Ambulante Anästhesie - Kinder in der ambulanten Anästhesie

Abstract

Outpatient anesthesia care for children undergoing smaller surgery may offer advantages when the conditions are optimized. The overall competence of the institution in addition to the qualifications of the anesthesiologist is crucial for a high quality result. This includes standardized approaches for perioperative management (premedication, pain therapy, PONV prophylaxis, postoperative monitoring etc.), facilities with age adjusted equipment, medical staff with experience in the care of children, regular training of emergency situations in the team and clear concepts for the postoperative care.

Circumcision and its alternatives in Germany: an analysis of nationwide hospital routine data

“…Although there is no universally accepted age threshold that would preclude outpatient surgery, in Germany, it is uncommon below the age of six months. An individual decision between caretakers, surgeons, and anaesthetists should be reached on whether the procedure can be performed as an outpatient surgery [ 35 ]. Consequently, we are confident that the present data covers all operations in neonates, except ritual circumcisions performed by non-physicians, but there is considerable uncertainness in older age groups.…”

Anesthesia for ORL surgery in children

“…In Germany more than 15 million stationary operations were carried out in 2011 in all age groups, only 523,000 (3%) of them were in children below the age of 15 years [ 1 ]. There is no official statistics on the amount of outpatient operations in children, estimates assume that in Germany per year approximately 100,000 outpatient operations with general anesthesia are carried out in children below the age of 5 years and approximately 30,000 ORL operations [ 2 ].…”