RESUMEN
OBJECTIVES: The induction of anesthesia in children is commonly carried out by the administration of inhaled anesthetics via face mask as opposed to an intravenous induction. Thus far, no study has assessed the opinions of anesthesia providers regarding commonly used induction techniques. We surveyed current attitudes among anesthesiologist to understand anesthesia induction techniques in pediatric patients in the community. BACKGROUND: A survey of community anesthesiologists induction of anesthesia methods in children was sent to members of the Oklahoma Society of Anesthesiologists. METHODS/MATERIALS: Three hundred and fifty-seven active members in the Oklahoma Society of Anesthesiologists (OSA) were sent a survey in a three-stage mailing process: 1) an introductory letter and questionnaire, 2) a follow-up reminder, and 3) a thank you letter to maximize response rate. RESULTS: 179 (84 percent) indicated they feel comfortable with the procedure. 77 percent of respondents rated their proficiency in administering pediatric anesthesia at least 8 on a scale of 1 to 10, where 10 denotes "excellent" proficiency. 188 (87 percent) reported they do not feel abusive. Among respondents, the median percentage of practice devoted to pediatric anesthesia was 10 percent. CONCLUSIONS: To evaluate pediatric anesthesia induction techniques, the attitudes of anesthesia providers were assessed. Although 84% of responders felt comfortable with pediatric patients and 77% felt proficient, our data suggests that further education and research can be done to help facilitate a higher percentage who feel comfortable with pediatric induction techniques.
Asunto(s)
Anestesia/métodos , Anestesiología , Actitud del Personal de Salud , Pediatría , Factores de Edad , Preescolar , Competencia Clínica , Vías de Administración de Medicamentos , Humanos , Lactante , Oklahoma , Padres , Encuestas y CuestionariosAsunto(s)
Bloqueo Nervioso/métodos , Axila , Niño , Nervio Femoral , Humanos , Lactante , Agujas , Cuero CabelludoAsunto(s)
Anestesia por Inhalación/instrumentación , Anestésicos por Inhalación/química , Éteres Metílicos/química , Ácidos/química , Anestesia por Inhalación/efectos adversos , Composición de Medicamentos , Falla de Equipo , Humanos , Revisión por Pares , Politetrafluoroetileno , Edición/normas , Sevoflurano , Agua/químicaAsunto(s)
Anestesia General/métodos , Encefalocele , Encefalocele/etiología , Encefalocele/patología , Humanos , LactanteAsunto(s)
Analgésicos Opioides/uso terapéutico , Anestesia Caudal , Quemaduras/cirugía , Morfina/uso terapéutico , Analgésicos Opioides/administración & dosificación , Niño , Humanos , Morfina/administración & dosificación , Dolor Postoperatorio/tratamiento farmacológico , Trasplante de Piel/métodosAsunto(s)
Anomalías Múltiples , Hipertermia Maligna/etiología , Pterigion/complicaciones , Anestésicos por Inhalación/efectos adversos , Halotano/efectos adversos , Humanos , Lactante , Masculino , Hipertermia Maligna/diagnóstico , Éteres Metílicos/efectos adversos , Sevoflurano , Síndrome , Resultado del TratamientoRESUMEN
This is a case report of anesthesia for a child with a rare congenital disease marked by hyperreactivity of the neuromuscular system; hyperekplexia. Unlike other reports, she experienced no untoward effects from general anesthesia using sevoflurane, rocuronium and a caudal block.