Pediatric Anesthesia最新文献

{"title":"Comparison of a Besdata Video Laryngoscope With a Direct Laryngoscope in Neonates and Infants of 6 Months of Age-A Randomized Controlled Trial.","authors":"Vedha Venkatesh, Gnanasekaran Srinivasan, Prasanna Udupi Bidkar, Priya Rudingwa","doi":"10.1111/pan.15083","DOIUrl":"10.1111/pan.15083","url":null,"abstract":"<p><strong>Introduction: </strong>Airway management of infants is challenging, and video laryngoscopes can help reduce intubation attempts and improve glottic visualization. In this study, we compared the Besdata video laryngoscope with the Miller laryngoscope in neonates and infants 6 months of age.</p><p><strong>Methods: </strong>After obtaining informed written consent from the parents, we randomized 80 infants scheduled for elective surgery requiring endotracheal intubation into two groups, Group DL and Group VL. We used a direct laryngoscope with a Miller blade in group DL and a Besdata video laryngoscope with a Miller blade in group VL. We compared the time taken for intubation, glottis visualization time, percentage of glottic opening (POGO) score, Cormack Lehane (CL) grades, first attempt success rate, need for external laryngeal manipulation, and complications between the two groups.</p><p><strong>Results: </strong>The median (interquartile range, IQR) time taken for intubation was 36.0 s (30.5-39.0) versus 35.0 s (28.0-40.0) (p = 0.35), similar in both groups. The median difference (95% confidence interval, CI) was 0.0 s [-4.0 to 5.0]. The median (IQR) time for glottic visualization was 13.0 s (10.0-15.5) versus 10.0 s (8.0-12.0), and the median difference (95% CI) was 2.0 s [1-6] in group DL and group VL, respectively, showing shorter time with a video laryngoscope. We also found better POGO scores and decreased need for optimal external laryngeal manipulation with a Besdata video laryngoscope. The first attempt intubation success rate, use of bougie, and complications were similar in both groups.</p><p><strong>Conclusion: </strong>The Besdata video laryngoscope with a zero-size Miller blade has shown a similar intubation time when compared with a conventional laryngoscope in neonates and infants of 6 months of age. The first attempt intubation success rate was also comparable between the two groups. However, the Besdata video laryngoscope is associated with comparatively better glottic visualization.</p><p><strong>Trial registration: </strong>Clinical Trial Registry of India (CTRI; www.ctri.nic.in): CTRI/2021/012/038787.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"394-400"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative Airway Management for Midface Surgery in Children With Syndromic Craniosynostosis; a Single Center Experience With Immediate Extubation.","authors":"Iris E Cuperus, Simone E Bernard, Koen F M Joosten, Eppo B Wolvius, Bas Pullens, Irene M J Mathijssen, Anouar Bouzariouh","doi":"10.1111/pan.15086","DOIUrl":"10.1111/pan.15086","url":null,"abstract":"<p><strong>Background: </strong>Midface advancements in children with syndromic craniosynostosis present challenges for anesthesiologists and intensive care teams.</p><p><strong>Aims: </strong>This study reviewed the perioperative airway management protocol for immediate tracheal extubation after midface surgery at our tertiary center over the past 10 years.</p><p><strong>Methods: </strong>A retrospective cohort study was performed to obtain information on respiratory disorders, surgical and anesthetic management, airway support, and respiratory complications following le Fort III (LF3) and monobloc (MB) with distraction. Patients with a tracheostomy were excluded.</p><p><strong>Results: </strong>Thirty-two patients (12 LF3, 20 MB) were included. All were immediately extubated with a median of 25 min after surgery. Immediate extubation was performed in young patients (n = 8/32, < 5 years old), in patients with severe OSA (n = 6/32, median oAHI 23/h), with difficult airways (n = 5/32, Cormack-Lehane airway grade ≥ 3), with significant intraoperative blood loss (n = 32, median 46 mL/kg), and with long operative times (n = 32, median 223 min). The majority of patients received no or only oxygen support in the first hours after extubation (n = 29/32) and could be discharged from the pediatric intensive care unit to the surgical ward after 1 day (n = 30/32). A 5-month-old patient with MB required intermittent oxygen and Guedel airway throughout his hospitalization due to airway obstruction at the tongue base combined with supine positioning to allow external traction.