1. An ADARPEF survey on respiratory management in pediatric anesthesia.
- Author
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Fesseau R, Alacoque X, Larcher C, Morel L, Lepage B, and Kern D
- Subjects
- Adolescent, Age Factors, Airway Management statistics & numerical data, Anesthesia statistics & numerical data, Child, Child, Preschool, Female, France, Health Care Surveys, Humans, Infant, Infant, Newborn, Male, Oxygen Inhalation Therapy statistics & numerical data, Pediatrics statistics & numerical data, Respiration, Artificial statistics & numerical data, Respiration, Artificial trends, Airway Management trends, Anesthesia trends, Pediatrics trends
- Abstract
Background: There have been recent changes with regard to tools and concepts for respiratory management of children undergoing general anesthesia., Objectives: To determine the practice of pediatric anesthetists concerning: preoxygenation, breathing systems, ventilation modes, anesthetic agent and airway device, strategies for a general anaesthetic of less than 30 min using spontaneous respiration, and opinion about technical aspects of ventilation., Methods: Online questionnaire sent by e-mail to all the anesthetists registered on the mailing list of the French-speaking Pediatric Anesthetists and Intensivists Association (ADARPEF)., Results: 232 questionnaires (46%) were returned. More than 25% of anesthetists surveyed declared that they do not perform preoxygenation before induction for children <15 years old, apart from neonates and clinical specific situations. When performed, <65% chose a FiO2 higher than 80%. Inhalational induction with sevoflurane is the preferred mode of induction set at 6% or 8%, respectively, 69% [62-75] vs 25% [18-31]. For induction, the circle system was the most popular circuit used in all ages. The accessory breathing system-Mapleson B type-was predominantly used for neonates (44% [37-54]). For maintenance of an anesthesia lasting <30 min in spontaneous breathing, the use of laryngeal mask increased with age, and the endotracheal tube was reserved for neonates (40% [33-48]). Pressure support ventilation was rarely used from the beginning of induction but was widely used for maintenance, whatever the age-group. Results differed according to the type of institution., Conclusion: Ventilation management depends on the age and institutions in terms of circuit, airway device or ventilation mode, and specific differences exist for neonates., (© 2014 John Wiley & Sons Ltd.)
- Published
- 2014
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