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Pediatric anesthesia practice in Italy: a multicenter national prospective observational study derived from the

Andrea Wolfler1, Annalisa De Silvestri2, Anna Camporesi3

  • 1Division of Anesthesia and Intensive Care, Department of Pediatrics, Children's Hospital V. Buzzi, Milan, Italy - andrea.wolfler@asst-fbf-sacco.it.

Minerva Anestesiologica
|December 11, 2019
PubMed

Insights

Pediatric anesthesia in Italy showed a low incidence of severe critical events (3%) compared to Europe. This is likely due to the high expertise of Italian anesthesiologists in pediatric anesthesia.

Area of Science:

  • Anesthesiology
  • Pediatric critical care
  • Patient safety

Background:

  • Pediatric anesthesia demands specialized knowledge and expertise.
  • The Anesthesia PRactice In Children Observational Trial (APRICOT) identified critical events in pediatric perioperative care.
  • Analyzing the Italian APRICOT database aimed to assess anesthesia practices and critical event incidence in Italy.

Purpose of the Study:

  • To determine the practice of pediatric anesthesia in Italy.
  • To ascertain the incidence of severe critical events in Italian pediatric surgical patients.
  • To compare Italian data with European benchmarks from the APRICOT study.

Main Methods:

  • Secondary analysis of the APRICOT database from 25 Italian centers.
  • Extraction and descriptive statistical analysis of raw data.
  • Comparison of collected variables with established reference data.

Main Results:

  • The study included 2087 children, representing 6.7% of the APRICOT cohort.
  • Most patients were ASA 1-2 (90.6%) undergoing surgery (62.8%).
  • Severe critical events occurred in 3% of cases, predominantly respiratory (2%) and cardiovascular (0.7%). Anesthesiologist experience averaged 15 years.

Conclusions:

  • The incidence of severe critical events in Italy was lower than reported for Europe.
  • High expertise and experience of Italian anesthesiologists may contribute to the low rate of critical events.
  • The findings highlight the importance of specialized pediatric anesthesia care for patient safety.
Abstract

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