</p><p><strong>Conclusions: </strong>Despite the pre-existing airway disorder, the extent of the procedure and the effect of anesthesia on airway tone, all patients were extubated immediately after midface advancement, with only one young patient needing prolonged postoperative support. Immediate extubation is feasible following midface advancement in patients with syndromic craniosynostosis. Further prospective randomized trials are needed to demonstrate superiority to delayed extubation.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"380-388"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Pain Concordance Among Caregiver-Child Dyads Undergoing Elective Surgery.","authors":"Paulina S Lim, Michelle A Fortier, Sherrie H Kaplan, Sergio Gago Masague, Zeev N Kain","doi":"10.1111/pan.15082","DOIUrl":"10.1111/pan.15082","url":null,"abstract":"<p><strong>Background: </strong>A total of 80% of children experience postoperative pain following discharge. Effective postoperative pain management involves reliable caregiver pain assessment and/or child self-report of pain. Unfortunately, caregiver and child ratings of postoperative pain are not always consistent (i.e., concordant). This study aimed to identify postoperative pain concordance among caregiver-child dyads and predictors for postoperative pain discordance.</p><p><strong>Methods: </strong>Children and their caregivers completed preoperative baseline demographic, anxiety, and distress measures. Postoperatively, children and caregivers completed pain severity ratings using the Child Health Rating Inventories (CHRIS 2.0). On the basis of postoperative pain scores, caregiver-child dyads were classified as overestimators (i.e., caregivers rated pain as higher than children), in agreement, or underestimators (i.e., caregivers rated pain as lower than children).</p><p><strong>Results: </strong>A large proportion of dyads disagreed on pain ratings (n = 104; 44%), with 64 (27%) caregivers classified as overestimators and 40 (17%) caregivers classified as underestimators. Caregivers were more likely to underestimate male children's pain, β = 1.238, OR = 3.35 (95% CI: 1.26, 9.43), p = 0.16, and Spanish-speaking Latinx caregivers were more likely to underestimate children's pain, β = 2.27, OR = 9.63 (95% CI: 2.35, 39.37), p = 0.002.</p><p><strong>Conclusion: </strong>Although most caregiver-child dyads agreed with pain ratings, 44% of the dyads disagreed. Among those who disagreed, males from Spanish-speaking Latinx households were at greatest risk of having their pain underestimated by their caregiver, which could be explained by the influence of intersecting social identities on pain beliefs, expression, and behaviors. Future studies should explore how pain discrepancies influence postoperative recovery outcomes for Latinx children.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"359-366"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Focused Review of Enhanced Recovery After Abdominal Trauma Surgery in the Pediatric Population and Development of a Pediatric Enhanced Recovery After Trauma Surgery Pathway.","authors":"Robert P Moore, Niharika Singh, Madelyn Wang, Alexandra Tsivitis, Catherine Devitt, Zhaosheng Jin, Ehab Al Bizri, Sunitha M Singh, Helen Hsieh","doi":"10.1111/pan.15074","DOIUrl":"10.1111/pan.15074","url":null,"abstract":"<p><strong>Background: </strong>Traumatic injuries are the leading cause of morbidity and mortality amongst pediatric patients; improving outcomes after pediatric abdominal trauma surgery could be quite impactful. Although enhanced recovery after surgery (ERAS) pathways have been successfully employed in adult trauma patients, there are few studies on pediatric enhanced recovery after abdominal trauma surgery and no consensus post trauma surgery guidelines for children.