Minimally Invasive Anesthesia in Pediatric Circumcision: A Case Series. Issue 10 (1st October 2021)

• Record Type: Journal Article
• Authors: Teen, Mark S.; Oh, Seung Mi; Flatow, Galila; Ramirez Parga, Daniel E.; Patel, Roshan S.
• Is Part Of: A & A practice. Volume 15:Issue 10(2020)
• Page Start: e01527
• Publication Date: 2021-10-01
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001527
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Anesthetic management of pediatric circumcisions typically involves intravenous access and advanced airway management. We explored the use of a minimally invasive anesthetic protocol for pediatric circumcisions akin to the anesthetic management for bilateral myringotomy and tympanostomy. Five pediatric circumcisions were performed under mask ventilation without intravenous access and evaluated for intraoperative anesthesia times, patient outcomes, and complications. The mean (standard deviation) intraoperative anesthesia time was 41.4 (5.7) minutes, and 1 patient experienced a mild intraoperative complication with emesis at induction. Pediatric circumcisions can be efficiently and safely performed with minimally invasive anesthesia.