This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Take the CME quiz:
 Vol. 7 No. 2, February 2002
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mancuso, T. J.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Mancuso, T. J.
Related Collections
Right arrow Anesthesiology

AAP Grand Rounds 7:15-16 (2002)
© 2002 American Academy of Pediatrics

ANESTHESIOLOGY

Risk Factors for Children with URIs Undergoing Surgery

Source: Tait AR, Malviya S, Voepel-Lewis T, et al. Risk factors for perioperative adverse respiratory events in children with upper respiratory tract infections. Anesthesiology. 2001;95:299–306.[Medline]

The first 20% of the full text of this article appears below.

This prospective investigation from the University of Michigan Health Systems sought to determine the risk factors for adverse respiratory events in children with upper respiratory infections (URIs) undergoing elective surgical procedures. The study sample consisted of 1,078 children aged 1 month-18 years scheduled for elective surgery with general anesthesia (61 declined participation, 73 canceled surgery). Parents completed a short questionnaire that dealt with demographics as well as the presence and severity of URI symptoms. The following adverse respiratory events were tracked prospectively: laryngospasm, bronchospasm, breath holding >15 sec., oxygen saturation <90%, or severe cough. Follow-up by phone was done between 7–10 days post-operatively. Complications were scored according to severity from 1 (no complication) to 4 (most serious).1

Children were assigned to 1 of 3 groups depending upon the presence or absence of URI symptoms: active URI, recent URI, and control. In order to be in the URI group a child had to exhibit a minimum of 2 URI symptoms with parental confirmation. URI symptoms in this study included: scratchy or sore throat, rhinorrhea, sneezing, nasal congestion, malaise, cough, or temperature >38C. The recent URI group included those who did not fulfill the URI . . . [Full Text of this Article]

Thomas J. Mancuso, MD, FAAP
Anesthesiology, Children’s Hospital, Boston, MA