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Anästhesiol Intensivmed Notfallmed Schmerzther 2017; 52(11/12): 749-750
DOI: 10.1055/s-0043-119939
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Georg Thieme Verlag KG Stuttgart · New York

Kommentar 2: Gibt es einen rationalen Grund, sich nicht um die stete Verbesserung von Sicherheit und Qualität in der Kinderanästhesie zu bemühen?

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Publication Date:
20 November 2017 (online)

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Kritische Ereignisse in pädiatrischer Anästhesie – Ergebnisse der APRICOT-StudieAnästhesiol Intensivmed Notfallmed Schmerzther 2017; 52(11/12): 746-747
DOI: 10.1055/s-0043-119944

Am 28. März 2017 wurden die mit Spannung erwarteten Ergebnisse der europäischen APRICOT-Studie veröffentlicht, an der sich auch 29 Einrichtungen aus Deutschland mit insgesamt 2232 Kindernarkosen beteiligt hatten (entsprechend 7,2% aller eingeschlossenen Fälle) [1]. Erwartungsgemäß kam es stante pede zu lebhaften Kontroversen darüber, wie diese Ergebnisse zu werten seien und welche Konsequenzen man daraus ziehen sollte – oder nicht. Wie bei vielen kinderanästhesiologischen Themen der vergangenen Jahre gingen auch hier die Emotionen hoch. Was also war passiert?

 

  • Literatur

  • 1 Habre W, Disma N, Virag K. et al. APRICOT Group of the European Society of Anaesthesiology Clinical Trial Network. Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe. Lancet Respir Med 2017; 5: 412-425
    CrossrefPubMedGoogle Scholar
  • 2 Keenan RL, Shapiro JH, Kane FR. et al. Bradycardia during anesthesia in infants. An epidemiologic study. Anesthesiology 1994; 80: 976-982
    CrossrefPubMedGoogle Scholar
  • 3 Morray JP, Geiduschek JM, Ramamoorthy C. et al. Anesthesia-related cardiac arrest in children: initial findings of the Pediatric Perioperative Cardiac Arrest (POCA) Registry. Anesthesiology 2000; 93: 6-14
    CrossrefPubMedGoogle Scholar
  • 4 Murat I, Constant I, Maudʼhuy H. Perioperative anaesthetic morbidity in children: a database of 24,165 anaesthetics over a 30-month period. Paediatr Anaesth 2004; 14: 158-166
    CrossrefPubMedGoogle Scholar
  • 5 von Ungern-Sternberg BS, Boda K, Chambers NA. et al. Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study. Lancet 2010; 376: 773-783
    CrossrefPubMedGoogle Scholar
  • 6 Auroy Y, Ecoffey C, Messiah A. et al. Relationship between complications of pediatric anesthesia and volume of pediatric anesthetics. Anesth Analg 1997; 84: 234-235
    CrossrefPubMedGoogle Scholar
  • 7 Walker RW. Pulmonary aspiration in pediatric anesthetic practice in the UK: a prospective survey of specialist pediatric centers over a one-year period. Pediatr Anesth 2013; 23: 702-711
    CrossrefPubMedGoogle Scholar
  • 8 Weiss M, Vutskits L, Hansen TG. et al. Safe Anesthesia For Every Tot - The SAFETOTS initiative. Curr Opin Anaesthesiol 2015; 28: 302-307
    CrossrefPubMedGoogle Scholar
  • 9 de Leval MR, Carthey J, Wright DJ. et al. Human factors and cardiac surgery: a multicenter study. J Thorac Cardiovasc Surg 2000; 119: 661-672
    CrossrefPubMedGoogle Scholar
  • 10 Ghaferi AA, Birkmeyer JD, Dimick JB. Hospital volume and failure to rescue with high-risk surgery. Med Care 2011; 49: 1076-1081
    CrossrefPubMedGoogle Scholar
  • 11 Mamie C, Habre W, Delhumeau C. et al. Incidence and risk factors of perioperative respiratory adverse events in children undergoing elective surgery. Paediatr Anaesth 2004; 14: 218-224
    CrossrefPubMedGoogle Scholar
  • 12 Cravero JP. Risk and safety of pediatric sedation/anesthesia for procedures outside the operating room. Curr Opin Anaesthesiol 2009; 22: 509-513
    CrossrefPubMedGoogle Scholar
  • 13 de Graaff JC, Sarfo MC, van Wolfswinkel L. et al. Anesthesia-related critical incidents in the perioperative period in children; a proposal for an anesthesia-related reporting system for critical incidents in children. Paediatr Anaesth 2015; 25: 621-629
    CrossrefPubMedGoogle Scholar
  • 14 van der Griend BF, Lister NA, McKenzie IM. et al. Postoperative mortality in children after 101,885 anesthetics at a tertiary pediatric hospital. Anesth Analg 2011; 112: 1440-1447
    CrossrefPubMedGoogle Scholar
  • 15 Kurth CD, Tyler D, Heitmiller E. et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg 2014; 119: 112-121
    CrossrefPubMedGoogle Scholar
  • 16 Lee JH, Kim EK, Song IK. et al. Critical incidents, including cardiac arrest, associated with pediatric anesthesia at a tertiary teaching childrenʼs hospital. Paediatr Anaesth 2016; 26: 409-417
    CrossrefPubMedGoogle Scholar
  • 17 Weiss M, Hansen TG, Engelhardt T. Ensuring safe anaesthesia for neonates, infants and young children: what really matters. Arch Dis Child 2016; 101: 650-652
    CrossrefPubMedGoogle Scholar
  • 18 Astuto M, Lauretta D, Minardi C. et al. Does the Italian pediatric anesthesia training program adequately prepare residents for future clinical practice? What should be done?. Paediatr Anaesth 2008; 18: 172-175
    PubMedGoogle Scholar
  • 19 Benzon HA, De Oliveira jr. GS, Hardy CA. et al. Status of pediatric anesthesiology fellowship research education in the United States: a survey of fellowship program directors. Paediatr Anaesth 2014; 24: 327-331
    CrossrefPubMedGoogle Scholar
  • 20 Lauritsen T. Educational Meeting of the Scandianavian Society of Anaesthesiology and Intensive Care (SSAI). Copenhagen, March 2017.
    PubMedGoogle Scholar
  • 21 Lerman J. Time for a paradigm shift in paediatric anaesthesia in Europe. Lancet Respir Med 2017; 5: 365-367
    CrossrefPubMedGoogle Scholar
  • 22 Becke K. et al. Choosing wisely in pediatric anesthesia – an interpretation of the German Scientific Working Group on Pediatric Anesthesia (WAKKA). Paediatr Anaesth (submitted).
    PubMedGoogle Scholar
  • 23 Steurer MA, Adams M, Bacchetti P. et al. Swiss medical centres vary significantly when it comes to outcomes of neonates with a very low gestational age. Acta Paediatr 2015; 104: 872-879
    CrossrefPubMedGoogle Scholar