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Outcomes after paediatric anaesthesia: which ones should have the priority?
Tom G Hansen1,2, Thomas Engelhardt3, Markus Weiss4,5
1Department of Anaesthesia and Intensive Care - Paediatric Section, Odense University Hospital.
Current Opinion in Anaesthesiology
|May 3, 2019
Summary
Paediatric anaesthesia has seen significant improvements due to advances in safety, drugs, and professional standards. Further enhancements are needed in adverse event reporting and long-term outcomes for children.
Area of Science:
- Pediatric Anesthesiology
- Patient Safety
- Healthcare Quality Improvement
Background:
- Paediatric anaesthesia has evolved significantly over the years.
- Improvements in outcomes are linked to advancements in various domains.
Purpose of the Study:
- To review developments in paediatric anaesthesia.
- To identify factors contributing to improved anaesthesia-related outcomes in children.
Main Methods:
- Literature review of advancements in paediatric anaesthesia.
- Analysis of factors influencing patient outcomes.
Main Results:
- Safety advances in equipment and drugs have improved outcomes.
- Human factor analysis, professional standardization, and subspecialty care also contributed.
- A lack of universally agreed outcome measures persists.
Conclusions:
- Despite progress, further improvements in adverse-event reporting and long-term neurocognitive outcomes are necessary.
- Developing consensus on outcome measures is crucial for benchmarking and quality assessment.
- Focusing on patient/family-centered outcomes will optimize perioperative care and facilitate research.
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