Title
Patient and anesthesia characteristics of children with low pre-incision blood pressure: A retrospective observational study
Author
Pasma, W.
Peelen, L.M.
van den Broek, S.
van Buuren, S.
van Klei, W.A.
de Graaff, J.C.
Publication year
2020
Abstract
Background: Intraoperative blood pressure has been suggested as a key factor for safe pediatric anesthesia. However, there is not much insight into factors that discriminate between children with low and normal pre-incision blood pressure. Our aim was to explore whether children who have a low blood pressure during anesthesia are different than those with normal blood pressure. The focus of the present study was on the pre-incision period. Methods: This retrospective study included pediatric patients undergoing anesthesia for non-cardiac surgery at a tertiary pediatric university hospital, between 2012 and 2016. We analyzed the association between pre-incision blood pressure and patient- and anesthesia characteristics, comparing low with normal pre-incision blood pressure. This association was further explored with a multivariable linear regression. Results: In total, 20 962 anesthetic cases were included. Pre-incision blood pressure was associated with age (beta −0.04 SD per year), gender (female −0.11), previous surgery (−0.15), preoperative blood pressure (+0.01 per mm Hg), epilepsy (0.12), bronchial hyperactivity (−0.18), emergency surgery (0.10), loco-regional technique (−0.48), artificial airway device (supraglottic airway device instead of tube 0.07), and sevoflurane concentration (0.03 per sevoflurane %). Conclusions: Children with low pre-incision blood pressure do not differ on clinically relevant factors from children with normal blood pressure. Although the present explorative study shows that pre-incision blood pressure is partly dependent on patient characteristics and partly dependent on anesthetic technique, other unmeasured variables might play a more important role. © 2019 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation.
Subject
Patient
Anesthesia
Children
Blood pressure
To reference this document use:
http://resolver.tudelft.nl/uuid:4acc6f5c-6938-40ab-9d7f-e76f3385a36f
DOI
https://doi.org/10.1111/aas.13520
TNO identifier
871944
ISSN
0001-5172
Source
Acta Anaesthesiologica Scandinavica, 64 (64), 472-480
Document type
article