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

Habre, Walid; Disma, Nicola; Virág, Katalin; Becke, Karin; Hansen, Tom Giedsing; Jöhr, Martin; Leva, Brigitte; Morton, Neil S.; Vermeulen, P. M.; Zielińska, Marzena; Boda, Krisztina; Veyckemans, Francis

doi:10.1016/s2213-2600(17)30116-9

Cited by 541 publications

(537 citation statements)

References 31 publications

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“…A recent prospective multicenter study reported the importance for management of pediatric patients under a certain age in specialiazed centers, the importance of a good training and supervision environment [14]. Our survey enlarged the analysis on transfusion and morbi-mortality factors to critically ill pediatric patients in neurosurgery, abdominal and orthopedic surgery.…”

Section: Disscussionmentioning

confidence: 78%

Transfusion and Morbi-Mortality Factors: An Observational Descriptive Retrospective Pediatric Cohort Study

2017

JACCOA

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Background: Intraoperative and postoperative morbi-mortality factors are multiple in pediatric patients. Studies in pediatric cardiac surgery and intensive care patients have identified transfusion as one independent factor among others. There is not a lot of data concerning transfusion related morbi-mortality in other pediatric patients fields like neurosurgery, abdominal and orthopedic surgery. These were investigated.

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Section: Disscussionmentioning

confidence: 78%

Transfusion and Morbi-Mortality Factors: An Observational Descriptive Retrospective Pediatric Cohort Study

2017

JACCOA

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“…[9] Risk of perioperative adverse events decreases with age, and the likelihood of having an adverse event in the perioperative period decreases by 3% for every 1-year increase in age. [10] …”

Section: Agementioning

confidence: 99%

“…[10] OSA may also be complicated by pulmonary hypertension and cor pulmonale. Patients with severe OSA are not suitable for day surgery, require reduced opioid doses and postoperative apnoea and oxygen saturation monitoring for 24 -48 hours.…”

Section: Comorbiditiesmentioning

confidence: 99%

“…[2,12] A history of URTI or atopy, surgery to the neck and airway, and younger age (˂6 years) increases the risk of adverse respiratory episodes. [2,10,14] The most appropriate technique should be chosen and the anaesthetist must be prepared to manage such potential adverse events. Adverse airway episodes are not limited to the operating room.…”

Section: Techniques Airway Managementmentioning

confidence: 99%

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Anaesthesia for paediatric patients: Minimising the risk

et al. 2018

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“…It is one of the most frequent respiratory complications during paediatric anaesthesia. A recent European multicentre cohort study of children undergoing elective, emergency diagnostic or surgical procedures (APRICOT trial1) found a high rate of severe critical events during the perioperative period (5.2%). The incidence of respiratory critical events was 3.1%, and laryngospasm was one of the most frequent events (incidence 0.2%–6.7%).…”

Section: Introductionmentioning

confidence: 99%

Perioperative laryngospasm management in paediatrics: a high-fidelity simulation study

et al. 2018

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AimPaediatric anaesthesia is a very specialised domain lacking training during the traditional curriculum. The laryngospasm is a stressful and life-threatening event that requires immediate action. The main objective of this study was to assess the effect of knowledge of a simple algorithm on the management of laryngospasm by trainee anaesthetists and nurse anaesthetists during a high-fidelity simulation session.MethodResidents in paediatric anaesthesia and training nurse anaesthetists with similar curriculum were randomly allocated to undergo a simulation session of laryngospasm with the help of a simple algorithm administered to them 5 min before the simulation session (group A) or as taught in their curriculum (group C). The primary endpoint was the assessment score of laryngospasm management using 10 technical items (validated in experienced paediatric anaesthetists). Secondary endpoints were: the non-technical skills using the Anaesthetists' Non-Technical Skills (ANTS) score and timing of critical management steps. The correlation between the technical and non-technical scores was also studied. Data are expressed as median (range).Results72 participants (18 teams in each group) were included in this study. There was a statistically significant difference between group A and C on the primary endpoint: 8.5 (2–10) vs 5 (2–8), respectively (p<0.0001). There was also a significant difference between the two groups for the ANTS score 12 (7–16) vs 8 (6–12), respectively (p<0.0001). No difference in timing of management was observed. Finally, there was a strong correlation between the technical skills and all the non-technical skills categories in the A group.ConclusionA simple algorithm improved the technical and non-technical skills of students during the management of a simulated laryngospasm.

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

Cited by 541 publications

References 31 publications

Transfusion and Morbi-Mortality Factors: An Observational Descriptive Retrospective Pediatric Cohort Study

Transfusion and Morbi-Mortality Factors: An Observational Descriptive Retrospective Pediatric Cohort Study

Anaesthesia for paediatric patients: Minimising the risk

Perioperative laryngospasm management in paediatrics: a high-fidelity simulation study

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