Clinical Case Database / Category: Clinical Care

Paediatric anaesthesia & safeguarding children

Publication details

Kirstie McPherson, Claire Frith
Foundation Years Journal, volume 6, issue 5, p.46 (123Doc Education, London, May 2012)


These anatomical variations together with the physiological differences of increased metabolic rate and oxygen consumption mean that children will be more prone to rapid desaturation and hypoxaemia than seen in healthy adults.

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Kirstie McPherson

Specialist Registrar in Anaesthesia
Centre for Anaesthesia, University College Hospital, London

Claire Frith

Core Trainee in Anaesthesia
Centre for Anaesthesia, University College Hospital, London


1. Advance Paediatric Life Support: The practical approach, edited by Kevin Mackway-Jones et al. 4th Edition. BMJ Publishing Group, Blackwell Publishing Ltd, 2005.
2. Resus Council, UK.
3. Royal College of Anaesthetists. Your child's general anaesthetic. Third edition, May 2008.
4. Bhatia N, Barber N. Dilemmas in the preoperative assessment of children. BJA CEACCP 2011, Vol. 11, 6:214-18.
5. British National Formulary for Children 2011-12, BMJ Publishing Group Ltd, London, 2011.
6. Zielinska M, Holtby H, Wolf A. Pro–con debate: intravenous vs inhalation induction of anesthesia in children. Paediatr Anaesth. 2011, 21(2):159-68.
7. Chundamala J, Wright J, Kemp S. An evidence-based review of parental presence during anesthesia induction and parent/child anxiety. Can J Anesth/J Can Anesth 2009, 56:57–70.
8. Yip P, Middleton P, Cyna AM, Carlyle AV. Non-pharmacological interventions for assisting the induction of anaesthesia in children. Evidence-Based Child Health: A Cochrane Review Journal 2009, 6: 71–134.
9. Association of Anaesthetists of Great Britain and Ireland. Recommendations for standards of monitoring during anaesthesia and recovery, 4th Edition, March 2007.
10. Davis T. Paediatric prescribing errors. Arch Dis Child 2011, 96:489-91.
11. Royal College of Paediatrics and Child Health (RCPCH) and Neonatal and Paediatric Pharmacists Group (NPPG). Paediatric Prescribing Tool. 2011,
12. Wong DL, Hockenberry-Eaton M, Wilson D, Winkelstein ML, Schwartz P. Wong's Essentials of Paediatric Nursing, ed. 6, St Louis, 2001, p1301.
13. Association of Paediatric Anaesthetists: Good Practice in Postoperative and Procedural Pain, 2008. part1.pdf
14. Association of Paediatric Anaesthetists: Guidelines on the Prevention of Post-operative nausea and vomiting in children 2009,
15. The Victoria Climbie Inquiry, Report of an Inquiry by Lord Laming, Presented to Parliament January 2003. documents/digitalasset/dh_110711.pdf
16. Child Protection and the Anaesthetist: Safeguarding Children in the Operating Theatre Jointly developed and produced by the Royal College of Anaesthetists, the Association of Paediatric Anaesthetists, and the Royal College of Paediatrics and Child Health, March 2007.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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