A retrospective analysis of factors influencing post-anesthesia rapid recovery after pediatric cleft lip and/or palate repair
ZHANG Yu
ZHU Bo
SONG Kaicheng
YU Xuerong
ZHANG Yuguan
ZHANG Aihua
ZHENG Maocan
Abstract：Objective To investigate the predictors for rapid postoperative recovery from general anesthesia ( GA) in children less than three-year old receiving repair of cleft lip or palate. Methods Totally 314 children less than three years old, who received repair of cleft lip or palate under GA in Peking Union Medical Collegc Hospital from Jan 2013 to Dec 2016, were divided into two groups according to the time from extubation to discharge from operation room and back to ward. Rapid recovery from GA were defined as the recovery time less than 30 min. All the records, inclu-ding demographics, preoperative coexist diseases, the parameters of anesthesia and operation, were compared between these two groups. The multivariate logistic regression analysis was used to survey the potential risk factors. Results When compared with the rapid recovery group, children in the non-rapid recovery group had significantly smaller age, lower body weight, smaller tracheal tube ID, less proportion of cleft palate repairment, and higher rate of preoperative respiratory coexist diseases ( P<0. 01) . The multivariate logistic regression analysis showed that preoperative respiratory coexist diseases was the independent predictors for non-rapid recovery from GA ( OR=5. 622, 95％ CI=1. 650～19. 158) . Conclusion Preoperative respiratory coexist diseases is an independent predic-tors for non-rapid recovery from GA in children <3 years old receiving repair of cleft lip or palate.
Keywords：General anesthesia ( GA)Repair of cleft lip or palateRapid postoperative re-coveryChildren
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 153-155,193 )