TY - JOUR
T1 - Best practice & research clinical anesthesiology
T2 - Safety and quality in perioperative anesthesia care. Update on safety in pediatric anesthesia
AU - de Graaff, Jurgen C.
AU - Johansen, Mathias Fuglsang
AU - Hensgens, Martinus
AU - Engelhardt, Thomas
N1 - Publisher Copyright:
© 2021 The Authors
PY - 2021/5/1
Y1 - 2021/5/1
N2 - Pediatric anesthesia is large part of anesthesia clinical practice. Children, parents and anesthesiologists fear anesthesia because of the risk of acute morbidity and mortality. Modern anesthesia in otherwise healthy children above 1 year of age in developed countries has become very safe due to recent advance in pharmacology, intensive education, and training as well as centralization of care. In contrast, anesthesia in these children in low-income countries is associated with a high risk of mortality due to lack of basic resources and adequate training of health care providers. Anesthesia for neonates and toddlers is associated with significant morbidity and mortality. Anesthesia-related (near) critical incidents occur in 5% of anesthetic procedures and are largely dependent on the skills and up-to-date knowledge of the whole perioperative team in the specific needs for children. An investment in continuous medical education of the perioperative staff is required and international standard operating protocols for common procedures and critical situations should be defined.
AB - Pediatric anesthesia is large part of anesthesia clinical practice. Children, parents and anesthesiologists fear anesthesia because of the risk of acute morbidity and mortality. Modern anesthesia in otherwise healthy children above 1 year of age in developed countries has become very safe due to recent advance in pharmacology, intensive education, and training as well as centralization of care. In contrast, anesthesia in these children in low-income countries is associated with a high risk of mortality due to lack of basic resources and adequate training of health care providers. Anesthesia for neonates and toddlers is associated with significant morbidity and mortality. Anesthesia-related (near) critical incidents occur in 5% of anesthetic procedures and are largely dependent on the skills and up-to-date knowledge of the whole perioperative team in the specific needs for children. An investment in continuous medical education of the perioperative staff is required and international standard operating protocols for common procedures and critical situations should be defined.
UR - http://www.scopus.com/inward/record.url?scp=85098646258&partnerID=8YFLogxK
U2 - 10.1016/j.bpa.2020.12.007
DO - 10.1016/j.bpa.2020.12.007
M3 - Review article
C2 - 33742575
AN - SCOPUS:85098646258
SN - 1521-6896
VL - 35
SP - 27
EP - 39
JO - Best Practice and Research: Clinical Anaesthesiology
JF - Best Practice and Research: Clinical Anaesthesiology
IS - 1
ER -