Читать книгу Practical Pediatric Gastrointestinal Endoscopy - Группа авторов - Страница 36

In 2015 a review was performed to assess the predictors for adverse events during esophagoduodenoscopy (EGD) and colonoscopies for pediatric patients. 12 030 procedures were examined: 7970 EGD, 1378 colonoscopies and 2682 were a combination of both. The majority of adverse events were desaturation (1.5%) and airway obstruction (1%); there were no deaths or CPR administered. This analysis revealed that ASA greater than or equal to II, receiving both procedures, obesity, presence of lower airway disease, and age were independent predictors of adverse events. The highest occurrence of adverse events (15%) occurred in those less than 1 year of age, with an occurrence of 8% in those between 2 and 5 years. While the adverse events did not result in permanent consequences, the findings do support a case for preemptive airway control with endotracheal intubation in young children undergoing GI procedures.