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Related Experiment Videos

Pediatric anesthesia in the nonoperating room setting.

Joseph P Cravero1, George T Blike

  • 1Department of Anesthesiology, Dartmouth Hitchcock Medical Centre, Lebanon, New Hampshire 03756, USA. joseph.p.cravero@hitchcock.org

Current Opinion in Anaesthesiology
|July 11, 2006
PubMed
Summary

Recent studies on nonoperating room pediatric anesthesia/sedation show that while critical adverse events are rare, potentially critical events like respiratory depression are more common. Research is improving safety through objective data and large outcome databases.

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Area of Science:

  • Pediatric Anesthesiology
  • Sedation Management
  • Patient Safety

Background:

  • Nonoperating room anesthesia/sedation in children is a growing practice.
  • Limited data exists on the safety and reliability of these procedures.
  • Understanding critical factors is essential for improving pediatric patient care.

Purpose of the Study:

  • To review recent studies on nonoperating room pediatric anesthesia/sedation.
  • To identify gaps in knowledge regarding safety and reliability.
  • To highlight advancements in objective assessment and data collection.

Main Methods:

  • Review of recently published studies.
  • Analysis of objective data from video capture of patient states.
  • Utilizing simulated events to test rescue performance.

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  • Examination of preliminary findings from a large multicenter study.

    • Main Results:

    • Objective data on safety and reliability are increasingly available.
    • Video analysis offers objective comparison of sedation techniques.
    • Potentially critical events (e.g., respiratory depression) occur in approximately 1 in 400 procedures.
    • Critical adverse events, such as cardiac arrest, are rare (1 in over 30,000 encounters).

    Conclusions:

    • Research is yielding objective observational techniques for nonoperating room pediatric anesthesia.
    • Large outcomes databases are being developed to track safety and reliability.
    • Targeted improvements in safety and reliability are anticipated for this practice.