[Regional organization for intensive care in children, need for maintenance of competence in paediatric anaesthesia and intensive care]. / SROS enfants-adolescents et nécessité du maintien de la compétence en anesthésie-réanimation pédiatrique.

ABSTRACT

The recent French text concerning the medical care both of the child and the teenager classifies the establishments either in specialized centers or in proximity centers according to their level in the management of children and teenagers, the competences of their medical teams, their organization in permanence of care and the volume of acts they carry out and pathologies they treat by class of age. This grid of the paediatric activities implies a new organization both in paediatric surgery and in paediatric ENT and consequently in the anaesthetic organization. Anaesthetic competences necessary to the achievement of this mission and the means of maintaining these later are analyzed and compared with some foreign experiments.