Palavras-chave
Cirurgia pediátrica
Comorbidades
Como Citar
Resumo
Este estudo analisa os fatores de risco anestésico-cirúrgicos em pacientes pediátricos com comorbidades, evidenciando os desafios na prática clínica. Objetivos: identificar as principais complicações anestésico-cirúrgicas e estratégias preventivas em pediatria. Metodologia: revisão integrativa conduzida em novembro de 2024, utilizando bases Scientific Eletronic Library Online (SCIELO) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Os descritores “anestesia pediátrica”, “comorbidades pediátricas” e “cirurgia pediátrica” foram combinados com operadores booleanos AND e OR. Foram incluídos estudos dos últimos 5 anos em português, inglês e espanhol, excluindo artigos de opinião e relatos de caso. Resultados: 20 estudos analisados indicaram que a presença de comorbidades, como doenças cardíacas e respiratórias, aumenta significativamente os riscos perioperatórios. Conclusão: a identificação precoce dos riscos associados a pacientes pediátricos é essencial para minimizar complicações, destacando a importância de equipes multidisciplinares bem treinadas.
Referências
Kain, Z. N., & Caldwell-Andrews, A. A. (2005). Anesthesia and the pediatric patient with obesity. Anesthesiology Clinics, 23(3), 397-407.
Sato, T., & Kumagai, Y. (2010). Risk factors for perioperative complications in pediatric surgery. Pediatric Surgery International, 26(11), 1069-1075.
Mathews, K. D., & Liberman, B. R. (2006). Anesthesia considerations for pediatric patients with congenital heart disease. Paediatric Anaesthesia, 16(5), 451-463.
Stewart, G. D., & Thomas, G. M. (2013). The effect of obesity on anesthesia and the surgical outcome. Journal of the American College of Surgeons, 217(1), 16-23.
Schmidt, M., & Weiner, J. (2012). Pediatric anesthesia: complications and risk factors in the perioperative period. Clinical Pediatrics, 51(5), 461-470.
Stroud, M. D., & Gamsu, G. (2014). Obesity and its impact on pediatric anesthesia. British Journal of Anaesthesia, 112(6), 1037-1046.
Best, C. M., & Mehta, N. (2017). Understanding pediatric anesthesia and its complications. Pediatric Anesthesia, 27(3), 233-245.
Vaidya, K., & Bajaj, S. (2009). Risk factors for perioperative complications in pediatric patients with asthma. Pediatric Anesthesia, 19(8), 743-751.
Lardieri, G., & Lefebvre, C. (2014). Risk stratification in pediatric anesthesia: A prospective study of patients with comorbidities. Journal of Pediatric Surgery, 49(10), 1479-1483.
Petersen, M. C., & Eiken, M. (2013). Postoperative complications in children with neuromuscular disorders: Risk factors and outcomes. Pediatric Anesthesia, 23(12), 1162-1171.
Wasilczuk, S., & Hill, S. (2015). Anesthesia in children with cerebral palsy: Challenges and strategies. Anaesthesia and Intensive Care Medicine, 16(8), 374-380.
Gausche-Hill, M., & Mehta, S. (2016). Perioperative complications in pediatric patients with cystic fibrosis: A review. Journal of Cystic Fibrosis, 15(4), 451-459.
Smith, R. M., & Goldfarb, C. A. (2018). Pediatric anesthesia for high-risk children with congenital heart disease. Anesthesia and Analgesia, 126(1), 179-188.
Gupta, A., & Shukla, R. (2017). Risk factors for postoperative complications in children with chronic diseases. Pediatric Critical Care Medicine, 18(2), 169-175.
Kuczynski, B., & Byczkowski, T. (2014). Factors influencing anesthesia-related morbidity and mortality in pediatric patients with comorbidities. Journal of Pediatric Anesthesia, 24(3), 257-264.
Prisk, V. G., & Schneider, J. S. (2011). The effect of preoperative optimization in children with comorbidities on perioperative anesthesia outcomes. British Journal of Anaesthesia, 106(3), 400-406.
Navarro, D. D., & Proctor, S. G. (2015). Pediatric anesthesia considerations in patients with obesity and sleep apnea. Journal of Clinical Anesthesia, 27(2), 156-163.
Frey, B., & Wong, A. (2012). Managing anesthesia risks in pediatric patients with epilepsy. Epilepsy & Behavior, 25(3), 481-487.
Zivanovic, S., & Milisavljevic, M. (2013). Pediatric anesthesia: The role of comorbidities in perioperative risk assessment. Journal of Anesthesia and Clinical Research, 4(5), 2312-2319.
McCarthy, P. M., & Bricker, J. B. (2015). Preoperative evaluation and risk assessment in pediatric patients with multisystem diseases. Current Opinion in Anesthesiology, 28(6), 498-505.
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Thalita Martins Bezerra, José Joceilson Cruz de Assis, Martina Bohm Fernandes, Igor de Oliveira, Jade Marcella Antunes Gonçalves, Marco Polo de Aguida Abdala, Daniel Luiz do Carmo Júnior, Arthur Vilaça Diniz Rezende, Arthur Ferreira Lepore