The provision of pediatric cardiac anesthesia services in Germany: current status of structural and personnel organization

Baehner, Torsten; Dewald, Oliver; Heinze, Ingo; Müeller, Matthias; Schindler, Ehrenfried; Schirmer, Uwe; Baumgarten, Georg; Hoeft, Andreas; Ellerkmann, Richard K.

doi:10.1111/pan.13153

Cited by 14 publications

(11 citation statements)

References 19 publications

(14 reference statements)

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“…This has led to formal recommendations by the Congenital Cardiac Anesthesiologists Society (CCAS) . While this advice is aimed at those practicing in North America, it is broadly in agreement with surveys on this subject from other high‐income countries: in essence 1 to 2 years of specialist training, in addition to basic anesthesia training, encompassing pediatric anesthesia, pediatric cardiac anesthesia, and pediatric intensive care, with the aim of acquiring specific competencies and knowledge. Subsequent to fellowship training, newly appointed specialists should expect a period of formal or informal mentorship.…”

mentioning

confidence: 89%

Why do we need congenital cardiac anesthesiologists?

Arnold

Davis

2019

Pediatric Anesthesia

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mentioning

confidence: 89%

Why do we need congenital cardiac anesthesiologists?

Arnold

Davis

2019

Pediatric Anesthesia

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“…In terms of anesthetic care, no international standard exists for the training of pediatric cardiac anesthetists, and standards may vary within one country . The American Quality Improvement Program introduced guidelines and a threshold based on age for managing anesthesia in children (regardless of the presence of CHD) .…”

Section: How Do We Improve Outcomes?mentioning

confidence: 99%

Risk associated with anesthesia for noncardiac surgery in children with congenital heart disease

Taylor

Habre

2019

Pediatric Anesthesia

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Summary Database analysis has indicated that perioperative cardiac arrest occurs with increased frequency in children with congenital heart disease. Several case series and large datasets from ACS NSQIP have identified subgroups at the highest risk. Consistently, patients with single ventricle physiology (especially prior to cavopulmonary anastomosis), severe/supra‐systemic pulmonary hypertension, complex lesions, and cardiomyopathy with significantly reduced ventricular function have been shown to be at increased risk for adverse events. Based on these results, algorithms for assessing risk have been proposed. How hospitals and health care systems apply these guidelines to provide safe care for these challenging patient groups requires the application of modern quality improvement techniques. Each institution should develop a system which reflects local expertise and resources.

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“…In 2017, Baehner et al published an analysis of the structure of pediatric cardiac anesthetic services in Germany, together with some recommendations for a training program in this subspecialty; however, no mention was made of formal training in echocardiography …”

Section: Experience In Echocardiography During Training In Cardiac Anmentioning

confidence: 99%

Anesthetist‐delivered intraoperative transesophageal echocardiography in pediatric cardiac surgery

Murphy

2019

Pediatric Anesthesia

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Summary This article reviews the evidence for anesthetist‐delivered perioperative transesophageal echocardiography for children undergoing cardiac surgery. It addresses the additional issues of training, developing practice, accreditation, and the requirement for collaboration with pediatric cardiologists, surgeons and other members of the perioperative team. Finally an overview of the potential structure of an anesthetist‐delivered perioperative transesophageal echocardiography service is presented.

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The provision of pediatric cardiac anesthesia services in Germany: current status of structural and personnel organization

Abstract: The present study represents the current structural situation for anesthesia at German pediatric cardiac surgery centers.

Cited by 14 publications

References 19 publications

Why do we need congenital cardiac anesthesiologists?

Why do we need congenital cardiac anesthesiologists?

Risk associated with anesthesia for noncardiac surgery in children with congenital heart disease

Anesthetist‐delivered intraoperative transesophageal echocardiography in pediatric cardiac surgery

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