S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) Theses (Master's Degree_의학과)
Retrospective Investigation of Perioperative Upper Airway Complications after Anesthesia using Supraglottic Airway Devices in Children: Comparison of Desflurane and Sevoflurane
소아에서 후두 마스크를 이용한 마취 유지시 데스플루란과 세보플루란의 기도 관련 합병증 비교
- 의과대학 의학과
- Issue Date
- 서울대학교 대학원
- Airway-complications; Anesthetics volatile-desflurane; Anesthetics volatile-sevoflurane; Children; Infants
- 학위논문 (석사)-- 서울대학교 대학원 : 의학과 마취통증의학 전공, 2016. 2. 오아영.
- Background : Desflurane is known to be the most pungent of the currently used volatile anaesthetics. We aimed to assess wehether desflurane increases the incidence of perioperative upper airway complications in infants and children undergoing general anaesthesia using supraglottic airway devices compared with sevoflurane.
Methods : We retrospectively reviewed and analysed the electrical medical records of consecutive children aged 15 years or younger who underwent general anaesthesia under supraglottic airway devices using sevoflurane or desflurane as maintenance agents at Seoul National University Bundang Hospital between June 2013 and June 2015.
Results : In total, 3,511 patients were evaluated. The incidence of upper airway events was 0.46% (13/2,831) in patients maintained with sevoflurane and 0.74% (5/680) in those maintained with desflurane (P = 0.370). In a logistic regression model, after controlling for the effect of American Society of Anesthesiologist (ASA) class, the type and size of the supraglottic airways, as well as the type of surgery, the adjusted odds ratio was 0.99 (0.31-3.14), and there was no significant difference between sevoflurane and desflurane.
Conclusions : The incidence of perioperative upper airway complications after anaesthesia using supraglottic airway devices in children was not significantly different between sevoflurane and desflurane used as maintenance agents in infants and children.