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Table 2 Anesthetic and pain management by sleep-related disordered breathing criteria

From: Postsurgical behaviors in children with and without symptoms of sleep-disordered breathing

 

No SDB

SDBa

Inpatient/outpatient (%)

18.6/81.4

25.6/74.4

Surgical procedure:

  

  Airway/non-airway (%)

4.5/95.5

58.9/41.1*

Duration of:

  

  Anesthesia (mins)

72.6 ± 64.7

58.1 ± 41.8*

  Surgery (mins)

52.1 ± 57.2

39.5 ± 34.6*

  PACU (mins)

108.4 ± 51.9

139.8 ± 78.6*

Anesthetic agents:

  

  Sevoflurane

229 (92.7)

88 (97.8)

  Isoflurane

219 (88.7)

80 (88.9)

  Propofol

104 (42.1)

38 (42.2)

  Nitrous oxide

236 (95.5)

87 (96.7)

Anxiolytics:

  

  Midazolam

130 (52.8)

48 (53.3)

Pain control (morphine equivalents):

  

  Perioperative (mg/kg/h)

0.14 ± 0.18

0.17 ± 0.14

  Hospital inpatient (mg/kg)b

0.25 ± 0.38

0.28 ± 0.29

  1. SDB sleep-disordered breathing, PACU postanesthesia care unit.
  2. *P < 0.05 vs no SDB.
  3. aScores of ≥0.33 on the SRBD subscale. Data are n (%) and mean ± SD.
  4. bReported as morphine equivalents mg/kg only (hospital length of stay not recorded).
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Perioperative Medicine

ISSN: 2047-0525