Incidence of severe critical events in paediatric anaesthesia in Scandinavia: Secondary analysis of Anaesthesia PRactice In Children Observational Trial (APRICOT)

2019 ◽  
Vol 63 (5) ◽  
pp. 601-609 ◽  
Author(s):  
Tom G. Hansen ◽  
Wenche Bakken Børke ◽  
Mika H. Isohanni ◽  
Albert Castellheim ◽  
Keyword(s):  
Secondary Analysis ◽  
Paediatric Anaesthesia ◽  
Critical Events ◽  
Observational Trial ◽  
Anaesthesia Practice

Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe

2017 ◽  
Vol 5 (5) ◽  
pp. 412-425 ◽  
Author(s):  
Walid Habre ◽  
Nicola Disma ◽  
Katalin Virag ◽  
Karin Becke ◽  
Tom G Hansen ◽  
...  
Keyword(s):  
Observational Study ◽  
Paediatric Anaesthesia ◽  
Critical Events

scholarly journals Estudio APRICOT sobre la seguridad de los más pequeños

2019 ◽  
Vol 11 (10) ◽  
pp. 2
Author(s):  
Patricia Navarro Echevarría ◽  
Daniel Arnal Velasco
Keyword(s):  
Observational Cohort Study ◽  
Critical Events ◽  
Neurological Damage ◽  
Cardiovascular Instability ◽  
Anaesthesia Practice ◽  
Factores De Riesgo ◽  
Observational Cohort ◽  
Apricot Study ◽  
Drug Errors ◽  
Sobre Todo

El manejo anestésico del paciente pediátrico requiere de una formación y unas estructuras específicas, debido a las situaciones adversas que se pueden producir. El estudio APRICOT (Anaesthesia PRactice In Children Obervational Trial) con una muestra de más de 30.000 pacientes de 33 países europeos y a través de un minucioso análisis observacional de cohortes prospectivo, recoge la naturaleza, la incidencia y los factores de riesgo de los evento críticos más comprometedores; desde los más comunes como el laringoespasmo o el broncoespasmo, la bradicardia hasta la parada cardiaca, pasando por fenómenos neurológicos, anafilaxia o errores de medicación. Obtiene unos resultados que distan en algunos aspectos de lo estudiado hasta ahora. La diversidad de los datos analizados permite identificar aquellos factores de riesgo relacionados con los eventos críticos, entre ellos el anestesista y el centro hospitalario. Pero sobre todo da pie a la necesidad de crear guías de manejo anestésico pediátrico encaminadas hacia una Anestesia más segura. ABSTRACT APRICOT report about our yougest´s safety The perioperative care of infants and children demands special training and facilities due to possible critical events. The APRICOT study (Anaesthesia PRactice In Children Obervational Trial) analyses more than 30.000 anaesthetic procedures from 33 different European countries. Through a detailed prospective observational cohort study, this trial identifies the incidence, the nature and the outcomes of severe critical events in children, including laryngospasm, bronchospasm, cardiovascular instability and cardiac arrest, neurological damage, anaphylaxis or drug errors. Some reported results differ from what was previously published in the literature. Large variation of the collected data allows to identify those risk factors contributing to the severe critical events, among them, the anaesthetist and the centre. This study especially motivates to create clinical practice guidelines of paediatric anaesthesia management for a safer Anaesthesia.

System-based anatomy and physiology

2019 ◽  
pp. 3-22
Author(s):  
Thomas Engelhardt
Keyword(s):  
Airway Obstruction ◽  
General Anaesthesia ◽  
Perioperative Care ◽  
Thermal Control ◽  
Perioperative Risk ◽  
Paediatric Anaesthesia ◽  
Morbidity And Mortality ◽  
Clear Understanding ◽  
Anatomy And Physiology ◽  
Anaesthesia Practice

Children who undergo general anaesthesia have an increased perioperative risk of morbidity and mortality compared with adults. This is due to differences in anatomy and reduced physiological reserves. A clear understanding of neonatal and paediatric anatomy and physiology is therefore essential to provide safe paediatric perioperative care. This chapter outlines major anatomical and physiological differences of the paediatric and neonatal airway, including causes and treatment of airway obstruction. Essential aspects of the respiratory, cardiovascular, CNS, and hepatorenal systems are discussed. Important considerations of fluid and thermal control are described that form the basis of safe paediatric anaesthesia practice.

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