Proactive approach for patient safety in the operative theatre: a national pilot survey

Levati, A.; Bevilacqua, L.; Petrini, Flavia; Adrario, Erica; Cabrini, Luca; Paccagnella, F.; Barneschi, M. G.; Pietrini, Domenico; Borrometi, Fabio; :, M.

doi:10.1097/00003643-200606001-00895

Cited by 2 publications

(5 citation statements)

References 1 publication

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“…A physical examination, including a focused evaluation of the airway to ascertain the elevated risk of airway obstruction, was conducted. This included an analysis of the airway in cooperative children based on the Mallampati classification [ 5 ].…”

Section: Case Presentationmentioning

confidence: 99%

Unlocking Hidden Teeth: A Pediatric Case of Surgical Exposure of Maxillary Central Incisors

Rathi,

Parakh,

Thosar

et al. 2024

Cureus

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Failure in the eruption of the maxillary incisor necessitates a precise diagnosis and treatment regimen. Impaction can have a number of causes such as physical obstacles in the eruption path, discrepancy in the length of the dental arch, and tooth anomaly. Delayed eruption of anterior teeth can result in a number of issues such as malocclusion and psychological discomfort. In many cases, if the intervention is not done at an early stage, complex orthodontic intervention is required after surgical exposure to enable appropriate eruption. This case report is of a nine-year-old child with unerupted maxillary central incisors. The child was treated surgically for incisor exposure under general anesthesia (GA). Both functional and aesthetic considerations made this surgical procedure necessary. GA was administered due to the negative behavior of the child in a dental setting. Hence, it ensured patient comfort and cooperation. Follow-up examinations showed satisfactory progress in the eruption of the teeth with no complications.

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Section: Case Presentationmentioning

confidence: 99%

Unlocking Hidden Teeth: A Pediatric Case of Surgical Exposure of Maxillary Central Incisors

Rathi,

Parakh,

Thosar

et al. 2024

Cureus

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“…The Neuroanesthesia and Neurointensive Study Group of the Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI) with the Italian Society of Neonatal and Pediatric Anesthesia and Resuscitation (SARNePI) have been published in 2004—the SIAARTI-SARNePI Guidelines—for sedation in pediatric neuroradiology. 9…”

Section: History and Literaturementioning

confidence: 99%

“…Although sedation and anesthesia have well-defined definitions, it can be quite dangerous to adhere to a state strictly during a procedure. The dose of drugs required for moderate sedation in one child can lead to deep sedation in the other or even apnea and airway obstruction that might necessitate same level of care and supervision/intervention as GA 9 ( Table 1 ).…”

Section: Definition Of Sedationmentioning

confidence: 99%

“…A thorough patient history, clinical examination, and investigations as indicated 9 are essential in the stratification of patients and ensuring that SAGA is delivered safely. Height, weight, and body mass index must be measured and ideally the drug dosages should be calculated beforehand.…”

Section: Special Problems Due To Imaging Modality For Sedation/gamentioning

confidence: 99%

“…The discharge criteria to be followed depends on the local guidelines and hospital policy but all involve the mandatory requirement of stable vital signs, consciousness, and absence of adverse effects like nausea and vomiting and optimal hydration. 9 18 However, the commonly used criteria cannot be used to discharge children who have been given long-acting agents like chloral hydrate and triclofos. Malviya et al suggested that ensuring that the child can stay awake for 20 minutes when undisturbed should be a safe discharge criterion in such instances.…”

Section: Most Used Medicationsmentioning

confidence: 99%

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Sedation and General Anesthesia in Diagnostic Pediatric Imaging

Choudhary,

Boski

2022

Indographics

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Objective In this article we will try and provide a comprehensive literature review on the use of sedation and general anesthesia (SAGA) in pediatric population for diagnostic studies and the salient differences in practices worldwide particularly with regards to the practice differences in developed versus developing countries. Methods The key articles we obtained were primarily from Indian Journal of Anesthesia, Local NHS Trust protocols, PubMed, MEDLINE, NICE Evidence, UptoDate (Wolters Kluwer), and The Cochrane Library. Results In the last two decades pediatric radiology has seen a huge increase in volume of procedures with a proportional increase in SAGA. The duration being dependent on the modality (for example, few minutes for computed tomography scan and up to an hour for magnetic resonance imaging particularly if there are multiple studies). SAGA has an extensive list of adverse effects that could be due to the underlying drug or due to wrong patient selection. The principles for safe use of the drugs remain the same just like any other medical or surgical procedure and include meticulous assessments of children and ruling out the contraindications, obtaining parental consent, deciding the drugs which can be given, ascertain the duration of procedure after communication with the radiologist, monitor closely before, during, and after the procedure, discharge, and after the discharge criteria are met. All the above criteria depend on the local guidelines and therefore vary from not only one country to the other but also from one institution to the other within the same country. Conclusion As expected, the SAGA techniques, drugs, and personnel involved in delivering the care vary from country to country. However, the final and desired outcome remains the same that is to deliver safe care with acquisition of optimal images that serve the purpose of arriving at the correct diagnosis.

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Proactive approach for patient safety in the operative theatre: a national pilot survey

Cited by 2 publications

References 1 publication

Unlocking Hidden Teeth: A Pediatric Case of Surgical Exposure of Maxillary Central Incisors

Unlocking Hidden Teeth: A Pediatric Case of Surgical Exposure of Maxillary Central Incisors

Sedation and General Anesthesia in Diagnostic Pediatric Imaging

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