A case report of multiple anesthesia for pediatric surgery: 80 anesthesia applications in a period of 6 years

Sibel Oba,Hacer Şebnem Türk

doi:10.1186/s12871-018-0639-9

Sibel Oba, Hacer Şebnem Türk

Open Access

https://doi.org/10.1186/s12871-018-0639-9

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Abstract

BackgroundThe side and adverse effects of anesthesia and its neurotoxicity to children have become major concerns of anesthesiologists in recent years.Currently, no clinical trials have provided clear evidence indicating the suitable minimum age for a patient’s first anesthetic application, importance of anesthesia duration, number of anesthetic applications or interval between two consecutive anesthesia applications.A very rare case concerning the side, adverse and neurotoxic effects of multiple anesthesia in a child is presented.Case presentationA case of a 9-year-old child who received 80 applications of anesthesia in 6 years because of corrosive esophagitis is presented. The commonly used anesthetic agents were propofol, fentanyl, rocuronium and sevoflurane.ConclusionIn our case, there were no permanent side or adverse effects due to multiple anesthesia. The minimal psychological and scholastic problems of our case were tied to frequent hospitalization by the pediatric psychiatry consultation.

Highlights

The side and adverse effects of anesthesia and its neurotoxicity to children have become major concerns of anesthesiologists in recent years
The minimal psychological and scholastic problems of our case were tied to frequent hospitalization by the pediatric psychiatry consultation
All anesthesia applications were performed by anesthesiologists experienced in pediatric anesthesia

Summary

Introduction

The side and adverse effects of anesthesia and its neurotoxicity to children have become major concerns of anesthesiologists in recent years. As an example of multiple anesthesia, we present a 9-year-old boy who had accidentally ingested household bleach when he was 3 years old and who received 80 applications of general anesthesia in 6 years for treatment of corrosive esophagitis. He underwent pediatric psychiatry consultations because of attention problems related to frequent hospitalizations, which were managed without any medications.

Results

Conclusion