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Secções SPA

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Secção de Anestesiologia em Pediatria

A Secção de Anestesiologia Pediátrica da Sociedade Portuguesa de Anestesiologia (SPA) foi formada em Assembleia Geral Extraordinária da SPA a 2 de julho de 2005. É uma secção autónoma, integrada no conjunto de atividades da SPA. Apresenta como finalidade a divulgação, discussão e consolidação dos conhecimentos sobre a Anestesia Pediátrica entre os Anestesiologistas que a ela se dedicam; o incentivo à investigação nesta área, nomeadamente através da orientação de estudos multicêntricos a nível nacional; o estabelecimento da interlocução com pessoas individuais e coletivas, nacionais ou estrangeiras, nomeadamente o Colégio de Anestesiologia da Ordem dos Médicos e a Sociedade Europeia para Anestesia Pediátrica – ESPA. Pretende desta forma, propor e apoiar medidas que contribuam para a melhoria e excelência dos cuidados clínicos da Anestesia em Pediatria, através da promoção da educação pré e pós-graduada.

A Secção de Anestesiologia Pediátrica organiza uma reunião científica de dois em dois anos – Update de Anestesiologia Pediátrica – proporcionando a atualização e partilha de conhecimento e experiência entre colegas.

O atual Órgão Diretivo da Secção de Anestesiologia Pediátrica foi eleito em 25 de março de 2023 para o mandato referente ao triénio de 2023 – 2025. Tem como objetivos específicos principais:

  1. Fomentar a formação e o desenvolvimento profissional em Anestesia Pediátrica, através da divulgação de informação útil para o ensino de IFE’s e atualização de Anestesiologistas com interesse nesta área;
  2. Elaborar e divulgar Orientações e Protocolos sobre diferentes áreas da Anestesia Pediátrica e a publicação do “Artigo de Anestesia Pediátrica do mês”;
  3. Apresentação de propostas de regulamentação da prática de Anestesia Pediátrica, a endereçar ao Colégio de Anestesiologia da OM.

Presidente – José Mafra, Assistente Hospitalar Graduado em Anestesiologia, Centro Hospitalar Universitário Lisboa Central (CHULC) – Hospital Dona Estefânia (HDE), Lisboa
Vice-Presidente – Amélia Ferreira, Assistente Hospitalar Graduada em Anestesiologia, Centro Hospitalar Universitário São João (CHUSJ) – Ala Pediátrica do Hospital de São João, Porto
Vogal – Dora Oliveira, Assistente Hospitalar Graduada em Anestesiologia, Centro Hospitalar e Universitário de Coimbra (CHUC) – Hospital Pediátrico (HP), Coimbra
Vogal – Gabriela Costa, Assistente Hospitalar em Anestesiologia, Centro Hospitalar Universitário Lisboa Central (CHULC) – Hospital Dona Estefânia (HDE), Lisboa

Contactos:
Email da secção: anestesiapediatrica.spa@gmail.com
Instagram: @anestesiapediatrica_spa
LinkedIn: linkedin.com/in/anestesia-pediátrica-499a15286
Twitter: @anestesiap88958


Constituída em 2005

Corpos sociais eleitos em março de 2023 mandato até março 2026

José Mafra

José Mafra

Amélia Ferreira

Amélia Ferreira

Dora Oliveira

Dora Oliveira

Gabriela Costa

Gabriela Costa

PLANOS DE ACÇÃO

JEJUM

NORMOTERMIA PEDIÁTRICA

Agenda de eventos científicos:
Congressos: XIV Congreso Nacional de Anestesiología, Reanimación y Terapéutica del Dolor Pediátrico, Zaragoza, 16 -18 Novembro 2023

Livros recomendados:

  • A Practice of Pediatric for Infants and Children – Charles J. Coté, Jerrold Lerman and Brian J. Anderson, 6ª edição, 2019;
  • Gregory’s Pediatric Anesthesia – Dean B. Andropoulos, George A. Gregory, 6ª edição 2020;
  • Smith’s Anesthesia for Infants and Children – Peter Davis, Franklyn Cladis – 10ª edição 2021;
  • Pediatric Anaesthesia (Oxford Specialist Handbooks in Anaesthesia) – Steve Roberts – 2ª edição, 2019;
  • Miller’s Anesthesia – Section V. Pediatric Anesthesia – Michael A. Groper, 9ª edição, 2019;

Outras publicações – Artigos essenciais:

Gerais:
1- Nolan JA. Principles of paediatric anaesthesia. Anaesthesia & Intensive Care Medicine. 2016;17(6):265-269
2- Machotta A, Hansen TG, Weiss M. Quality and safe anaesthesia for all children. Curr Opin Anes. 2023;36. doi:10.1097/ACO.0000000000001256 [Publish Ahead of Print]

