Leukapheresis demands patient's compliance and adequate vascular accesses, which can require invasive methods in very small children whose treatment protocol includes hemopoietic stem cell collection for myeloablative chemotherapy and stem cell rescue. Since 1998, at the Istituto Nazionale Tumori of
Pediatric anesthesia: A large problem in small people
β Scribed by Elizabeth A. Huntington
- Publisher
- Wiley (John Wiley & Sons)
- Year
- 2000
- Tongue
- English
- Weight
- 598 KB
- Volume
- 20
- Category
- Article
- ISSN
- 1074-4797
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
About 70 percent of all pediatric care is delivered in nonβpediatric hospitals. A variety of factors have prompted community hospitals to initiate or expand existing pediatric surgical services. These include changes in medical economics and the evolving payer system, urban sprawl, patient access demands, and better community availability of pediatric subβspecialists. Moreover, some community hospitals are providing complex pediatric surgery or are operating on young infants β services that were once exclusively the domain of the tertiary pediatric provider. These recent demographic changes have raised concerns regarding the quality and safety of anesthesia services at these institutions.
This article discusses the unique characteristics of the pediatric surgical patient and the clinical risks associated with pediatric anesthesia. The authors offer strategies and recommendations for ensuring patient safety and managing credentialing and privileging issues.
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