Critical incidents in paediatric anaesthesia: an audit of 10 000 anaesthetics in Singapore.

摘要: Background: We undertook an audit of paediatric perioperative incidents in the first 10000 anaesthetics administered KK Women’s and Children’s Hospital Singapore between May 1997 April 1999. The spectrum surgery performed ranged from simple ambulatory to open heart for complicated congenital diseases. Methods: An form is completed every anaesthetic delivered critical are reported on reverse blank page form. An incident was defined as ‘any which affected, or could have safety patient under care’. Results: Two hundred ninety-seven were reported. majority them happened healthy patients (80.1% ASA I II) scheduled elective (73.3%). Critical infants less than 1 year age four times common older children (8.6% versus 2.1%). Incidents occurred mainly during maintenance (80.6%). There no mortality. Respiratory events most (77.4%) with laryngospasm accounting 35.7%. Cardiovascular (10.8%) included hypotension haemorrhage sepsis, dysrhythmias. incidence equipment pharmacologically related problems low. Conclusions: Future reviews a larger population may be helpful determine trends whether quality assurance programs made difference.