Pediatric anesthesia & critical care
Perioperative Anesthesia-Related Complications and Risk Factors in Children: A Cross-Sectional Observation Study in Rwanda
Authors' conclusion
The rate of perioperative complications, including death, for children undergoing surgery in tertiary care hospitals in Rwanda was high.
Study context
- Population
- Children under 5 years undergoing surgery in public referral hospitals in Rwanda, June–December 2015
- Participants
- 354 participants
- Outcome
- Prevalence of perioperative anesthesia-related adverse events
Methodological detailsmulticentre, 3 public referral hospitals
- Multicentre
- 3 public referral hospitals
Main finding
As reported in the abstract
- Cardiac arrest (any)
- 11
- Intraoperative cardiac arrest
- Six (1.7%)
- Intraoperative death
- 2 (0.6%)
- Postoperative cardiac arrest in postanesthesia care unit (PACU)
- 6 (1.8%)
- Death in PACU
- 5 (1.5%)
- Intraoperative adverse event
- Eighty-nine (25.1%)
- Adverse event in PACU
- 67 (20.6%)
Observational data: associations, not effects.
Further findings
Risk factors for cardiac arrest or death
- Age <1 week associated with cardiac arrest or death
- Univariate logistic regression
Case review of cardiac arrest or death
- Significant lapses in the expected standard of care
Original publication
Perioperative Anesthesia-Related Complications and Risk Factors in Children: A Cross-Sectional Observation Study in Rwanda. Anesth Analg. Published 15 August 2023. doi:10.
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