Dergiler / Eastern Journal of Medicine / 2019 / Cilt: 24 - Sayı: 3

Attitudes of Anesthesiology and Reanimation Specialists Towards Pediatric Anesthesia Outside of the Operating Room Practices: A Survey Analysis

Sayfa
340–349
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Together with the likelihood of professional training and hospital type influencing the frequency of the procedure and recovery strategies, these findings emphasize the need for improved practice regarding consideration of appropriate candidacy for ASA physical status and patient age as well as a uniform and standardized recovery practice among anesthesiology and reanimation specialists.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:There is a growing demand for safe and effective sedation/anesthesia of pediatric patients outside the operating room.
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Temel Bulgular & Veri:A total of 219 anesthesiology and reanimation specialists (mean±SD age: 38.3±7.2 years, 50.7% female) voluntarily completed this online questionnaire survey.
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Sonuç & Katkı:Together with the likelihood of professional training and hospital type influencing the frequency of the procedure and recovery strategies, these findings emphasize the need for improved practice regarding consideration of appropriate candidacy for ASA physical status and patient age as well as a uniform and standardized recovery practice among anesthesiology and reanimation specialists.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

There is a growing demand for safe and effective sedation/anesthesia of pediatric patients outside the operating room. This study was designed to investigate the practices and resources of pediatric anesthesia outside the operating room. A total of 219 anesthesiology and reanimation specialists (mean±SD age: 38.3±7.2 years, 50.7% female) voluntarily completed this online questionnaire survey. The questionnaire included items on demographic data, professional characteristics, type of hospital, and the characteristics of anesthesia applied outside the operating room. Most respondents reported that they performed pediatric anesthesia outside the operating room frequently, ranging from a couple of days per week (47.2%) to every day (27.3%), mostly for MRI (87.7%), endoscopy (60.1%), pediatric angiography (58.9%) and biopsy (54.6%) procedures. Overall, 60.1% and 25.8% of the anesthetists stated that they use ASA criteria (inclusion of ASA I-II patients, 39.9%) and age criteria for candidacy, respectively. The professors were determined to be the group with the highest rates for the procedure (66.7%) on a daily basis, while state hospitals were associated with less frequent implementation of the procedure (p<0.001 for each). In conclusion, this questionnaire-based survey revealed frequent and guideline-adherent application of pediatric anesthesia outside the operating room by anesthesiology and reanimation specialists. Together with the likelihood of professional training and hospital type influencing the frequency of the procedure and recovery strategies, these findings emphasize the need for improved practice regarding consideration of appropriate candidacy for ASA physical status and patient age as well as a uniform and standardized recovery practice among anesthesiology and reanimation specialists.

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Bu Makaleye Atıf Yap

SOYALP, C., YÜZKAT, N. (2019). Attitudes of Anesthesiology and Reanimation Specialists Towards Pediatric Anesthesia Outside of the Operating Room Practices: A Survey Analysis. Eastern Journal of Medicine, Cilt: 24 - Sayı: 3, 340–349. https://ajindex.com/articles/165677

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Kaynakça (12)

  1. Connor MP, Dion GR, Borgman M, Maturo S. The pediatric sedation unit: a prospective analysis of parental satisfaction. Int J Pediatr Otorhinolaryngol 2014; 78: 2165-2168
  2. Grunwell JR, Travers C, McCracken CE, et al. Procedural Sedation Outside of the Operating Room Using Ketamine in 22,645 Children: A Report From the Pediatric Sedation Research Consortium. Pediatr Crit Care Med 2016; 17: 1109-1116
  3. Malviya S, Voepel-Lewis T, Eldevik OP, Rockwell DT, Wong JH, Tait AR. Sedation and general anaesthesia in children undergoing MRI and CT: adverse events and outcomes. Br J Anaesth 2000; 84: 743-748
  4. Akin A, Esmaoglu A, Tosun Z, Gulcu N, Aydogan H, Boyaci A. Comparison of propofol with propofoleketamine combination in pediatric patients undergoing auditory brainstem response testing. Int J Pediatr Otorhinolaryngol 2005; 69: 1541-1545
  5. Landrum AL. Anesthesia for sites outside the operating room. Adv Anest 2006; 24: 163 - 175
  6. Peyton J, Cravero J. Sedation in children outside the operating room: The rules of the road. Trends Anaest Crit Care 2014; 4: 141-146
  7. Burbano-Paredes CC, Amaya-Guio J, RubianoPinzón AM, Hernández-Caicedo ÁC, GrilloArdila CF. Guíade práctica clínica para la administración de sedación fuera del quirófano en pacientes mayores de 12 a˜nos. Rev Colomb Anestesiol 2017; 45: 224-238
  8. Biber JL, Allareddy V, Allareddy V, et al. Prevalence and Predictors of Adverse Events during procedural sedation anesthesia-outside the operating room for esophagogastroduodenoscopy and colonoscopy in children: Age is an independent predictor of outcomes. Pediatr Crit Care Med 2015; 16: 251-259
  9. Green SM, Rothrock SG, Lynch EL, et al. Intramuscular ketamine for pediatric sedation in the emergency department: Safety profile in 1,022 cases. Ann Emerg Med 1998; 31: 688-697
  10. Vade A, Sukhani R, Dolenga M, HabisohnSchuck C. Chloral hydrate sedation of children undergoing CT and MRI imaging: safety as judged by American Academy of Pediatrics guidelines. Am J Roentgenol 1995; 165: 905-909
  11. Gozal D, Drenger B, Levin PD, Kadari A, Gozal Y. A pediatric sedation/anesthesia program with dedicated care by anesthesiologists and nurses for procedures outside the operating room. J Pediatr 2004; 145: 47-52
  12. Green SM, Roback MG, Krauss B, et al. Emergency Department Ketamine Meta-Analysis Study Group. Predictors of airway and respiratory adverse events with ketamine sedation in the emergency department: An individual-patient data meta-analysis of 8,