2026, Number 4
Post-anaesthesia complications in pediatric patients undergoing cochlear implantation with balanced general anesthesia versus total intravenous anesthesia
Díaz EER, Baranda VH
Full text
10.35366/123500
Language: Spanish
References: 11
Page: 395-399
PDF size: 492.19 Kb.
ABSTRACT
Introduction: cochlear implantation (CI) is a viable option for children with profound hearing loss, who experience significant improvements in their hearing, speech, and language skills. The surgery is safe from six months of age, and anesthetic management can be either balanced general anesthesia (BGA) or total intravenous anesthesia (TIVA). The most common postanesthetic complications are pain and postoperative nausea and vomiting (PONV). Material and methods: a retrospective, comparative, longitudinal, and observational cohort study with non-probability sampling was conducted to determine the ideal anesthetic management for pediatric patients undergoing CI (with a lower incidence of post-anesthetic complications) between BGA and TIVA, and to identify if there is a significant difference between the two procedures. Results: sixty-one medical records were reviewed, of which 37 cases involved BGA and 24 involved IVAT. BGA was associated with greater use of analgesics and antiemetics. TIVA appeared to be used more frequently in older patients, while BGA was preferred in infants. No patient experienced postoperative nausea and vomiting (PONV). Postoperative pain was minimal in both groups. There was no association between postoperative pain and the anesthetic technique. Postoperative tachycardia and hypertension were more common with BGA. Conclusions: although TIVA showed fewer cases of postoperative tachycardia and hypertension, it is not statistically possible to conclude that it is the best anesthetic technique due to the limited number of reported cases. However, it has the advantage of requiring less antiemetics and analgesics, which would translate into lower resource utilization.REFERENCES
Bruijnzeel H, Wammes E, Stokroos RJ, Topsakal V, de Graaff JC.A retrospective cohort study of adverse event assessment duringanesthesia-related procedures for cochlear implant candidacyassessment and cochlear implantation in infants and toddlers. PaediatrAnesth. 2020; 30 (9): 1033-1040. doi: 10.1111/pan.13950.