FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4244365817> ?p ?o ?g. }

• W4244365817 endingPage "235" @default.
• W4244365817 startingPage "234" @default.
• W4244365817 abstract "To the Editor: Excessive anesthesia-related morbidity and mortality in children has been explained in part by a lack of competency in pediatric anesthesiology [1]. As a result, precise guidelines defining competency by a minimum volume of pediatric anesthetics in this subspecialty have been established in the United Kingdom. We have studied the occurrence of complications in pediatric anesthesia and its relationship to pediatric practice in France through an anonymous retrospective postal survey. A survey packet consisting of a questionnaire requesting information about the anesthesiologists (age, sex, year of board certified), their practice (type of institution), their training, and the number of major complications experienced in 1993, a cover letter to explain the survey, and a prestamped envelope was sent to 5200 French anesthesiologists board-certified with a uniform standard in May of 1994. To characterize the anesthesiologists who did not respond to the first questionnaire, a second questionnaire requesting information regarding the anesthesiologists (age, sex, year of board certified) and the reasons for nonresponse was sent to 300 random nonrespondents. The responding anesthesiologists had a significantly lower age (mean +/- SD, 45 +/- 7 years versus 47 +/- 9 years) and had a significantly (P < 0.05) higher percentage of their practice in pediatric anesthesia (90% vs 63%) than the nonresponding anesthesiologists. The other characteristics were similar in both groups. Of the 173,700 pediatric anesthesics, respondents reported 351 complications: inadequate endotracheal intubation or ventilation (n = 161), anesthetic drug overdose (n = 105), cardiac arrest (n = 33), pulmonary aspiration (n = 27), complications due to regional anesthesia (n = 17; regional anesthesia was performed in 10% of the patients), and acute pulmonary edema (n = 8). Outcomes included death in five of the 33 cardiac arrest patients and serious neurologic sequelae due to hypoxia in one patient. A significantly (P < 0.05) higher incidence of complications was found in the groups that performed 1 to 100 (7.0 +/- 24.8 per 1000 anesthetics) and 100 to 200 pediatric anesthetics (2.8 +/- 10.1 per 1000 anesthetics) than in the group that administered more than 200 pediatric anesthetics/year (1.3 +/- 4.3 per 1000 anesthetics). Although interpretation of data reported herein must take into account clinical practice in France with Certified Registered Nurse Anesthetists and residents, they represent the first examination of the relationship between the number of complications and the volume of pediatric anesthetics administered per year. The potential biases in this study include self-report bias, which depends mostly on physician recall of events and nonresponse bias. In this study, self-report bias could manifest as a desire on the part of the anesthesiologists to appear cooperative. Indeed, the response rate in our study (904 of 4992 [18.4%], 208 undelivered) was closely similar to that of a recent retrospective postal study concerning anesthesia for infants requiring a pyloromyotomy (19%) [2]. However, the anonymous nature of the questionnaire makes it less likely that an individual intentionally reported untrue behaviors or perceptions. In addition, the data received could not be influenced in any way by fear of medical-legal consequences. In a report of complications, there are many confounding factors such as medical severity, operating room staffing, the ratio of nonspecialists, anesthetic drug used, and ratio of elective and emergency cases. However, the rate of cardiac arrests in our study (0.19 per 1000) was similar to a previous French report [3] and to a recent American report [4]. A recent French retrospective study based on a questionnaire showed an incidence of anaphylactic shock in France of 1/10,000 pediatric anesthetics [5], which was comparable to the incidence in our study (0.9/10,000). Despite the limitations of our study that we have outlined above, we recommend that a minimum case load of 200 pediatric anesthetics per year is necessary to reduce the incidence of complications and improve the level of safety in pediatric practice. Yves Auroy, MD Department of Anesthesiology; Hopital d'Instruction des Armees Begin; Vincennes, France Claude Ecoffey, MD Departments of Anesthesiology and Biostatistics; Hopital de Bicetre; Universite Paris-Sud; Kremlin Bicetre, France Antoine Messiah, MD Departments of Anesthesiology and Biostatistics; Hopital de Bicetre; Universite Paris-Sud; Kremlin Bicetre, France Bernard Rouvier, MD Department of Anesthesiology; Hopital d'Instruction des Armees Begin; Vincennes, France" @default.
• W4244365817 created "2022-05-12" @default.
• W4244365817 creator A5039403931 @default.
• W4244365817 creator A5075336445 @default.
• W4244365817 creator A5085365724 @default.