Avaliação pré-anestésica:
1- Lewis H, Norrington A. Paediatric preoperative assessment. BJA Educ. 2023;23(6):238-244
2- Basel A, Bajic D. Preoperative Evaluation of the Pediatric Patient. Anesthesiol Clin. 2018;36(4):689-700
3- Norrington A. Paediatric Pre assessment Guidelines. www.apagbi.org.uk
4- Lin C, Vazquez-Colon C, Geng-Ramos G, Challa C. Implications of anesthesia and vaccination. Pediatr Anaesth. 2021;31:531-538
5- Frykholm P, et al. Pre-operative fasting in children. A guideline from the European Society of Anaesthesiology and Intensive Care. Eur J Anaesthesiol. 2022;39:4-25
6- Heikal S, Stuart G. Anxiolytic premedication for children. BJA Educ. 2020;20(7):220-225
7- Morgan J, et al; Association of Paediatric Anaesthetists of Great Britain and Ireland Guidelines Working Group on Thromboprophylaxis in Children. Prevention of perioperative venous
thromboembolism in pediatric patients: Guidelines from the Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI). Paediatr Anaesth. 2018;28(5):382-391

Patologia associada:
1- Hampl SE, et al. Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity. Pediatrics. 2023;151(2):e2022060640
2- Bali S, Seglani S, Challands J. Perioperative management of the child with asthma. BJA Educ. 2022;22(10):402-410
3- McLeod M, Dobbie M. Anterior mediastinal masses in children. BJA Educ. 2019;19(1):21-26
4- Woodcock T, et al. Guidelines for the management of glucocorticoids during the peri-operative period for patients with adrenal insufficiency: Guidelines from the Association of Anaesthetists, the
Royal College of Physicians and the Society for Endocrinology UK. Anaesthesia. 2020;75(5):654-663. Erratum in: Anaesthesia. 2020;75(9):1252
5- Kapellen T, et al. ISPAD clinical practice consensus guidelines 2022: Management of children and adolescents with diabetes requiring surgery. Pediatr Diabetes. 2022;23:1468–1477
6- Desai V, Salicath J. Mitochondrial Disease and Anaesthesia. 2020. https://resources.wfsahq.org/wp￾content/uploads/ATOTW-436.pdf
7- Flannery KM, Ravira D. Anaesthesia in Children With Congenital Heart Disease for Noncardiac Surgery. 2022. https://resources.wfsahq.org/atotw/anaesthesia-in-children-with-congenital-heart-diseasefor-noncardiac-surgery-atotw-467/

Anestesia Fora do Bloco Operatório:
1- Langdon AM, Diwan R. Safe sedation of children for diagnostic and therapeutic procedures. Anaesthesia & Intensive Care Medicine. 2016;17(6):299-302
2- Campbell K, Torres L, Stayer S. Anesthesia and Sedation Outside the Operating Room. Anesthesiology Clin. 2014;32:25–43
3- Landrigan-Ossar M, Setiawan CT. Pediatric Anesthesia Outside the Operating Room Safety and Systems. Anesthesiology Clin. 2020;38:577–586

Anestesia para cirurgia de ambulatório:
1- Colter P, Slinn S, Bowen L. Paediatric day case surgery. Anaesthesia and Intensive Care Medicine. 2022;23(5). doi: 10.1016/j.mpaic.2022.02.016
2- Butz SF. Pediatric Ambulatory Anesthesia Challenges. Anesthesiology Clin. 2019;37:289–300

Anestesia Locorregional:
1- Lönnqvist PA, Ecoffey C, Bosenberg A, Suresh S, Ivani G. The European society of regional anesthesia and pain therapy and the American society of regional anesthesia and pain medicine joint
committee practice advisory on controversial topics in pediatric regional anesthesia I and II: what do they tell us? Curr Opin Anaesthesiol. 2017;30(5):613-620
2- Ponde V, Puri K, Osazuwa M, Chooi C. Principles of Regional Anaesthesia in Children. 2022. https://resources.wfsahq.org/wp-content/uploads/atow-485.pdf
3- Kaushik V, Philip A, Russell WC. Ultrasound-guided central neuraxial blocks and peripheral nerve blocks in children. BJA Education. 2015;15(3):154-159
4- Mukherji II, Birmingham PB, Suresh S. Neuraxial anaesthesia in paediatrics. Anaesthesia & intensive care medicine. 2022;23(2):285-292
5- Greaney D, Everett T. Paediatric regional anaesthesia: updates in central neuraxial techniques and thoracic and abdominal blocks. BJA Educ. 2019;19(4):126-134
6- Dontukurthy S, Mofidi R. The Role of Interfascial Plane Blocks in Paediatric Regional Anaesthesia: A Narrative Review of Current Perspectives and Updates. Anesthesiology Research and Practice. 2020. doi.org/10.1155/2020/8892537

