Optimization of pain management processes in pediatrics: the role of the anesthesiologist and pediatrician in providing effective therapy
Автор: Orsaeva A.Z., Shin V.V., Apsalikova E.V., Farzalyeva E.P., Sadigov T.M., Kuliev T.T., Kasumov G.R., Perepelkina T.Y., Alieva Z.Z., Dzhurtubaeva D.R.
Журнал: Cardiometry @cardiometry
Рубрика: Original research
Статья в выпуске: 31, 2024 года.
Бесплатный доступ
The article is an in-depth analysis of modern approaches to pain management in pediatrics, focused on the role of the anesthesiologist and pediatrician in providing optimal therapy. As part of this study, the authors highlight various aspects of pain management, ranging from pharmacological methods to non-pharmacological techniques such as psychological support and procedural pain relief. Special attention is paid to an individual approach to each patient, taking into account his age, physiological characteristics, as well as chronic diseases or features of pathologies. The authors analyze and compare existing standards and recommendations in the field of pain relief for children, discuss their applicability and effectiveness in a practical context. Practical tips and strategies for anesthesiologists and pediatricians aimed at optimizing the processes of anesthesia and improving the quality of medical care provided to children are presented. The problems faced by specialists in the field of anesthesia in children are also considered, and also suggests ways to overcome them through the development of innovative methods and techniques of anesthesia.
Anesthesia, pediatrics, anesthesiologist, quality of medical care, effectiveness of therapy
Короткий адрес: https://sciup.org/148328839
IDR: 148328839 | DOI: 10.18137/cardiometry.2024.31.119126
Список литературы Optimization of pain management processes in pediatrics: the role of the anesthesiologist and pediatrician in providing effective therapy
- Hemmerling TM, et al. Evaluation of a new closed-loop drug delivery system for total intravenous anesthesia: a randomized controlled trial. Br J. Anest. 2013a; 110(6):1031-9.
- Bogusaite L, et al. Assessment of preoperative information needs in pediatric anesthesiology. Medical Sciences. Monit. 2018; 24:8773–80.
- Weinberg AC, et al. Perioperative risk factors for serious complications in pediatric surgery: a study to assess surgical risk in children. Jam. Call. Surgeon. 2011; 212: 768-78.
- Valencia E, et al. Prospective external validation of pediatric risk assessment in predicting perioperative mortality in children who underwent non-cardiac surgery. Anest Analg. 2019; 129(4):1014-20.
- Varugese AM, et al. The use of quality improvement methods to optimize resources and maximize productivity in the clinic of anesthesiological screening and consultations. Pediatrician. Anest. 2013; 23: 597-606.
- Wood G, et al. Validation of the pediatric surgical risk assessment system J. Pediatrician. Surgeon. 2013; 48: 2017-21.
- Goldschneider KR, et al. The role of the pediatrician in the assessment and training of pediatric patients undergoing anesthesia. Pediatric. 2014; 134: 634-41.
- Disma N, Calderini E. SIAARTI-SARNePI Committee on Pediatric Anesthesia SIAARTI-SARNePI Clinical and Organizational Standards of pediatric Anesthesia. Minerva Anesthesiol. 2018; 84:143-6.
- Karnik R. Drug delivery: dynamic dosing with feedback. Nat Biomed Eng. 2017; 1(5): 0073.
- Christensen RE, Haidar B, Vopel-Lewis TD. Cardiopulmonary arrest in children in the postanesthesia department, rare but preventable: analysis of safe awakening data, an initiative to improve the quality of pediatric anesthesia. Anest Analg. 2017; 124(4): 1231-6.
- Mullen-Fortino M, et al. Pre-surgical evaluation using telemedicine technologies: impact on the effectiveness, efficiency and experience of patient treatment. Telemed JE Health. 2019; 25: 137-42.
- Masarakchia MM, Sander RA, Polaner DM. Error traps in regional anesthesia in children. Pediatrician. Anest. 2021;31:1161-9.
- Murat I, Constant I, Mod’ui H. Perioperative anesthetic morbidity in children: a database of 24,165 anesthetics over a 30-month period. Pediatrician-anaest. 2004; 14(2): 158-66.
- Okocha O, et al. Preoperative assessment of outpatient anesthesia: what, when and how? Anesthesiol. The wedge. 2019; 37: 195–213.
- Ramamoorthy K, et al. Anesthesia-related cardiac arrest in children with heart disease: data from the Pediatric Perioperative Cardiac Arrest (POCA) registry. Anest. Analg. 2010; 110: 1376-82.
- Salaun, JP, et al. Anesthesia planning for a child with a rare disease: Useful tools. Anest. Crete. Nursing Pain Med. 2023;42:101284.
- Green RJ, Eakins P. Formulation and implementation into clinical practice of the algorithm “it is impossible to intubate, it is impossible to ventilate”. Anesthesia. 2009;64(6):601-8.
- Tesoro S, et al. Drugs for anesthesia and analgesia in premature infants. Minerva Anesthesiol. 2020;86:742-55.
- Fletke KJ, Kaisin A, Jones, S. Preoperative assessment of children. I am. Fam. Doctor. 2022;105:640-9.
- Habre V, et al. The incidence of severe critical events in pediatric anesthesia (APRICOT): a prospective multicenter observational study in 261 hospitals in Europe. Lancet Respir. Med. 2017;5:412-25.
- Hagerman NS, Varugese AM, Kurt KD. Quality and safety of pediatric anesthesia: How can recommendations, checklists, and initiatives improve the outcome? Course. Opinion. Anesthesiol. 2014; 27: 323-9.
- Hansen TG. Training of specialists in the field of pediatric anesthesia – the Scandinavian approach. Pediatrician. Anest. 2009;19:428-33.
- Hayasaka T, et al. Creating an artificial intelligence model for classifying intubation difficulties through deep learning (convolutional neural network) using facial images: an observational study. J Intensive care. 2021;9(1):38.
- Howe LD, et al. Analysis of anesthesia-related deaths in the period 1996-2004 on closed claims registered by the Danish Patient Insurance Association. Anesthesiology. 2007;106(4):675-80.
- Cheney MA. Intrathecal and epidural anesthesia and analgesia in cardiac surgery. Anest Analg. 2006; 102(1):45-64.
- Cheney MA. Anesthesia of a postoperative cardiological patient. In: Kaplan J., editor. The basics of Kaplan’s cardiac anesthesia in cardiac surgery. 2nd ed. Philadelphia, Pennsylvania: Elzevir; 2018.
- Shleelin LE, et al. Pediatric perioperative adverse events requiring rapid response: a retrospective case-control study. Pediatrician-anaest. 2016;26(7):734-41.
- Applegate RL, et al. Telemedicine assessment before anesthesia: a randomized pilot study. Telemedicine and Electronic Health. 2013;19:211-6.