Gastro-oesophageal reflux and adverse respiratory events in children under anaesthesia

Gastro-oesophageal reflux and adverse respiratory events in children under anaesthesia

The incidence of gastro-oesophageal reflux in children undergoing general anaesthesia has not previously been studied. One-hundred-and-twenty children (ASA Class 1-2) were studied intraoperatively using continuous oesophageal pH monitoring. The incidence of reflux was 2.5% (3 of 120). None of these...

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Bibliographic Details
Published in:Anaesthesia and intensive care Vol. 23; no. 5; pp. 587 - 590
Main Authors: MILROSS, J. G, NEGUS, B. H, STREET, N. E, GASKIN, K. J
Format: Conference Proceeding Journal Article
Language:English
Published: Edgecliff Anaesthesia and Intensive Care 01-10-1995
Subjects:
Anesthesia
Anesthesia - adverse effects
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
Child, Preschool
Gastroesophageal Reflux - etiology
General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation
Humans
Infant
Male
Medical sciences
Respiratory Tract Diseases - etiology
Human
Gastroesophageal reflux
Lung disease
Respiratory disease
Aspiration pneumonia
Esophageal disease
Digestive diseases
General anesthesia
Complication
Foreign body
Child
Trauma
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Summary:The incidence of gastro-oesophageal reflux in children undergoing general anaesthesia has not previously been studied. One-hundred-and-twenty children (ASA Class 1-2) were studied intraoperatively using continuous oesophageal pH monitoring. The incidence of reflux was 2.5% (3 of 120). None of these three patients had an adverse respiratory event. There was no correlation between reflux and adverse respiratory events. Thirteen patients had minor respiratory events without evidence of acid reflux. Gastro-oesophageal reflux does occur in healthy paediatric patients having minor surgery, but was not a significant cause of the adverse respiratory events that occurred in our study.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0310-057X
1448-0271
DOI:10.1177/0310057x9502300510