Masui. The Japanese journal of anesthesiology · 2012
[Rapid sequence induction in pediatric patients--a questionnaire survey to the children's hospitals in Japan].
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Tachibana Kazuya, Kinouchi Keiko, Takeuchi Muneyuki
Аннотация
BACKGROUND: Details of the rapid sequence induction in children with full stomach in Japanese children's hospitals are not known.
METHODS: We sent the questionnaire to the 27 pediatric anesthesia departments in Japanese children's hospitals and asked the practice of two scenarios of full stomach cases; an infant (4-week-old) presenting with pyloric stenosis and a child (3-year-old) with full stomach due to ileus.
RESULTS: We obtained replies from 17 of 27 (63%) facilities. Nasogastric tube was inserted and suctioned thoroughly before the induction of anesthesia in all institutions. Atropine prior to the induction of anesthesia was more often used in infant cases (53%). Awake intubation was not performed in any facilities regardless of the age. Gentle mask ventilation between induction and tracheal intubation were more frequently performed in infant cases (53%). The maneuver of cricoid pressure was utilized in infants in only 24% of all institutions.
CONCLUSIONS: We clarified details of rapid sequence induction in infants and children in Japanese children's hospitals. The practical method of rapid sequence induction was different in 2 scenarios probably due to the consideration of the age, diseases and conditions.
METHODS: We sent the questionnaire to the 27 pediatric anesthesia departments in Japanese children's hospitals and asked the practice of two scenarios of full stomach cases; an infant (4-week-old) presenting with pyloric stenosis and a child (3-year-old) with full stomach due to ileus.
RESULTS: We obtained replies from 17 of 27 (63%) facilities. Nasogastric tube was inserted and suctioned thoroughly before the induction of anesthesia in all institutions. Atropine prior to the induction of anesthesia was more often used in infant cases (53%). Awake intubation was not performed in any facilities regardless of the age. Gentle mask ventilation between induction and tracheal intubation were more frequently performed in infant cases (53%). The maneuver of cricoid pressure was utilized in infants in only 24% of all institutions.
CONCLUSIONS: We clarified details of rapid sequence induction in infants and children in Japanese children's hospitals. The practical method of rapid sequence induction was different in 2 scenarios probably due to the consideration of the age, diseases and conditions.