Why the study?
Increasing pediatric ambulatory surgery volumes and a shortage of pediatric anesthesiologists require general anesthesiologists to manage complex pediatric comorbidities and preoperative challenges in outpatient settings.
This review provides guidance for ambulatory anesthesiologists on preoperative considerations and challenges for pediatric patients undergoing ambulatory surgical procedures.
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May guide preoperative decisions in pediatric ambulatory anesthesia; leaves open prospective validation of recommendations.
The demand for ambulatory anesthesia in pediatric surgery has been increasing, reflecting a significant shift over recent decades toward performing a growing number of procedures in an outpatient setting.1 The growing shortage of pediatric anesthesiologists, coupled with an increase in pediatric ambulatory surgery volumes, will require general anesthesiologists to deliver anesthesia care to children. Children with prematurity, hypotonia, upper respiratory tract infections (URTI), obesity, and congenital heart disease (CHD) are frequently encountered in the ambulatory setting and present significant challenges for ambulatory anesthesiologists. In addition, the management of preoperative fasting, pregnancy testing, and perioperative anxiety further complicates the care of a pediatric patient. This review will examine the existing evidence and provide guidance for ambulatory anesthesiologists on preoperative considerations for pediatric patients undergoing ambulatory surgical procedures.
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Vogt et al. (2024) studied this question.
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