Anaesthesia in Paediatric Emergencies Dr Grant McFadyen Consultant Anaesthetist Swansea ANAESTHESIA in Paediatric Emergencies 1.ANAESTHETISTS in paediatric emergencies 2.ANAESTHESIA in paediatric emergencies Who anaesthetises children for elective surgery? • NCEPOD 1989 – 84% of all consultants anaesthetised babies < 6 months old – Recommendation: Surgeons and anaesthetists should not undertake occasional paediatric practice. • NCEPOD 1999 – 42% of all consultants anaesthetised babies < 6 months old. Who anaesthetises children for elective surgery? • In 1975, 70% of children were anaesthetised in DGHs by non-specialist anaesthetists. • By 2003, this proportion had dropped to 61%. Who anaesthetises children for elective surgery? • Royal College of Anaesthetists: – All consultant anaesthetists should be able to anaesthetise healthy children aged >5 years for straightforward surgery. – Consultants with a subspecialty interest in paediatric anaesthesia have obtained at least 6 months’ training in a specialist paediatric unit. – Consultants with a substantial commitment to paediatric anaesthesia have obtained at least 1 year’s training in a specialist paediatric unit. Who anaesthetises children for elective surgery? • Royal College of Anaesthetists: – All consultant anaesthetists should be able to anaesthetise healthy children aged >5 years for straightforward surgery. – Consultants with a subspecialty interest in paediatric anaesthesia have obtained at least 6 months’ training in a specialist paediatric unit. – Consultants with a substantial commitment to paediatric anaesthesia have obtained at least 1 year’s training in a specialist paediatric unit. Who anaesthetises children for elective surgery? • Royal College of Anaesthetists: – All consultant anaesthetists should be able to anaesthetise healthy children aged >5 years for straightforward surgery. – Consultants with a subspecialty interest in paediatric anaesthesia have obtained at least 6 months’ training in a specialist paediatric unit. – Consultants with a substantial commitment to paediatric anaesthesia have obtained at least 1 year’s training in a specialist paediatric unit. Who anaesthetises children for elective surgery? • Swansea – 2 hospitals. – 50 consultant anaesthetists. – 2500 children per year. – 2 anaesthetists with a substantial commitment. – 3 anaesthetists with a subspecialty interest. – 10% of anaesthetists anaesthetise babies < 6 months old.