Magnitude And Associated Factors Of Intraoperative Laryngospasm Among Pediatric Patients Who Undergo Surgery Under General Anesthesia At Tikur Anbesa Specialized Hospitaladdis Ababa.
Introduction: laryngospasm is a reflex closure of the upper airway due the glottisrnmusculature spasm.It is one of the complications seen especially during induction ofrnanesthesia or during emergence and its magnitude is high in pediatrics especially in infants.Itrnmay be due to patient-related associated factors like URTI, asthma, surgery-related associatedrnfactors like type of surgery and anesthesia-related associated factors like light anesthesia,rntype of airway device and type of anesthetic agent.rnObjective: To assess magnitude and associated factors of intraoperative laryngospasmrnamong pediatric patients who undergo surgery under general anesthesia at Tikur AnbesarnSpecialized Hospital from December 5,2016 to April 13,2017.rnMethods:Institutional based cross sectional study design was conducted.Study participantsrnwere selected by systematic random sampling technique. Training was given for datarncollectors and supervisor. Regular supervision and follow up was made. Data was enteredrninto Epi info version 7 computer software by investigators and was transported to SPSSrnversion 20 computer program for analysis.Bivariate and multivariate logistic analyses werernused to identify factors associated with laryngoscope. Statistical significance was sated at prnvalue < 0.05 with 95% confidence interval.rnResult:A total of 143 study subjects were included. The overall magnitude wasrn21.7%.Neonates and infants were statistically associated with intraoperative laryngospasm (Prnvalue of .027 and .042 respectively).On the other handamong all cases which anesthetized byrndegree anesthetists,31.4 % (N=22) were developedlaryngospasm(P value of 0.025). Childrenrnwho were induced by ketamine had less chance for laryngospasm.It had been found thatrnpediatrics with light plain of anesthesia were three times more likely to have laryngospasmrnthanthose whose anesthesia was deep (P value 0.000,AOR 2.756(95% CI (0.867-8.754).rnConclusion and recommendation-The result of the study indicated that the magnitude ofrnlaryngospasm in pediatric population was slightly higher especially during emergence phase.rnTherefore, appropriate measures should be taken by anesthetists to reduce the magnitude ofrnlaryngospasm.