"Loss of breath" as a cause of postoperative hypoxia and bradycardia in children submitted to tonsillectomy

Brazilian Journal of Anesthesiology
Eduardo Toshiyuki Moro, Alexandre Palmeira Goulart

Abstract

the "shortness of breath" or "breathing interruption" crisis can be considered a cause of hypoxia in childhood. It is characterized by the presence of a triggering factor followed by weeping and apnea in expiration accompanied by cyanosis or pallor. The sequence of events may include bradycardia, loss of consciousness, abnormal postural tone and even asystole. A review of the literature revealed only two reports of postoperative apnea caused by "shortness of breath". this article describes the case of a child with a history of "shortness of breath" undiagnosed before the adenotonsillectomy, but that represented the cause of episodes of hypoxemia and bradycardia in the postoperative period. the "shortness of breath" crisis should be considered as a possible cause of perioperative hypoxia in children, especially when there is a history suggestive of this problem. As some events may be accompanied by bradycardia, loss of consciousness, abnormal postural tone and even asystole, observation in a hospital setting should be considered.

References

Mar 1, 1978·Canadian Anaesthetists' Society Journal·C H Hubbert
Apr 1, 1997·The Journal of Pediatrics·F J DiMario, M Sarfarazi
Oct 5, 2010·Journal of Anesthesia·Anjolie Chhabra, Dalim K Baidya

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Related Papers

Sleep & Breathing = Schlaf & Atmung
Leila Azevedo de AlmeidaFabiana Cardoso Pereira Valera
The Journal of Emergency Medicine
Haritha ChallapalliEric S Nadel
Revista brasileira de anestesiologia
Aleksandra Paula LimaMaria José Carvalho Carmona
© 2021 Meta ULC. All rights reserved