Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Paediatr Anaesth. 2023 Jun;33(6):446-453. doi: 10.1111/pan.14644. Epub 2023 Feb 12.
Modern pediatric anesthetic encounters occur in operating rooms and non-operating room settings. Most anesthesia providers have cared for children in radiology, endoscopy, and other interventional settings at some point in their training and career. There is an absence of published data on the frequency, timing, and demographics of these pediatric anesthesia encounters.
The primary goal of our study is to present data spanning a variety of institutions and practice settings in the United States to define the percentage of non-operating room anesthetic encounters in children. We also set out to characterize the frequency of the most common procedures in the non-operating room setting within the United States.
Using the National Anesthesia Clinical Outcomes Registry data from 2015-2019, we analyzed and reported data on current trends in non-operating room anesthesia including patient demographics, encounter setting, procedure type, and the time at which anesthetic encounters occurred.
2 236 788 pediatric anesthetic encounters (patient age <18 y.o.) were analyzed revealing that 22.7% of all pediatric anesthetics occur in non-operating room settings. Patients were more likely to have higher American Society of Anesthesiologists Physical Status classifications in the non-operating room anesthesia group. Gastroenterological suites are the most common setting reported for pediatric non-operating room anesthesia.
Non-operating room anesthesia in the United States is a prominent segment of pediatric anesthetic practice. Pediatric patients encountered in the non-operating room setting have more comorbidities, though further studies are needed to characterize the implication of this finding.
现代儿科麻醉发生在手术室和非手术室环境中。大多数麻醉提供者在培训和职业生涯的某个阶段都曾在放射科、内窥镜检查和其他介入环境中照顾过儿童。目前缺乏关于这些儿科麻醉遭遇的频率、时间和人口统计学数据的发表数据。
我们研究的主要目的是提供跨越美国各种机构和实践环境的数据，以确定儿童非手术室麻醉遭遇的百分比。我们还旨在描述美国非手术室环境中最常见手术的频率。
使用 2015-2019 年国家麻醉临床结果登记数据，我们分析并报告了非手术室麻醉当前趋势的数据，包括患者人口统计学、遭遇环境、手术类型以及麻醉遭遇发生的时间。
分析了 2236788 例儿科麻醉遭遇（患者年龄<18 岁），结果显示，所有儿科麻醉中有 22.7%发生在非手术室环境中。非手术室麻醉组的患者更有可能具有更高的美国麻醉医师协会身体状况分类。胃肠科套房是报告的最常见的儿科非手术室麻醉环境。
美国的非手术室麻醉是儿科麻醉实践的重要组成部分。在非手术室环境中遇到的儿科患者有更多的合并症，但需要进一步研究来描述这一发现的意义。
