Anesthetic complications in pediatric patients undergoing cochlear implantation

Authors

  • Joseph S. Yeh MD,

    1. Department of Anesthesiology, New York University, School of Medicine, New York, New York, U.S.A.
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  • Kimberly L. Mooney MD,

    1. Department of Anesthesiology, New York University, School of Medicine, New York, New York, U.S.A.
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  • Kevin Gingrich MD,

    1. Department of Anesthesiology, New York University, School of Medicine, New York, New York, U.S.A.
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  • Jung T. Kim MD,

    1. Department of Anesthesiology, New York University, School of Medicine, New York, New York, U.S.A.
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  • Anil K. Lalwani MD

    Corresponding author
    1. Department of Otolaryngology, New York University, School of Medicine, New York, New York, U.S.A.
    2. Department of Pediatrics, New York University, School of Medicine, New York, New York, U.S.A.
    3. Department of Physiology and Neuroscience, New York University, School of Medicine, New York, New York, U.S.A.
    • Departments of Otolaryngology, Pediatrics, Physiology and Neuroscience, New York University Langone Medical Center, 540 First Avenue, Skirball 7Q, New York, NY 10016
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    • Anil K. Lalwani, MD, is on the Medical Advisory Board of Advanced Bionics, LLC. The authors have no other funding, financial relationships, or conflicts of interest to disclose.


Abstract

Objectives/Hypothesis:

Cochlear implantation (CI) is effective in the treatment of childhood sensorineural hearing loss and is associated with minimal surgical complications. We investigated the incidence of anesthetic complications in young patients undergoing general anesthesia for CI.

Study Design:

Retrospective chart review.

Methods:

A retrospective chart review of 123 patients younger than 18 years, who underwent CI between 2007 and 2008, was conducted for identification of intra- and postoperative anesthesia-related complications. The relation of collected variable to the complication events was analyzed using logistic regression.

Results:

Of the 123 CI procedures, eight patients had nine anesthesia-related complications, yielding a complication rate of 6.5% and included the following: postoperative wheezing/stridor (5 cases), laryngospasm (3 cases), and emesis during inhalational induction (1 case). Divided by age group, 12 patients were <12 months with one complication (8%), 18 patients were between 1 and 2 years with one complication (5.6%), 35 patients were between 2 and 5 years with one complication (3%), 39 patients were between 5 and 12 years with five complications (13%), and 19 patients were older than 12 years with no complication (0%). Logistic regression failed to identify a significant association of any collected variable(s) with the observed complications. The incidence of complications is similar to that previously reported in elderly patients (4.3%) (Pearson χ2, P = .523).

Conclusions:

General anesthesia is well tolerated by pediatric patients undergoing CI, even under 1 year of age. Significant perioperative complications are primarily respiratory, are usually free of long-term sequelae, and occur with an incidence similar to other reported age groups.

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