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Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036

Periodicità: Mensile

ISSN 0375-9393

Online ISSN 1827-1596


Minerva Anestesiologica 2014 Aprile;80(4):461-9


Preoperative evaluation in infants and children: recommendations of the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI)

Serafini G. 1, Ingelmo P. M. 2, Astuto M. 3, Baroncini S. 4, Borrometi F. 5, Bortone L. 6, Ceschin C. 7, Gentili A. 4, Lampugnani E. 8, Mangia G. 9, Meneghini L. 10, Minardi C. 10, Montobbio G. 8, Pinzoni F. 11, Rosina B. 11, Rossi C. 7, Sahillioğlu E. 12, Sammartino M. 13, Sonzogni R. 14, Sonzogni V. 14, Tesoro S. 15, Tognon C. 10, Zadra N. 10

1 Dipartimento di Anestesia e Rianimazione 1, Fondazione IRCCS Policlinico S. Matteo, Università di Pavia, Pavia, Italy;
2 McGill University Health Center. Montreal Children’s Hospital, Montreal, Canada;
3 Dipartimento di Anestesia e Rianimazione, Ospedale Universitario Policlinico, Catania, Italy;
4 Dipartimento di Anestesia e Rianimazione Pediatrica, Ospedale S. Orsola-Malpighi, Università di Bologna, Bologna, Italy;
5 Servizio di Cure Palliative e Terapia del Dolore, Ospedale SantobonoPausilipon, Napoli, Italy;
6 Dipartimento di Anestesia e Rianimazione, Azienda Ospedaliera di Parma, Parma, Italy;
7 Servizio di Anestesia e Rianimazione, Dolo Hospital, Mirano, Italy;
8 Dipartimento di Anestesia e Rianimazione, IRCCS Ospedale dei Bambini G. Gaslini, Genova, Italy;
9 Dipartimento di Anestesia, Ospedale S. Camillo, Roma, Italy;
10 Unità Operativa di Anestesia e Rianimazione Azienda Ospedaliera Padova, Padova, Italy;
11 Dipartimento di Anestesia Pediatrica, Ospedali Civili, Brescia, Italy;
12 Department of Anaesthesia and Intensive Care, Anadolu Medical Center, Kocaeli, Turkey;
13 Dipartimento di Anestesia e Rianimazione, Ospedale Universitario A. Gemelli, Università Cattolica del Sacro Cuore, Roma, Italy;
14 Primo Servizio di Anestesia e Rianimazione, Ospedali Riuniti di Bergamo, Bergamo, Italy;
15 Sezione di Anestesia, Analgesia e Rianimazione, Dipartimento di Medicina Clinica e Sperimentale, Università di Perugia, Perugia, Italy

BACKGROUND: The preoperative assessment involves the process of evaluating the patient’s clinical condition, which is intended to define the physical status classification, eligibility for anesthesia and the risks associated with it, thus providing elements to select the most appropriate and individualized anesthetic plan. The aim of this recommendation was provide a framework reference for the preoperative evaluation assessment of pediatric patients undergoing elective surgery or diagnostic/therapeutic procedures.
METHODS: We obtained evidence concerning pediatric preoperative evaluation from a systematic search of the electronic databases MEDLINE and Embase between January 1998 and February 2012. We used the format developed by the Italian Center for Evaluation of the Effectiveness of Health Care’s scoring system for assessing the level of evidence and strength of recommendations.
RESULTS: We produce a set of consensus guidelines on the preoperative assessment and on the request for preoperative tests. A review of the existing literature supporting these recommendations is provided. In reaching consensus, emphasis was placed on the level of evidence, clinical relevance and the risk/benefit ratio.
CONCLUSION: Preoperative evaluation is mandatory before any diagnostic or therapeutic procedure that requires the use of anesthesia or sedation. The systematic prescription of complementary tests in children should be abandoned, and replaced by a selective and rational prescription, based on the patient history and clinical examination performed during the preoperative evaluation.

lingua: Inglese


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