Performance of a pediatric ambulatory anesthesia program – a developing country experience

Subramanian, Hariharan; Chen, Deryk; Merritt-Charles, L; Rattan, Rishi; Muthiah, K.

doi:10.1111/j.1460-9592.2005.01750.x

Cited by 9 publications

(8 citation statements)

References 22 publications

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“…Nevertheless, general surgery still account for a large proportion of caseloads for paediatric ambulatory service in the advanced centres. 14,15 Recently, Asiri et al 16 demonstrated that paediatric ENT procedures could be done safely as day case procedures. Thus, our paediatric ambulatory service can be expanded in the future to accommodate more procedures beyond general surgery.…”

Section: Discussionmentioning

confidence: 99%

Anaesthesia for Ambulatory Paediatric Surgery: Common techniques and complications

Imarengiaye

Osifo²,

Tudjegbe³

et al. 2010

West African Journal of Medicine

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BACKGROUND: Ambulatory surgical care accounts for over 70% of elective procedures in Northern America. Ambulatory paediatric surgical practice is not widespread in Nigeria. This report examined clinical indicators for quality care in paediatric ambulatory surgery using common outcomes after day case procedures as benchmark. METHODS: This was a cross-sectional study of children who were presented for ambulatory surgical care in the University of Benin Teaching Hospital. A standardized questionnaire was employed to record the age, gender, indication for surgery, type of anaesthesia, timelines for the surgery and associated complications. RESULTS: A total of 93 patients had surgical procedures on ambulatory basis. The mean age of the patients was 4.1 ? 4.0yr and duration of surgical procedure 31.3 ± 12.1 min. The male/ female ratio was 3:1, and herniotomy was the most frequent procedure on ambulatory paediatric surgical care 60 (64.5%). The common anaesthetic techniques employed in the paediatric ambulatory setting were spontaneous respiration with face mask 40 (43%), Inhalation technique with tracheal intubations 31 (33.3%), general anaesthesia with relaxant technique five (5.4%), local infiltration with or without sedation eight (8.6%), GA plus caudal block eight(8.6%), and subarachnoid block one(1.1%). The indicators of quality care were unanticipated admission (5.4%), repeat hospital visit (4.3%), readmission (2.2%) and delayed discharge (21.5%). CONCLUSION: The practices of paediatric surgery on ambulatory services are feasible in our setting. The observable complications are within acceptable limits. The timelines in the scheduling and discharge appear not to be optimal for an effective ambulatory service. WAJM 2009; 28(5): 304-307.

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Section: Discussionmentioning

confidence: 99%

Anaesthesia for Ambulatory Paediatric Surgery: Common techniques and complications

Imarengiaye

Osifo²,

Tudjegbe³

et al. 2010

West African Journal of Medicine

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“…Rarer huge umbilical hernias (permagna hernias) of the infant must be considered as inpatient procedures because of possible respiratory problems following the reintegration into the abdomen of a large quantity of the bowel. ( LE: 4 ; FR: D ) [ 37 – 41 ].…”

Section: Methodsmentioning

confidence: 99%

Guidelines on pediatric day surgery of the Italian Societies of Pediatric Surgery (SICP) and Pediatric Anesthesiology (SARNePI)

et al. 2018

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The Italian Society of Pediatric Surgery (SICP) together with The Italian Society of Pediatric Anesthesia (SARNePI) through a systematic analysis of the scientific literature, followed by a consensus conference held in Perugia on 2015, have produced some evidence based guidelines on the feasibility of day surgery in relation to different pediatric surgical procedures. The main aspects of the pre-operative assessment, appropriacy of operations and discharge are reported.

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“…Both from family and economic perspectives, day surgery is also favourable in paediatrics (1). Paediatric day surgery is an appreciated and uneventful routine in many countries worldwide (2, 3).…”

mentioning

confidence: 99%

Children in day surgery: clinical practice and routines. The results from a nation‐wide survey

Segerdahl

Warrén-Stomberg

Rawal

et al. 2008

Acta Anaesthesiol Scand

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Performance of a pediatric ambulatory anesthesia program – a developing country experience

Abstract: Performance of pediatric day-care anesthesia has been good in our day-care unit and we have a successful ambulatory surgery program, despite the limitations of a developing country.

Cited by 9 publications

References 22 publications

Anaesthesia for Ambulatory Paediatric Surgery: Common techniques and complications

Anaesthesia for Ambulatory Paediatric Surgery: Common techniques and complications

Guidelines on pediatric day surgery of the Italian Societies of Pediatric Surgery (SICP) and Pediatric Anesthesiology (SARNePI)

Children in day surgery: clinical practice and routines. The results from a nation‐wide survey

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