• W4244365817 creator A5071362463 @default.
• W4244365817 date "1997-01-01" @default.
• W4244365817 modified "2023-10-17" @default.
• W4244365817 title "Relationship Between Complications of Pediatric Anesthesia and Volume of Pediatric Anesthetics" @default.
• W4244365817 cites W2063564984 @default.
• W4244365817 cites W2064198407 @default.
• W4244365817 cites W2108717387 @default.
• W4244365817 cites W4237868216 @default.
• W4244365817 doi "https://doi.org/10.1213/00000539-199701000-00060" @default.
• W4244365817 hasPublicationYear "1997" @default.
• W4244365817 type Work @default.
• W4244365817 citedByCount "92" @default.
• W4244365817 countsByYear W42443658172012 @default.
• W4244365817 countsByYear W42443658172013 @default.
• W4244365817 countsByYear W42443658172014 @default.
• W4244365817 countsByYear W42443658172015 @default.
• W4244365817 countsByYear W42443658172016 @default.
• W4244365817 countsByYear W42443658172017 @default.
• W4244365817 countsByYear W42443658172018 @default.
• W4244365817 countsByYear W42443658172019 @default.
• W4244365817 countsByYear W42443658172020 @default.
• W4244365817 countsByYear W42443658172021 @default.
• W4244365817 countsByYear W42443658172022 @default.
• W4244365817 countsByYear W42443658172023 @default.
• W4244365817 crossrefType "journal-article" @default.
• W4244365817 hasAuthorship W4244365817A5039403931 @default.
• W4244365817 hasAuthorship W4244365817A5071362463 @default.
• W4244365817 hasAuthorship W4244365817A5075336445 @default.
• W4244365817 hasAuthorship W4244365817A5085365724 @default.
• W4244365817 hasConcept C138496976 @default.
• W4244365817 hasConcept C15744967 @default.
• W4244365817 hasConcept C194828623 @default.
• W4244365817 hasConcept C2776359302 @default.
• W4244365817 hasConcept C2778242525 @default.
• W4244365817 hasConcept C2778716859 @default.
• W4244365817 hasConcept C2779526319 @default.
• W4244365817 hasConcept C2780642338 @default.
• W4244365817 hasConcept C2991710064 @default.
• W4244365817 hasConcept C2993314993 @default.
• W4244365817 hasConcept C42219234 @default.
• W4244365817 hasConcept C512399662 @default.
• W4244365817 hasConcept C71924100 @default.
• W4244365817 hasConceptScore W4244365817C138496976 @default.
• W4244365817 hasConceptScore W4244365817C15744967 @default.
• W4244365817 hasConceptScore W4244365817C194828623 @default.
• W4244365817 hasConceptScore W4244365817C2776359302 @default.
• W4244365817 hasConceptScore W4244365817C2778242525 @default.
• W4244365817 hasConceptScore W4244365817C2778716859 @default.
• W4244365817 hasConceptScore W4244365817C2779526319 @default.
• W4244365817 hasConceptScore W4244365817C2780642338 @default.
• W4244365817 hasConceptScore W4244365817C2991710064 @default.
• W4244365817 hasConceptScore W4244365817C2993314993 @default.
• W4244365817 hasConceptScore W4244365817C42219234 @default.
• W4244365817 hasConceptScore W4244365817C512399662 @default.
• W4244365817 hasConceptScore W4244365817C71924100 @default.
• W4244365817 hasIssue "1" @default.
• W4244365817 hasLocation W42443658171 @default.
• W4244365817 hasOpenAccess W4244365817 @default.
• W4244365817 hasPrimaryLocation W42443658171 @default.
• W4244365817 hasRelatedWork W1529221860 @default.
• W4244365817 hasRelatedWork W198806541 @default.
• W4244365817 hasRelatedWork W2026217395 @default.
• W4244365817 hasRelatedWork W2043197312 @default.
• W4244365817 hasRelatedWork W2044928608 @default.
• W4244365817 hasRelatedWork W2050607351 @default.
• W4244365817 hasRelatedWork W2051221410 @default.
• W4244365817 hasRelatedWork W2099038672 @default.
• W4244365817 hasRelatedWork W2365938835 @default.
• W4244365817 hasRelatedWork W2981304615 @default.
• W4244365817 hasVolume "84" @default.
• W4244365817 isParatext "false" @default.
• W4244365817 isRetracted "false" @default.
• W4244365817 workType "article" @default.