Improved outcomes in paediatric anaesthesia: contributing factors

Somri, Mostafa; Coran, Arnold G.; Hadjittofi, Christopher; Parisinos, Constantinos; Sukhotnik, Igor; Gaitini, Luis; Tome, Riad; Matter, Ibrahim

doi:10.1007/s00383-012-3101-y

Cited by 15 publications

(3 citation statements)

References 89 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Somri et al 16 hypothesized that the decrease in claims related to anesthesia from 1975 to 2000 was due to improved training, the use of safer drugs, and increased focus on patient safety. Indeed, the duration of training for dentist anesthesiologists in Ontario has increased with time.…”

Section: Discussionmentioning

confidence: 99%

Mortality and Morbidity in Office-Based General Anesthesia for Dentistry in Ontario

El-Mowafy

Yarascavitch

Haji

et al. 2019

Anesthesia Progress

View full text Add to dashboard Cite

Our objective was to estimate the prevalence of mortality and serious morbidity for office-based deep sedation and general anesthesia (DS/GA) for dentistry in Ontario from 1996 to 2015. Data were collected retrospectively in 2 phases. Phase I involved the review of incidents, and phase II involved a survey of DS/GA providers. In phase I, cases involving serious injury or death for dentistry under DS/GA, sourced from the Office of the Chief Coroner of Ontario and from the Royal College of Dental Surgeons of Ontario (RCDSO), were reviewed. Phase II involved a survey of all RCDSO-registered providers of DS/GA in which they were asked to estimate the number of DS/GAs administered in 2015 and the number of years in practice since 1996. Clinician data were pooled to establish an overall number of DS/GAs administered in dental offices in Ontario from 1996 to 2015. Prevalence was calculated using phase I (numerator) and phase II (denominator) findings. The estimated prevalence of mortality in the 20-year period from 1996 to 2015 was 3 deaths in 3,742,068 cases, with an adjusted mortality rate of 0.8 deaths per 1 million cases. The estimated prevalence of serious morbidity was 1 injury in 3,742,068 cases, which adjusts to a serious morbidity rate of 0.25 per 1 million cases. The mortality rate found in this study was slightly lower than those published by earlier studies conducted in Ontario. The risk of serious morbidity was found to be low and similar to other studies investigating morbidity in office-based dental anesthesia.

show abstract

Section: Discussionmentioning

confidence: 99%

Mortality and Morbidity in Office-Based General Anesthesia for Dentistry in Ontario

El-Mowafy

Yarascavitch

Haji

et al. 2019

Anesthesia Progress

View full text Add to dashboard Cite

show abstract

“…[1,2] The development of dedicated paediatric centres and paediatric specialties has also led to the improvement in outcomes seen in paediatric surgery. [3] The American Academy of Pediatrics Guidelines for the Pediatric Perioperative Anesthesia Environment suggest that a number of requirements should be met to minimise perioperative risk. These include staff, such as anaesthetists, nursing and technical personnel with dedicated paediatric training, and a treatment area with appropriate equipment and medication.…”

Section: Cmementioning

confidence: 99%

“…Suxamethonium may offer superior intubating conditions to the non-depolarising muscle relaxants, but it can cause lifethreatening hyperkalaemia in susceptible patients, and may cause bradycardia. [3] In young children who may suffer from undiagnosed myopathies and muscle dystrophies, the risk of AIR and MH is of concern wherever volatiles or suxamethonium are used. [13] Muscle relaxants should always be reversed in doses titrated to findings on neuromuscular monitoring to reduce the risk of respiratory complications.…”

Section: Medication and Standardisationmentioning

confidence: 99%