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Pediatric Fellowship-Trained Anesthesiologists Improve Anesthesia-Controlled Time in a Pediatric Endoscopy Suite
Adlei Carlson1, Angela McElrath1, Germaine Herrera2,3
1From the Department of Anesthesiology, Brooke Army Medical Center, Fort Sam Houston, TX.
Journal of Pediatric Gastroenterology and Nutrition
|March 14, 2023
Summary
Pediatric anesthesiologists significantly reduced anesthesia-controlled time (ACT) during pediatric endoscopy procedures compared to general anesthesiologists. This specialized training improves efficiency and potentially lowers costs in pediatric sedation.
Area of Science:
- Anesthesiology
- Pediatric Gastroenterology
- Health Services Research
Background:
- Anesthesia-controlled time (ACT) is a key metric in procedural efficiency.
- Pediatric anesthesiology requires specialized training for managing young patients.
Purpose of the Study:
- To compare ACT between pediatric anesthesiologists and general anesthesiologists during pediatric esophagogastroduodenoscopy (EGD) and colonoscopy.
- To test the hypothesis that pediatric anesthesiologists achieve shorter ACT.
Main Methods:
- Retrospective analysis of 269 pediatric endoscopy cases (2017-2020).
- Used a generalized linear model (GLM) to control for confounding variables.
- A priori power analysis determined a minimum sample size of 64 patients per group.
Main Results:
- Fellowship-trained pediatric anesthesiologists were associated with a 3.7-minute reduction in ACT (P < 0.001).
- Each additional year of patient age decreased ACT by 0.4 minutes (P < 0.001).
Conclusions:
- Subspecialty training in pediatric anesthesiology is linked to reduced ACT during pediatric endoscopies.
- Using pediatric anesthesiologists may enhance cost-effectiveness and efficiency in EGDs and colonoscopies.
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