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Related Concept Videos

Local Anesthetics: Adverse Effects01:12

Local Anesthetics: Adverse Effects

While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Types of Reports II: Incident or Occurrence Report01:21

Types of Reports II: Incident or Occurrence Report

An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...

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Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
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Intraoperative reported adverse events in children.

Athina Kakavouli1, Guohua Li, Margaret P Carson

  • 1Department of Anesthesiology, Columbia University, New York, NY 10032, USA.

Paediatric Anaesthesia
|July 24, 2009
PubMed
Summary

Pediatric anesthesia adverse events (AE) were similar in operating rooms (ORA) and outside operating rooms (NORA). Higher American Society of Anesthesiologists (ASA) status and younger age increased AE risk for children undergoing procedures.

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Area of Science:

  • Pediatric Anesthesiology
  • Patient Safety
  • Quality Assurance

Background:

  • Significant intraprocedural adverse events (AE) are documented in pediatric anesthesia outside the operating room (NORA).
  • Limited data exists comparing AE in NORA versus anesthesia within the operating room (ORA) when managed by a consistent anesthesia team.

Purpose of the Study:

  • To elucidate incidences of intraoperative AE in children receiving anesthesia in NORA and ORA locations.
  • To assess the association between patient risk factors and AE incidence based on procedure location, adjusting for American Society of Anesthesiologists (ASA) status, age, and procedure scheduling.

Main Methods:

  • Utilized patient-specific Quality Assurance questionnaires (QAs) for data collection from May 2006 to September 2007.
  • Analyzed data from 8707 pediatric cases (under 21 years) including service location, procedure type, age, ASA status, and AE presence/type.
  • Employed multivariate logistic regression to identify risk factors for AE.

Main Results:

  • Overall AE incidence was 3.5%, with 2.5% in NORA and 3.7% in ORA cases.
  • Higher ASA status and younger age were significantly associated with increased AE risk, independent of procedure location or scheduling.
  • Respiratory-related events were the most common AE (1.9%) in both NORA and ORA settings.

Conclusions:

  • Pediatric AE incidence is comparable between NORA and ORA locations.
  • Younger age and higher ASA status are key predictors of increased AE risk in pediatric anesthesia.
  • Consistent anesthesia care teams may contribute to similar safety profiles across different procedural locations.