The Analysis of Record and Outcome of Anaesthesia for the Children Undergoing Paediatric Surgery in Kanti Children's Hospital

Abstract

Background: The database maintained for all the anesthesia cases have been poor and the information has been insufficient to properly analyze the data as required. Hence, this has hindered to evaluate the information on various grounds. Without proper database system it will not be possible to review and forecast the overall situation. Therefore, if standard data bank can be maintained it will be very helpful to develop a better outlook and apply better room in upgrading the services among the infant and neonate who are in need of surgical services in this hospital. Methods: The main source of information is retrograde analysis of the data available in the department of Paediatric Anaesthesiology, Kanti Children’s Hospital. A total of 1500 samples were selected including routine and emergency cases. All the information was carefully entered into the databank from the record book. Once all the samples (1500) were entered into the computer, a thorough analysis was conducted on several grounds to get in-depth picture on every detail. Later with the help of the data result a brief report was prepared. Results: The analysis of the routine cases showed 186 varieties of different surgical conditions needing anaesthesia services. There were 26varieties of cases in emergency. Some conditions like inguinal hernias and hydrocoels are very common and become the base line of paediatric surgery and anaesthesia. Some conditions like Diaphragmatic Hernia, Gastrochiasis and Tracheo-oesophageal fistula become the challenging situations both for the surgeons and anaesthesiologists. The most common sex in paediatric anaesthetic cases was male. The age distribution includes from day one to fourteen years of age. The weight of the patients was as low as below 1500g. The services rendered to the patients include the patients brought to OT directly from emergency to various wards and cabins after the proper preparations of the patients.

Conclusions: The varieties of cases were common to rarer and interesting cases. The cases like inguinal hernias and hydrocoels become the baseline cases occurring in the department. The challenging cases like Tracheo-oesophageal fistula comes to the department and has some success stories. As a whole, the performance of the department is encouraging. The analysis of different combination of services with reference to age groups and weight groups reflected some ground to think on the management of paediatric anaesthesia cases. Keywords: anaesthesia; children; Kanti Children's Hospital; paediatric; surgery.