</p><p><strong>Aims/methods: </strong>A systematic search of the existing literature for pediatric enhanced recovery after trauma surgery pathways was performed by two independent authors. However, no pediatric enhanced recovery after trauma surgery pathways were found. Therefore, we reviewed the pediatric and adult enhanced recovery after trauma surgery literature to identify potential impactful elements of care that could be part of a pediatric pathway.</p><p><strong>Results: </strong>The existing literature supports the incorporation of several elements into pediatric trauma ERAS pathway.</p><p><strong>Conclusion: </strong>We propose a pediatric enhanced recovery after trauma surgery pathway, which highlights several principles of ERAS pathways (multimodal analgesia, goal-directed fluid therapy, early initiation of nutrition, timely administration of antibiotics, avoidance of hypothermia, DVT prophylaxis, the early removal of drains and indwelling catheters, and patient education).</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"338-346"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety of Intrathecal Clonidine as an Adjuvant to Spinal Anesthesia in Infants and Children.","authors":"Grant Heydinger, Eden E Bayer, Catherine Roth, Sibelle Aurelie Yemele Kitio, V Rama Jayanthi, Arlyne Thung, Joseph D Tobias, Giorgio Veneziano","doi":"10.1111/pan.15091","DOIUrl":"10.1111/pan.15091","url":null,"abstract":"<p><strong>Introduction: </strong>Preliminary clinical studies have demonstrated that clonidine is an effective adjuvant to spinal anesthesia in neonates and infants. However, the studies conducted previously have had a limited cohort size of 80-100, potentially limiting an accurate measure of its safety.</p><p><strong>Methods: </strong>The current study retrospectively examines our 5-6-year experience with clonidine as an adjuvant to spinal anesthesia in a large cohort of neonates and infants.</p><p><strong>Results: </strong>The study cohort included 1420 patients ranging in age from newborn to 36 months (median age 7 months). Ninety-five percent of the patients tolerated spinal anesthesia without requiring conversion to general anesthesia, and over 73% of the patients did not require any additional intraoperative sedation. Hypotension (sBP ≤ 60 mmHg) was the most common intraoperative event (17%) with one patient requiring the administration of an anticholinergic agent for bradycardia. No serious intraoperative adverse events were noted. Post Anesthesia Care Unit (PACU) Phase I was bypassed in 75% of cases, and the postoperative admission rate was 7%, with the majority (85%) being planned admissions. Fifty-six patients (4%) returned to the hospital during the first seven postoperative days, primarily for surgical concerns.</p><p><strong>Conclusions: </strong>Based on this retrospective, observational study, clonidine appears to be a safe adjuvant to spinal anesthesia for ambulatory surgical procedures in infants and children. We observed a low incidence of intraoperative and postoperative complications.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"374-379"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cryoanalgesia for Pain Management After Pectus Excavatum Repair (COPPER) in Adolescents: A Randomized Controlled Trial.","authors":"M Bastianello, M Torre, R Bonfiglio, M G Calevo, L Palomba, P Uva, A Kanapari, G Lorenzoni, N Disma","doi":"10.1111/pan.15090","DOIUrl":"10.1111/pan.15090","url":null,"abstract":"<p><strong>Background: </strong>Patients undergoing Pectus Excavatum repair with the minimally invasive approach frequently report severe postoperative pain. The goal of the study is to determine the superiority of cryoanalgesia compared to standard of care for return to normal quality of life.</p><p><strong>Methods: </strong>A randomized, active controlled, parallel groups trial (category IIb medical device) was designed for patients undergoing pectus excavatum repair. Participants were screened from the elective surgical lists at Istituto Gaslini, Genova, Italy, and they all were part of the academic practice setting. Once enrolled, patients were randomly assigned to one of the two study arms: cryoanalgesia vs. standard of care (epidural-based analgesia). The primary outcome was the Pediatric Quality of Life (PedsQL) and the subcomponents (psychosocial and physical health) 14 days after surgery.