Otolaryngologie : accès libre

Abstrait

Otolaryngology Chronic Care Handoffs: Paediatric to Adult Care Providers

Ahmet Soysal

Otolaryngologic procedures within the paediatric population will gift distinctive challenges to the anaesthesiologist. Paediatric patients shouldn't be thought of “little adults” as a result of the show variations in physical characteristics, physiology, medicine, cope methods, emotional desires, and care coordination compared with the adult population. This chapter focuses on patient optimisation, risk analysis and mitigation, anesthetic issues for specific paediatric conditions, and also the perioperative management of youngsters undergoing otolaryngologic procedures.

The survey was completed by forty eight participants. The bulk of respondents practiced for a minimum of sixteen years (n = 28) at a University-based practices (n = 38), serving a completely paediatric population (n = 44). Providers’ experience enclosed chronic ear sickness, voice disorders, and vocal organ pathology. Few respondents (n = 12) had a transfer of care policy formalized. However, 38.8% of respondents were fascinated by developing one. Respondents seldom mentioned topics like medication, tobacco, or alcohol use (mean thirty.1%, SD 30.18%) with patients; and solely fifty five.5% (SD 32.98) of suppliers asked patients fourteen years and older to explain their condition, medications, or treatment plans. None of the suppliers were conversant in standardized transition of care tools. The bulk of suppliers transferred patients between eighteen and twenty five years previous to adult care. There is vital variation between otology providers’ awareness and clinical observe patterns encompassing paediatric to adult transfer of care. More studies are required to judge the implications of those biases for patient outcomes and also the opportunities for a consistent approach.