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.
Anesthetic complications in pediatric patients undergoing cochlear implantation
Article first published online: 24 AUG 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 10, pages 2240–2244, October 2011
How to Cite
Yeh, J. S., Mooney, K. L., Gingrich, K., Kim, J. T. and Lalwani, A. K. (2011), Anesthetic complications in pediatric patients undergoing cochlear implantation. The Laryngoscope, 121: 2240–2244. doi: 10.1002/lary.21924
- Issue published online: 21 SEP 2011
- Article first published online: 24 AUG 2011
- Manuscript Accepted: 10 MAY 2011
- Manuscript Revised: 5 MAY 2011
- Manuscript Received: 24 MAR 2011
- general anesthesia;
- cochlear implantation;
- anesthetic complications;
- Level of Evidence: 4.
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.
Retrospective chart review.
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.
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).
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.