Celebration of Scholars
#17: Factors that Influence Pediatric Anesthesia Outcomes
Name:
Mary Camarena
Major: Allied Health Science
Hometown: Sturtevant
Faculty Sponsor:
Other Sponsors:
Type of research: Senior thesis
Abstract
Objective: To determine the factors influencing pediatric anesthesia outcomes, specifically focusing on neurodevelopmental consequences, anesthesia education, and anesthesia techniques.
Methods: The secondary research contains data from existing literature through systematic searches of online databases such as The National Library of Medicine, Google Scholar, PubMed, and IARS. Articles meeting inclusion criteria were analyzed them utilizing a reading grid created by an Excel sheet. This reading grid method facilitated the organization and synthesis of information from various articles, breaking down the summary of articles to identify factors influencing pediatric anesthesia outcomes. After inclusion, relevant data were extracted from the selected articles, including information on neurodevelopmental consequences, anesthesia education, anesthesia techniques, and any associated statistical findings. The extracted data were critically analyzed to identify patterns and trends related to pediatric anesthesia outcomes, including potential risks and benefits associated with different factors.
Results: Review of literature revealed concerns regarding neurodevelopmental consequences of anesthesia exposure in children, particularly under seven years old. Additionally, anesthesia education revealed challenges in parental understanding and recall, while various anesthesia techniques showed both advantages and potential risks. Specifically, children exposed to anesthesia had a heightened risk of developing developmental delay (DD), with a hazard ratio (HR) of 1.320 (95% CI 1.143–1.522, P < 0.001). Moreover, increased frequency and longer durations of anesthesia were associated with escalated risks of DD development.
Conclusion: This research emphasizes the importance of informed decision-making and enhanced communication in pediatric anesthesia practices. It also provides evidence that anesthesia in pediatric patients carries potential risks, especially concerning neurodevelopmental consequences. Specific anesthesia techniques offer benefits such as reduced opioid consumption, but they also pose potential risks like emergence of delirium. Further research is needed to address gaps in understanding neurodevelopmental consequences and explore the impact of different anesthesia techniques on diverse patient populations.
Key Words: Pediatric, Anesthesia, Influence, Outcomes, Effects.