NDLI: Complicações respiratórias em pacientes com paralisia cerebral submetidos à anestesia geral.

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Complicações respiratórias em pacientes com paralisia cerebral submetidos à anestesia geral.

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Complicações respiratórias em pacientes com paralisia cerebral submetidos à anestesia geral.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Mello, Sérgio Silva de Marques, Ronaldo Soares Saraiva, Renato Angelo
Description	Author Affiliation: Mello SS ( Rede Sarah de Hospitais do Aparelho Locomotor.)
Abstract	BACKGROUND AND OBJECTIVES: Anesthesia in patients with cerebral palsy (CP) poses a challenge for the anesthesiologist. The objective of this prospective study was to determine the prevalence and risk of respiratory complications in children with CP undergoing general inhalational anesthesia for computed tomography. METHODS: Patients with ages ranging from 1 to 17 years, physical status ASA I to III, undergoing general inhalational anesthesia with sevoflurane and laryngeal mask for a CT scan from June 2002 to June 2003, participated in this study. Patients were divided in 3 groups: quadriplegic CP (CPQ), other types of CP (CPO), and patients without CP (NCP). Parents or guardians answered a questionnaire that assessed the past medical history of the patient, upper respiratory infections (URI), asthma, seizures, oropharyngeal dysfunction, gastroesophageal reflux, etc. Data on the incidence and severity of respiratory complications were gathered prospectively (cough, bronchospasm, laryngeal spasm, hypoxemia, aspiration, etc). The size of the study group was calculated for an expected 5% incidence in the NCP group, with a 15% difference among groups (alpha = 0.05 and beta = 0.1), using the Chi-square test, Fisher exact test, and test t Student. RESULTS: Two hundred and ninety patients, divided in three groups, participated in this study. Groups were composed of: CPQ = 100 patients, CPO = 79 patients, and NCP = 111 patients. There were no differences on the prevalence of respiratory infections among the CPQ (4%), CPO (8.9%), and NCP (7.3%) groups. There was a correlation between the presence of URI and the development of complications (relative risk of 10.71). CONCLUSIONS: Children with cerebral palsy with spastic quadriplegia do not seem to have an increased risk of respiratory complications during general inhalational anesthesia with sevoflurane and laryngeal mask. This study confirms URI as a risk factor for the development of those complications.
File Format	HTM / HTML
ISSN	00347094
e-ISSN	1806907X
Journal	Brazilian Journal of Anesthesiology
Issue Number	5
Volume Number	57
Language	Portuguese
Publisher	Elsevier
Publisher Date	2007-10-01
Publisher Place	Brazil
Access Restriction	Open
Subject Keyword	Discipline Anesthesiology
Alternative Title	Respiratory complications in patients with cerebral palsy undergoing general anesthesia.
Content Type	Text
Resource Type	Article

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