Research article

The impact of timing surgery to adenoidoton sillectomy of children aged 3 through 15 years old in appearance of coughing and laringospasm during awaking from general anesthesia

^*1Rexhep Gjyliqi and Anita Sadikaj²

¹Clinic of Anesthesiology and Intensive Medicine, University Clinical Centre of Kosovo, Prishtina, Kosovo

²Faculty of Medicine, University of Prishtina, Prishtina, Kosovo

*Corresponding Author E-mail: drgjyliqi@hotmail.com;  Tel: 55 21 971451804

Accepted 11 May 2015

Abstract

Introduction: More frequent and dangerous complications during waking from general anesthesia in children who underwent operative intervention adenotonsillectomy are coughing and laryngospasm. These complications are quite harmful and have a risk to life. The purpose of this research is to investigate the influence of the surgical duration of procedure in filing coughing and laryngospasm during waking from anesthesia. Methodology: It is a prospective study on the impact of operative duration in presenting two post-anesthetic respectively postoperative complications: coughing and laryngospasm, of children who underwent adenoid tonsillectomy operative intervention. The study was conducted at period of time from 1.03.2012 - 10.1.2013 and research included one hundred and twenty (120) children aged between 3 to 15 years old. They were classified according to the American Society of Anesthesiologist (ASA) in status I. Operations are performed under general anesthetic. After collecting the data, results were analyzed with the SPSS 20.0. Results: The children who presented cough, surgery lasted an average of 43.3 minutes (SD ± 5.6 min). Children who haven’t had coughing surgery lasted an average of 37.1 minutes (SD ± 4.4 min). The children presented laryngospasm, surgery lasted an average of 43.5 minutes (SD ± 5.5 min). Children who haven’t had the laryngospasm surgery they lasted on average 37.4 minutes (SD ± 4.6 min). Conclusion: From the results obtained in our research is observed that post-anesthetic complications were more frequent in cases where surgery lasted more. More time surgical procedure was the result of manipulation longest gorge space, multiple burns and irritation electrocoagulation greater.

Keywords: children, cough, laryngospasm, anesthesia, complications