What are we doing in children

Introduction and Purpose: The anesthetic management in the pediatric age group, shows many differences as anatomical, physiological and pharmacological compared to adults. Therefore, the equipment used in anesthesia, methods drugs vary. Surgical and anesthetic anesthesia required special strategies for pediatric patients because the age is inversely proportional to increase mortality and morbidity. In these reasons, clinical pediatric surgery should establish a certain standard. The purpose of this study is to investigate perioperative anesthesia records of pediatric patients having surgery in the Adnan Menderes University Hospital operating room and to see and identify what documentation and anesthesia practice need for better anesthesia. Methods:In this prospective observational study anesthesia registration form which provides the demographic characteristics of the patients and information about anesthesia management created by our clinic. The 200 pediatric patients which operated between september 2014 and march 2015 recorded on these forms. The preoperative, intraoperative and postopereatif information of these patients recorded on these forms. Results: In our study the most frequent surgeries made by pediatric surgeons were (n = 74; 37%) circumcision and hypospadias surgeries. Preoperative midazolam used more frequent (n = 82) in our patients. The patients were often 3-12 age group in our study so the airway control was provided mostly by LMA (121 patients; 60.5%). In brief cases, such as circumcision use of face mask was more frequent (n = 34). Sevoflurane more often used in pediatric patients (n = 183) Sugammadek was more commonly used than neostigmine to revers neuromuscular blockade . The regional anesthesia performed more frequently(n = 175; Caudal 167 and epidural: 8). In regional anesthesia (n=176) bupivacaine was more frequently used. Conclusions: In our study we analyzed that anesthesia method which used in pediatric patients in our clinic was similar to the literature studies. Our anesthesia method was also similar to commonly used methods in anesthesia clinics and practice. We believe in use of preoperative medication agents except midazolam our clinical experience will increase . Heat control and neuromuscular monitoring can provide a safer anesthesia. Keywords:pediatric patient, anesteshia management, midazolam, sevoflurane, sugammadex, caudal