</p><p><strong>Results: </strong>Protocol was approved by the Ethics Committee (278/2021-DB id 11 421) and conducted between February 2022 and October 2023. Eighty-eight patients were enrolled in the study: forty-five to cryoanalgesia and forty-three in the epidural arm. The PedsQL median (IQR) at the 14th day was 59.8 (48.4, 71.2) vs. 67.9 (58.7, 73.9) (95% CI: 0.46-13; difference 6.5; p = 0.07) with ITT analysis, and 59.8 (48.37, 71.20) vs. 69.02 (58.70, 73.91) (95% CI: 0.82, 14; difference 7.4; p = 0.028) with PP analysis, in the cryoanalgesia and in the standard of care group, respectively. Irrespective of treatment, a significant decrease in both the PedsQL total score and its subcomponents was found. This effect persisted when stratified by treatment: physical health showed a decrease in both arms, while psychosocial health demonstrated a more marked decrease in the standard of care arm (q-value = 0.028), but not in the cryoanalgesia arm (q-value = 0.056).</p><p><strong>Conclusions: </strong>Cryoanalgesia did not improve return to baseline quality of life 2 weeks after surgery. However, it showed to be beneficial in the psychosocial component of the PedsQL scale.</p><p><strong>Trial registration: </strong>NCT05201820.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"347-358"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational Review and Cases of Delayed Gastric Emptying in Children With Short Bowel Syndrome.","authors":"Kelly Kathleen Everhart, Bukola Ojo, Danielle Wendel, Patrick J Javid, Vincent C Hsieh","doi":"10.1111/pan.15117","DOIUrl":"https://doi.org/10.1111/pan.15117","url":null,"abstract":"<p><strong>Background: </strong>Patients with short bowel syndrome (SBS) and intestinal failure (IF) often require repeated sedation and anesthesia throughout their lives. These patients may present for elective procedures well-appearing, with appropriate preoperative fasting and no clear signs of gastrointestinal (GI) obstruction. Despite appearing to be at normal risk for anesthesia-related aspiration, unique physiologic adaptations in this patient population are likely to increase the risk of gastrointestinal dysmotility and aspiration. Current guidelines do not specifically identify IF and SBS as conditions associated with high aspiration risk.</p><p><strong>Objectives: </strong>To highlight the elevated risk of pulmonary aspiration in patients with SBS and IF and propose mitigation strategies for anesthesia providers.</p><p><strong>Methods: </strong>We present two illustrative cases of patients with SBS who nearly experienced pulmonary aspiration under anesthesia. Both cases involved patients who exceeded standard fasting guidelines, lacked signs and symtoms of GI obstruction, and demonstrated normal to high stool output.</p><p><strong>Results: </strong>These cases reveal that intestinal adaptation, chronic physiologic changes, and prior medical and surgical interventions can significantly impair gastric emptying and intestinal motility, thereby increasing aspiration risk.</p><p><strong>Conclusions: </strong>Standard preoperative assessments may not adequately identify aspiration risk in patients with SBS and IF. Anesthesia providers should consider tailored strategies to mitigate aspiration risk in this unique patient population that include minimizing sedation or, when greater depth of anesthesia is required, avoiding natural airways and supglottic airway devices in favor of rapid sequence induction and endotracheal intubation.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In This Issue June 2025.","authors":"","doi":"10.1111/pan.15115","DOIUrl":"https://doi.org/10.1111/pan.15115","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights From the Child's Perspective-Validation of the English Version of the Pictorial Version of the Quality of Recovery-15 Questionnaire.","authors":"Robert P Moore, Jamie L Romeiser, Maheen Khan, Susannah Oster, Paige Olsen, Karen Li, Ayesha Khan, Helen Hsieh, Eric Noll, Elliott Bennett-Guerrero","doi":"10.1111/pan.15114","DOIUrl":"https://doi.org/10.1111/pan.15114","url":null,"abstract":"<p><strong>Introduction: </strong>Patient-reported outcome measures play a key role in efforts to improve the quality and safety of perioperative care. There are no English-language tools to allow children to directly contribute to these efforts. The primary aim of this study was to examine the validity, reliability, acceptability, and feasibility of the use of an English version of the pictorial Quality of Recovery-15 (QoR-15) questionnaire in the context of routine pediatric care.