Training in pediatric anesthesia in Japan: how should we come along?

Obara, Soichiro; Kuratani, Norifumi

doi:10.1007/s00540-020-02859-8

Cited by 4 publications

(2 citation statements)

References 48 publications

(49 reference statements)

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“…Studies have shown that the older the child, the lower the incidence of adverse events, especially in children under 12 years of old. Experienced pediatric anesthesiologists can also reduce the risk of adverse events (6)(7)(8)(9). Timely treatment of adverse events, such as airway obstruction caused by mucosal edema and tongue drop and perioperative hypothermia, is essential for the preservation of life.…”

Section: Introductionmentioning

confidence: 99%

Identification of the risk factors in perioperative respiratory adverse events in children under general anesthesia and the development of a predictive model

et al. 2021

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Background: This study explored the risk factors of perioperative respiratory adverse events in children under 12 years old undergoing general anesthesia surgery. A prediction model was constructed according to the related risk factors to provide a basis for timely clinical intervention and decision-making.Methods: Children under 12 years old who underwent general anesthesia in our hospital between January 2016 and December 2020 were included in this study. The clinical data, including age, gender, weight, American Society of Anesthesiologists (ASA) grade classification, operation season, preoperative hospital stay, anesthesia time, and postoperative pain score, were collated. Continuous variables were converted to categorical variables. Logistic regression analysis was used to screen independent risk factors and a nomogram was constructed to predict the probability of adverse events. Fitting curves and receiver operating characteristic (ROC) curves were utilized to verify the model.Results: Logistic regression analyses demonstrated that age [odds ratio (OR) =1.32, 95% confidence interval (CI): 1.08 to 1.49], body weight (OR =1.49, 95% CI: 1.21 to 1.84), anesthesia time (OR =1.61, 95% CI: 1.32 to 1.78), and surgery season (OR =1.12, 95% CI: 1.07 to 1.39) were independent risk factors for respiratory adverse events in children undergoing general anesthesia (P<0.05). The risk of respiratoryrelated adverse events increased in children with grade II ASA classification compared to children with grade I ASA classification (P<0.05). Similarly, the risk of respiratory adverse events increased in children with level III pain scores compared to children with level I pain scores (P<0.05). The calibration curve showed that the predicted curve was consistent with the actual curve. The area under the ROC curve (AUC) was 0.707, indicating that model showed great predictive ability.Conclusions: Age, weight, anesthesia time, operation season, ASA grade, and pain score were identified as independent risk factors for respiratory adverse events in children undergoing general anesthesia. Using the above risk factors, a nomogram was established to predict the risk of respiratory system-related adverse events. The predicted results were highly consistent with the actual risk, and the false positive rate was within a reasonable range.

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Section: Introductionmentioning

confidence: 99%

Identification of the risk factors in perioperative respiratory adverse events in children under general anesthesia and the development of a predictive model

et al. 2021

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“…Un reciente estudio de cohorte prospectivo, el Anesthesia Practice in Children Observational Trial (APRICOT), reveló una incidencia general relativamente alta (5,2%) de eventos adversos graves perioperatorios con una gran variabilidad en las prácticas anestésicas en 33 países Europeos. Se encontraron factores de riesgo conocidos como la edad, estado físico ASA, comorbilidades; adicionalmente otros factores de riesgo fueron importantes como la inexperiencia del grupo de anestesia, prematuridad, edad menor de 3 años, hiperreactividad de la vía aérea [4], [5], [6].…”

Section: La Mortalidad Es Muy Baja En Países De Altos Ingresosunclassified