[Pediatric anesthesia: little children, big problems]. / Anesthésie pédiatrique et hôpital de jour: les grands problèmes des petits enfants.

Infants and children are patients who are the most susceptible to benefit from a procedure in the ambulatory setting. However, some of these patients are at risk. They include infants, especially if premature, and children with sleep apnea syndrome or with current or recent upper respiratory infection. The present paper gives advices for an optimal anesthesic management of these young patients.

[Anesthesia and safety of procedures outside the operating room: "everyone's responsibility"]. / Anesthésie et sécurité des procédures en dehors du bloc opératoire: "l'affaire de tous".

Due to important technological improvements, anesthesiological activity outside the operating theatre is increasing. Most of these procedures are performed for gastroenterology procedures; other procedures include medical imaging, electroconvulsive therapy or cardioversion. The practice of anesthesia at alternative sites is associated with logistical difficulties with many constraints. Anesthesia will be requested if the procedure is likely to be unpleasant or painful, if the patient is not cooperative, or if the patient's hemodynamic condition is unstable. The pre-anesthesia assessment, an adequate monitoring and an appropriate choice of the anesthetic technique and drugs will be helpful in managing an anesthetic procedure too frequently neglected despite it is associated with risks similar to procedures performed in the operating theatre.