia for insertion of bone-anchored hearing aids in children: a 7-year audit.
Forty-three children, aged 23 months to 14 years, received 102 anaesthetics for insertion of bone-anchored hearing aids, each lasting approximately 30-60 min. Forty of the children had a recognised syndrome involving the head and neck, including Goldenhar's and Treacher Collin's syndrome. The incidence of congenital heart disease was 19%. Pre-existing conditions, anaesthetic technique, grade of intubation, complications and discharge were audited. Sixteen of the patients were classified as Grade 3 or 4 intubations. Over the 7 years, laryngeal mask airway usage increased for airway maintenance rather than tracheal intubation, as did the use of propofol for induction rather than inhalational methods. Intra-operative complications (5.9%) were related to the airway, and postoperative ones (17.6%) mainly to nausea and vomiting. Surgery was performed as a day case in 71% of the patients despite some long-distance travel.
Jones
S E
SE
Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.
Dickson
U
U
Moriarty
A
A
D000293:Adolescent; D000769:Anesthesia, Inhalation / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D002648:Child; D002675:Child, Preschool; D004423:Ear / Q000002:abnormalities* / Q000601:surgery; D006310:Hearing Aids; D006314:Hearing Loss, Conductive / Q000601:surgery*; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications / Q000209:etiology; D007442:Intubation, Intratracheal / Q000379:methods; D017214:Laryngeal Masks; D008485:Medical Audit; D011183:Postoperative Complications / Q000209:etiology; D015742:Propofol / Q000008:administration & dosage
D018686:Anesthetics, Intravenous; D015742:Propofol