Pediatric Day Care Anesthesia and Surgery in a Tertiary Care Center of Central India.

ABSTRACT

Introduction: With scientific advancements day care surgery (DCS) nowadays has become a modern and effective way to treat pediatric patients. DCS and anesthesia are practiced and has been reported to be safe and economical for infants and children requiring routine minor surgeries in all specialties. Objective: To assess the feasibility and acceptability of day-care anesthesia and surgery in a tertiary care center. Materials and Methods: A 4 years prospective study was conducted from January 2011 to January 2015 in Chirayu Medical College and Hospital Bhopal, India. Total of 201 consecutive patients with American Society of Anesthesiologists I-I1 status and aged 3 months to 14 years were studied. Patients were operated as day-cases using monitored general or local anesthesia. Results: The age distribution of patients’ shows that maximum no of patients were in the age group 4-6 years, 98 (48.7%) cases. Circumcision was the most common surgery performed in our setting. Most of the operative procedures were completed within 30 min (29.8%) cases. Nausea, vomiting and minor bleeding were the most common complaint and reason for post-operative night stay in the hospital. Conclusion: Pediatric day care anesthesia and surgery are safe and feasible, but good selection criteria, appropriate setup, and careful monitoring are must for good results.