Equipment and monitoring--what is in the future to improve safety?

Paediatr Anaesth. 2011 Jul;21(7):815-24. doi: 10.1111/j.1460-9592.2011.03553.x. Epub 2011 Mar 16.

Abstract

There have been a number of recent developments in the practice of anesthesia and intensive care aimed at improving outcome in terms of reducing both morbidity and mortality, as well as other less-defined factors, such as quality of service provision. Significant advances have been made in airway devices such as pediatric tracheal tube designs, Microcuff(®) tracheal tubes, and new laryngoscopes. Noninvasive monitoring devices, including continuous hemoglobin analysis and near infrared spectrometry, are being increasingly used in pediatric anesthesia. Other, 'scaled-down' versions from adult anesthesia care, however, have not universally been shown to result in improved safety and outcomes in pediatric anesthesia.

Publication types

  • Review

MeSH terms

  • Anesthesia / adverse effects
  • Anesthesia / standards*
  • Anesthesia, Conduction
  • Anesthesiology / education
  • Anesthesiology / instrumentation*
  • Anesthesiology / standards*
  • Catheterization, Central Venous
  • Catheters, Indwelling / adverse effects
  • Catheters, Indwelling / standards
  • Child
  • Critical Care / standards
  • Hemoglobinometry
  • Humans
  • Intraoperative Awareness / prevention & control
  • Laryngoscopes
  • Monitoring, Physiologic / instrumentation*
  • Monitoring, Physiologic / standards*
  • Nervous System Physiological Phenomena / drug effects
  • Oximetry / standards
  • Pediatrics / standards*
  • Respiration, Artificial / instrumentation
  • Spectroscopy, Near-Infrared
  • Surgical Instruments / supply & distribution
  • Ventilators, Mechanical