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KMID : 0878620020060020075
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Korean Journal of Pediatric Anesthesia
2002 Volume.6 No. 2 p.75 ~ p.80
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Physique and Vital Signs of Pediatric Surgical Patients
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Seung Ik-Sang
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Abstract
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Background: Physique and vital signs of operation-scheduled patients are very important for the perioperative patient’s safety.
Methods: A group of 957 children, aged 0 day to 15 years, and who were undergoing routine surgery under general anesthesia, were studied to investigate the physique, body mass index (BMI), blood pressure and heart rate. The height and weight of the subjects were obtained from anesthesia records. Blood pressure and heart rate were measured by noninvasive monitor (Dinamap vital sign monitor, Critikon, USA) in operation room just before general anesthesia. The subjects were classified by age: newborn baby, I week-under, 1 month-under, 1 year-under, and then each year up to 15 years of age. The mean values of height, weight, BMI, blood pressure, heart rates, and obesity rates (children with BMI≥25 kg/m2) by aged groups were analyzed. Numbers of operation patients by the surgical deparments and aged groups were also studied.
Results: From newborn babies to children with 15 yeats of age the mean values of height and weight increased from 42.0±4.8 cm and 2.6±0.1 kg to 163.8±7.9 cm and 55.7±11.0 kg. Systolic/diastolic blood pressure, and heart rate were from 84.6±47.l/44.0±23.0 mmHg and 141.5±14.9 beats/min to 123.1±15.7/75.2±11.6 mmHg and 87.0±17.2 beats/min. The obesity rates by BMI≥25 kg/m2 were the highest (18.18%) at 13 years of age and next (8.57%) at 15 years of age. Pediatric operation was performed at the highest rates under the 1 year of age (15.67%). Operation patients increased in the order of otolarnygology (24.26%), pediatric (13.62%), plastic (20.23%), onhopedic (19.39%), urology (4.66%), and ophthalmology (3.50%) departments. Lowest aged operation patients increased in order of pediatirc, chest, and neurosurgery departments.
Conclusions: This study revealed the guidelines of physique, obesity rates and preanesthetic vital signs of pediatric operating patients. It is hoped that this discussion will help the pediatric anesthe-siologists to choose the appropriate perioperative anesthetic cares for the pediatric operating patients.
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KEYWORD
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Blood pressure, body mass index, obesity, pediatires, physique
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