Supervision of Pediatric Anesthesia After-Hours: A Survey of Pediatric Anesthetists in Australia and New Zealand.

IF 1.7 4区医学 Q2 ANESTHESIOLOGY

Pediatric Anesthesia Pub Date : 2025-01-22 DOI:10.1111/pan.15068

Steven Cai, Fiona Taverner

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引用次数: 0

Abstract

Background: After-hours pediatric anesthesia may pose increased risks, with a heightened potential for sudden cardio-respiratory decline. While mortality rates are low in Australia and New Zealand, critical events and morbidity occur more frequently and present ongoing challenges. However, little is known about how trainees are supervised during these high-risk periods.

Methods: An anonymized online survey of members of the Society for Pediatric Anesthesia in New Zealand and Australia (SPANZA) was conducted to explore supervising anesthetists attitudes towards after-hours supervision. The survey examined the influence of patient age, medical history, trainee experience, and surgery type on supervision practices.

Results: Respondents identified age and physical status as key risk factors but reported providing less direct supervision than recommended by international studies, especially for non-complex surgeries in healthy children. Trainee experience was a significant factor in supervision decisions.

Conclusion: Pediatric anesthetists in Australia and New Zealand recognize major risk factors but tend to supervise more remotely after-hours. Further research is needed to evaluate the effects of these supervision practices on outcomes.

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下班后儿科麻醉的监督：对澳大利亚和新西兰儿科麻醉师的调查。

背景：小儿小时后麻醉可能会增加风险，增加突发心肺功能衰退的可能性。虽然澳大利亚和新西兰的死亡率很低，但重大事件和发病率发生得更频繁，并构成持续的挑战。然而，在这些高风险时期，学员是如何受到监督的，人们知之甚少。方法：对新西兰和澳大利亚儿科麻醉学会（SPANZA）成员进行匿名在线调查，探讨监督麻醉师对下班后监督的态度。调查考察了患者年龄、病史、实习经验和手术类型对监督实践的影响。结果：受访者认为年龄和身体状况是关键的危险因素，但报告提供的直接监督少于国际研究的建议，特别是对健康儿童的非复杂手术。实习经验是监督决策的重要因素。结论：澳大利亚和新西兰的儿科麻醉师认识到主要的危险因素，但倾向于在下班后进行远程监督。需要进一步的研究来评估这些监督实践对结果的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Anesthesia 医学-麻醉学

CiteScore

3.20

自引率

11.80%

发文量

222

审稿时长

3-8 weeks

期刊介绍： Devoted to the dissemination of research of interest and importance to practising anesthetists everywhere, the scientific and clinical content of Pediatric Anesthesia covers a wide selection of medical disciplines in all areas relevant to paediatric anaesthesia, pain management and peri-operative medicine. The International Editorial Board is supported by the Editorial Advisory Board and a team of Senior Advisors, to ensure that the journal is publishing the best work from the front line of research in the field. The journal publishes high-quality, relevant scientific and clinical research papers, reviews, commentaries, pro-con debates, historical vignettes, correspondence, case presentations and book reviews.