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Association of anesthesia type with prolonged postoperative intubation in neonates undergoing inguinal hernia repair

Journal of Perinatology volume 41, pages 571–576 (2021)Cite this article

Subjects

Abstract

Purpose

The purpose of this study is to determine factors associated with prolonged intubation after inguinal herniorrhaphy in neonates.

Methods

Retrospective, single institution review of neonates undergoing inguinal herniorrhaphy between 2010 and 2018. Variables recorded included demographics, comorbidities, ventilation status at time of hernia repair, and anesthetic technique.

Results

We identified 97 neonates (median corrected gestational age 39.9 weeks, IQR 6.6). The majority (87.6%) received general anesthesia (GA); the remainder received caudal anesthesia (CA). Among the GA subjects, 25.8% remained intubated for at least 6 h after surgery, whereas none of the CA patients required intubation postoperatively (p = 0.03). Two risk factors associated with prolonged postoperative intubation: a history of intubation before surgery (p = 0.04) and a diagnosis of bronchopulmonary dysplasia (p = 0.03).

Conclusions

Neonates undergoing inguinal herniorrhaphy under GA have a greater rate of prolonged postoperative intubation compared with those undergoing CA. A history of previous intubation and bronchopulmonary dysplasia were significant risk factors for prolonged postoperative intubation.

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Acknowledgements

Statistical analysis reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under award Number UL1TR001412. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

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Authors and Affiliations

  1. John R. Oishei Children’s Hospital, Buffalo, NY, USA

    Abdulraouf Lamoshi, Jerrold Lerman, Jad Dughayli & David H Rothstein

  2. Great Lakes Anesthesiology, Buffalo, NY, USA

    Jerrold Lerman & Jad Dughayli

  3. Division of Neonatology and Department of Pediatrics, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA

    Valerie Elberson

  4. Department of Biostatistics, University at Buffalo School of Public Health, Buffalo, NY, USA

    Lorin Towle-Miller & Gregory E Wilding

  5. Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA

    David H Rothstein

Authors
  1. Abdulraouf Lamoshi
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Correspondence to Abdulraouf Lamoshi.

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Lamoshi, A., Lerman, J., Dughayli, J. et al. Association of anesthesia type with prolonged postoperative intubation in neonates undergoing inguinal hernia repair. J Perinatol 41, 571–576 (2021). https://doi.org/10.1038/s41372-020-0703-4

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