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Anesthesia management of laser photocoagulation for retinopathy of prematurity. A retrospective review of perioperative adverse events

Paediatric Anaesthesia Sep 17, 2020

Kaur B, Carden SM, Wong J, et al. - In this retrospective study, researchers reported the incidence of perioperative adverse events occurring in infants undergoing diode laser photocoagulation of retinopathy of prematurity and identified clinical risk factors that may affect the incidence. Between January 2014 and December 2019, they analyzed anesthetic and medical records of premature infants who were treated in the neonatal intensive care unit or an operating theater with laser photocoagulation in the institution. For this analysis, 61 infants (39 males, 22 females) underwent 72 laser treatments. The incidence of perioperative adverse events was not linked to the age of the patients, current weight, timing, or location of the procedure. However, extubating infants at the end of the procedure is related to a high rate of apneas and bradycardia, and consideration should be given to keeping low weight infants undergoing prolonged procedures out‐of‐hours intubated.

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