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Canadian Journal of Anesthesia 52:A103 (2005)
© Canadian Anesthesiologists' Society, 2005

Abstracts - Tuesday June 21, 2005 0730-0930

PATIENT SELECTION CRITERIA FOR AMBULATORY SURGERY IN CHILDREN

Ibrahim Abu-Shahwan, MD, Khalid Chowdary, MD, Uwe Schwarz, MD, Kimmo Murto, MD, Jarmila Kim, MD and William Splinter, MD

Department of Anesthesiology, Children’s Hospital of Eastern Ontario, 401 Smyth Rd, University of Ottawa, Ottawa, Ontario K1H 8L1

INTRODUCTION: Most children with different medical conditions are now being considered suitable for outpatient surgery (1–3). Selection criteria vary among anesthesiologists and among different institutions.

METHODS: A survey specifying 20 different medical situation was sent to 120 members of the Canadian Pediatric Anesthesia Society. Members were asked if they agree or refuse to provide anesthesia for children with one or more clinical conditions or symptoms.

RESULTS: Fifty-one (43%) members replied. There was no consensus among members for most conditions. Only a few clear-cut agreements were evident. The majority of members (over 80%) would agree to provide anesthesia for an asymptomatic child with recurrent otitis media, rectal T of 38°C, and with or without chronic nasal discharge for bilateral miringotomy and tube placement (BMT), asymptomatic child with sickle cell disease for cast change, asymptomatic child with asthma and fever for BMT, morbidly obese child with congested nose for BMT, and well controlled insulin dependent diabetes mellitus (IDDM) in a child for MRI. Most members (86%) would refuse to provide anesthesia in an asymptomatic child with sickle cell disease for tonsillectomy. In the tableGo below are listed the most significant result of our survey.


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DISCUSSION: Based on the result of our survey, further studies are needed to establish evidence-based guidelines that would allow us to safely select children for ambulatory surgery.

References:

Can J Anesth 2004; 51 (8): 768–81[Abstract/Free Full Text]

Anesth Analg 2004; 94 (4): 1058–69

Anesthesiology 2001; 95: 299–306[Medline]





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