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[Ambulatory anesthesia in pediatrics. 2-year experience of performance at a day hospital]
J Ensel1, J Arrignon, J P Durand
1Département d'Anesthésie-Réanimation, Centre Hospitalier Universitaire, Rouen.
Insights
Pediatric day-hospital surgery is safe and effective for children aged three weeks to sixteen years. Strict adherence to selection criteria and expert teams minimize anesthetic complications and hospital transfers.
Area of Science:
- Pediatric Anesthesiology
- Surgical Outcomes
- Day-Case Surgery
Context:
- Ambulatory pediatric anesthesia operates within established medical and surgical frameworks.
- Pre-anesthetic consultations assess surgical necessity and patient medical conditions.
- Day-hospital procedures constitute 27% of elective pediatric surgeries.
Purpose:
- To evaluate the safety and efficacy of ambulatory pediatric anesthesia.
- To identify causes and rates of hospital transfers and anesthetic complications.
- To underscore the importance of selection criteria and professional expertise.
Summary:
- Anesthetic techniques were applied to pediatric patients aged three weeks to sixteen years.
- Intubation did not preclude participation in day-hospital procedures.
- Hospital transfer rates were 2.9%, with anesthetic complications accounting for 0.1% of these transfers.
Impact:
- Highlights the feasibility and safety of ambulatory pediatric anesthesia.
- Emphasizes the critical role of careful patient selection and skilled surgical and anesthesia teams.
- Provides data on complication rates, informing best practices in pediatric day-case surgery.
Abstract:
Ambulatory pediatric anaesthesia is done within a well-organized medical and surgical structure. The anaesthesia consultation confirms the surgical indications, taking into account certain medical pathologies. 27% of elective surgery is done in day-hospital. The anaesthetic techniques described have been done in children from three weeks to sixteen years of age. Intubation was not an exclusion criterion. The major causes for transfer to the general hospital (2.9%) are given. Anaesthetic complications represent 0.1% of such transfers. Scrupulous respect of the selection criteria, competence of anaesthesiologists and of pediatric surgeons are prerequisites for good results.