</p><p><strong>Methods: </strong>A prospective observational study was performed including children aged 5-17 years presenting for care at Stony Brook University Hospital. Participants completed the adapted pictorial QoR-15, a VAS pain scoring, and a satisfaction survey before surgery and on Postoperative Day 1. Statistical methods were similar to prior studies that assessed the properties of the QoR-15. Tests were employed to confirm the validity, reliability, and responsiveness of the questionnaire.</p><p><strong>Results: </strong>A total of 253 children conormpleted testing. Mean (SD) preoperative and postoperative QOR-15 scores were 131.9 (±15.4) and 125.7 (±26.4), respectively. Of note, QoR-15 scores could range from a total of 0 to 150. Each question was internally consistent and correlated well with the total QoR-15 score. Construct validity tests demonstrated that the tool was able to differentiate between known determinants of poor recovery, including the duration of surgery (Spearman's Rho = -0.35 [CI = -0.45, -0.23]) and length of recovery unit admission (Spearman's Rho = -0.37 [CI = -0.47, -0.25]). Lower average postoperative QoR-15 scores were recorded in the context of higher levels of postoperative pain, defined by a VAS ≥ 7, confirming discriminative validity. The instrument demonstrated excellent internal consistency, with a Cronbach's raw alpha of 0.92, and a split-half coefficient of 0.85. These results were consistent across a variety of ages.</p><p><strong>Summary: </strong>Our data suggest that the English-language pictorial QoR-15 has good reliability, acceptability, and responsiveness. This suggests that the tool may allow children to contribute to efforts to both improve and better understand pediatric perioperative care.</p><p><strong>Clinical implications: </strong>There is no existing English-language tool to allow children to describe the quality of their perioperative experience. This is a key gap in efforts to both understand and improve pediatric care.</p><p><strong>New information added by this study: </strong>This study demonstrates the validity, reliability, acceptability, and feasibility for the use of an English pictorial Quality of Recovery questionnaire.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using a Patient-Reported Outcome (PRO) Questionnaire to Assess Postoperative Care Following Pediatric Outpatient Surgery.","authors":"Hjördis Osk Atladottir, Anne Treschow Phillipsen, Karen Arnt Krøyer, Anne Gade Jensen, Liv Marit Valen Schougaard, Peter Ahlburg","doi":"10.1111/pan.15111","DOIUrl":"https://doi.org/10.1111/pan.15111","url":null,"abstract":"<p><strong>Introduction: </strong>In recent years, there has been a marked rise in the incidence of pediatric day surgery across Western countries. As postoperative recovery transitions to the home environment, it is incumbent on healthcare systems to develop methods for patient follow-up and caregiver support.</p><p><strong>Aim: </strong>To describe a method of monitoring the postoperative home treatment of children, as well as giving families appropriate support and guidance.</p><p><strong>Method: </strong>We developed and implemented an electronic patient-reported outcome (PRO) questionnaire, designed to assist parents in assessing and managing pediatric postoperative care at home following day surgery. We present questionnaire response rates, reasons for nonresponse, and the frequency and causes of postdischarge contact with the hospital.</p><p><strong>Results: </strong>Since its implementation in 2020, our PRO questionnaire has captured postoperative home-care data from 530 families. The questionnaire facilitated the identification of 157 families requiring additional postoperative support following discharge. The primary postoperative complication identified was pain, with nausea and vomiting being less frequently reported as isolated concerns.</p><p><strong>Conclusion: </strong>We have found the use of a postdischarge electronic questionnaire helpful in the postoperative care and provision of timely guidance to families.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}