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Experience with Combining Pediatric Procedures into a Single Anesthetic

The combination of multiple procedures within a single anesthetic may provide many challenges for the perioperative team. Coordination of specialties, consideration for parental time burdens, and travel expenses as well as limiting multiple anesthetic exposures to the children are pertinent factors...

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Autores principales: Miketic, Renata M., Uffman, Joshua, Tumin, Dmitry, Tobias, Joseph D., Raman, Vidya T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831044/
https://www.ncbi.nlm.nih.gov/pubmed/31745510
http://dx.doi.org/10.1097/pq9.0000000000000207
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author Miketic, Renata M.
Uffman, Joshua
Tumin, Dmitry
Tobias, Joseph D.
Raman, Vidya T.
author_facet Miketic, Renata M.
Uffman, Joshua
Tumin, Dmitry
Tobias, Joseph D.
Raman, Vidya T.
author_sort Miketic, Renata M.
collection PubMed
description The combination of multiple procedures within a single anesthetic may provide many challenges for the perioperative team. Coordination of specialties, consideration for parental time burdens, and travel expenses as well as limiting multiple anesthetic exposures to the children are pertinent factors to consider when advocating the combination of surgical procedures. METHODS: The electronic medical record at Nationwide Children’s Hospital was retrospectively queried to obtain information on patients having a single anesthetic encounter for 2 or more procedures involving 2 or more services over 1 year (July 2015–June 2016). RESULTS: One thousand one hundred twenty patients had 2 procedures during a single anesthetic encounter. The average anesthesia time was 127 ± 102 minutes, and average PACU time was 64 ± 37 minutes. The unanticipated admission rate was 85 of 1,120 cases (7.6%). Five (6%) of the unanticipated admission cases were ASA status 1, 33 (39%) were ASA status 2, and 47 (55%) were ASA status ≥3; compared with 87 (9%), 481 (50%), and 391 (41%) in the group not requiring unanticipated admission (P = 0.032) (see Fig. 1). CONCLUSIONS: These data demonstrate the feasibility of combining several procedures during a single anesthetic encounter and may result in decreased healthcare costs as well as limitation of parental cost and time obligations.
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spelling pubmed-68310442019-11-19 Experience with Combining Pediatric Procedures into a Single Anesthetic Miketic, Renata M. Uffman, Joshua Tumin, Dmitry Tobias, Joseph D. Raman, Vidya T. Pediatr Qual Saf Individual QI projects from single institutions The combination of multiple procedures within a single anesthetic may provide many challenges for the perioperative team. Coordination of specialties, consideration for parental time burdens, and travel expenses as well as limiting multiple anesthetic exposures to the children are pertinent factors to consider when advocating the combination of surgical procedures. METHODS: The electronic medical record at Nationwide Children’s Hospital was retrospectively queried to obtain information on patients having a single anesthetic encounter for 2 or more procedures involving 2 or more services over 1 year (July 2015–June 2016). RESULTS: One thousand one hundred twenty patients had 2 procedures during a single anesthetic encounter. The average anesthesia time was 127 ± 102 minutes, and average PACU time was 64 ± 37 minutes. The unanticipated admission rate was 85 of 1,120 cases (7.6%). Five (6%) of the unanticipated admission cases were ASA status 1, 33 (39%) were ASA status 2, and 47 (55%) were ASA status ≥3; compared with 87 (9%), 481 (50%), and 391 (41%) in the group not requiring unanticipated admission (P = 0.032) (see Fig. 1). CONCLUSIONS: These data demonstrate the feasibility of combining several procedures during a single anesthetic encounter and may result in decreased healthcare costs as well as limitation of parental cost and time obligations. Wolters Kluwer Health 2019-08-30 /pmc/articles/PMC6831044/ /pubmed/31745510 http://dx.doi.org/10.1097/pq9.0000000000000207 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Individual QI projects from single institutions
Miketic, Renata M.
Uffman, Joshua
Tumin, Dmitry
Tobias, Joseph D.
Raman, Vidya T.
Experience with Combining Pediatric Procedures into a Single Anesthetic
title Experience with Combining Pediatric Procedures into a Single Anesthetic
title_full Experience with Combining Pediatric Procedures into a Single Anesthetic
title_fullStr Experience with Combining Pediatric Procedures into a Single Anesthetic
title_full_unstemmed Experience with Combining Pediatric Procedures into a Single Anesthetic
title_short Experience with Combining Pediatric Procedures into a Single Anesthetic
title_sort experience with combining pediatric procedures into a single anesthetic
topic Individual QI projects from single institutions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831044/
https://www.ncbi.nlm.nih.gov/pubmed/31745510
http://dx.doi.org/10.1097/pq9.0000000000000207
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