Complicações:
1- Stepanovic B, Sommerfield D, Lucas M, von Ungern-Sternberg BS. An update on allergy and anaphylaxis in pediatric anesthesia. Paediatr Anaesth. 2019;29(9):892-900
2- Whitten CE. 10 Common Pediatric Airway Problems and Their Solutions. Anesthesiology News. 2019. https://www.anesthesiologynews.com/Review-Articles/Article/08-19/10-Common-Pediatric-Airway-Problems-And-Their-Solutions/55657?sub=B9BFD2B22AAB91C738BEFA44BD6987A27AB424466CD7E09740FF4A4786780
3- Erb TO, Trachsel D, von Ungern-Sternberg BS. Laryngeal reflex responses in pediatric anesthesia. Pediatr Anesth. 2020;30:353–361
4- O’Reilly HD, Menon K. Sepsis in paediatrics. BJA Educ. 2021;21(2):51-58
5- Habre W, et al. Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe. Lancet Respir Med.
2017;5(5):412-425
6- Disma N, et al. Difficult tracheal intubation in neonates and infants. NEonate and Children audit of Anaesthesia pRactice IN Europe (NECTARINE): a prospective European multicentre
observational study. Br J Anaesth. 2021;126(6):1173-1181. Erratum in: Br J Anaesth. 2021;127(2):326
7- Ariyanayagam R, Krishnachetty B. Paediatric Postoperative Vomiting. 2022. https://resources.wfsahq.org/wp-content/uploads/atow-479-00.pdf
8- Shin S, Evans F, Mason K. Emergence Delirium in Pediatric Patients. 2021. https://resources.wfsahq.org/wp-content/uploads/atow-442-00.pdf

Via aérea e ventilação:
1- Tobias JD. Pediatric airway anatomy may not be what we thought: implications for clinical practice and the use of cuffed endotracheal tubes. Paediatr Anaesth. 2015;25(1):9-19
2- Spaeth J, Schumann S, Humphreys S. Understanding pediatric ventilation in the operative setting. Part I: Physical principles of monitoring in the modern anesthesia workstation. Paediatr Anaesth. 2022;32(2):237-246
3- Spaeth J, Schumann S, Humphreys S. Understanding pediatric ventilation in the operative setting. Part II: Setting perioperative ventilation. Paediatr Anaesth. 2022;32(2):247-254
4- Bruins S, Sommerfield D, Powers N, von Ungern-Sternberg BS. Atelectasis and lung recruitment in pediatric anesthesia: An educational review. Pediatr Anaesth. 2022;32: 321–329

Técnicas Anestésicas:
1- Sellers C, Woodman N. Inhalational induction in paediatric anaesthesia. BJA Education. 2022. 23(1):32-38
2- Chan V, Skowno J. A Practical Approach to Propofol-Based Total Intravenous Anaesthesia (TIVA) in Children. 2018. https://resources.wfsahq.org/atotw/a-practical-approach-to-propofol-based total-intravenous-anaesthesia-tiva-in-children/
3- Scott-Warren VL, Morley RB. Paediatric vascular access. BJA Education. 2015;15(4):199-206
4- Egbuta C, Evans F. Extubation of children in the operating theatre. BJA Education. 2022;22(2):75-81

Dor aguda:
1- Gai N, Naser B, Hanley J, Peliowski A, Hayes J, Aoyama K. A practical guide to acute pain management in children. J Anesth. 2020;34(3):421-433
2- Vittinghoff M, et al. Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder
Initiative). Pediatric Anesthesia. 2018;28:493–506
3- Cravero JP, et al. The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period. Pediatric Anesthesia. 2019;29:547–571

Fluidoterapia e hemoderivados:
1- Eaddy N, Watene C. Perioperative management of fluids and electrolytes in children. BJA Educ. 2023;23(7):273-278
2- Sümpelmann R, et al. Perioperative intravenous fluid therapy in children: guidelines from the Association of the Scientific Medical Societies in Germany. Paediatr Anaesth. 2017;27(1):10-18
3- Spilka J, Goobie SM. Perioperative Blood Management in the Pediatric Patient. 2020. https://resources.wfsahq.org/atotw/perioperative-blood-management-in-the-pediatric-patient/
4- Valentine SL, et al. Consensus Recommendations for RBC Transfusion Practice in Critically Ill Children From the Pediatric Critical Care Transfusion and Anemia Expertise Initiative. Pediatr Crit Care Med. 2018;19(9):884-898

Recém-nascido:
1- Macrae J, Ng E, Whyte H. Anaesthesia for premature infants. BJA Educ. 2021;21(9):355-363
2- Arumainathan R, Stendall C, Visram A. Management of fluids in neonatal surgery. BJA Educ. 2018;18(7):199-203

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