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    Anesthesia Management of Pediatric Burn Patients: A Retrospective Analysis of Patients Treated in a University Hospital
    (2025) KARAASLAN, EROL; Yalin, Mehmet Ridvan; Ozkan, Ahmet Selim; Begec, Zekine; Demircan, Mehmet
    Introduction: This retrospective study focused on pediatric patients who underwent surgery for burns under anesthesia in our hospital and assessed demographic data, anesthesia management, and risk factors for mortality. The study comprised 278 pediatric patients who were treated in our unit, a major center for burn admissions, between January 2012 and May 2021. All the patients had burns involving more than 10% of the total body surface area. Methods: Data on the following were collected: patient age, sex, and ethnicity; anesthesia and airway management- and surgery- related procedures; and laboratory test results. The data on the fatal and non-fatal cases and those with/without head and neck burns were compared. Results: The mean age of the patients was 56.8±42.9 months (range 1-204 months). The number of patients with flame burns was statistically, significantly higher than the number of patients with liquid and electrical burns (54.7%, 37.1%, and 8.3%, respectively) (p<0.001). Albumin (p=0.046), platelet (p=0.005), and calcium (p=0.001) values were significantly lower, and blood urea nitrogen (p=0.024) and C-reactive protein (p=0.001) values were significantly higher in mortality cases than in non-mortality cases. Patients who died were statistically significantly younger (p=0.023). For airway management, endotracheal intubation and sugammadex were used significantly more often for head and neck burns than for other types of burns (p<0.001). Conclusion: Appropriate preoperative preparation, including consideration of the anesthetic method and potential complications that may develop during the surgery, is needed in pediatric burn cases. Anesthesia and airway management are important in managing pediatric burn patients.