PAEDIATRIC ANAESTHESIA AND CRITICAL CARE / SPECIAL ARTICLE
The consensus statement of the Section of Paediatric Anaesthesiology and Intensive Therapy of the Polish Society of Anaesthesiology and Intensive Therapy on anaesthesia in children over 3 years of age
1
Institute of Paediatrics/Department of Paediatric Anaesthesiology and Intensive Therapy, Poznan University of Medical Sciences, Poland
2
Department of Anaesthesiology and Intensive Therapy, Wroclaw Medical University, Poland
3
Department of Paediatric Anaesthesiology and Intensive Therapy, Jan Mikulicz-Radecki University Hospital in Wroclaw, Poland
4
Department of Paediatric Anaesthesiology and Intensive Therapy, Medical University of Warsaw, Poland
5
Department of Anaesthesiology and Intensive Therapy, Pomeranian Medical University in Szczecin, Poland
6
Department of Anaesthesiology and Intensive Therapy, Children’s University Hospital in Krakow, Poland
7
Department of Paediatric Anaesthesiology and Intensive Therapy, Ludwik Rydygier Provincial Polyclinic Hospital in Torun, Poland
8
Department of Anaesthesiology and Intensive Therapy, Upper Silesian Child Health Centre in Katowice, Poland
9
Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, Poland
10
Department of Anaesthesiology and Intensive Therapy, Children’s Memorial Health Institute in Warsaw, Poland
11
Department of Paediatric Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland
12
Department of Anaesthesiology and Intensive Therapy, University Children’s Hospital in Lublin, Poland
13
Division of Paediatric Anaesthesiology and Intensive Therapy B, Department of Anaesthesiology and Intensive Therapy, Polish Mother’s Memorial Hospital – Research Institute in Lodz, Poland
14
Department of Anaesthesiology and Intensive Therapy, Medical University of Lodz, Poland
15
Department of Anaesthesiology and Intensive Therapy with Acute Poisoning Centre, Paediatric and Neonatal Anaesthesiology and Intensive Care Unit, Provincial Clinical Hospital No. 2 in Rzeszow, Poland
16
Department of Anaesthesiology and Intensive Therapy for Children and Adolescents, with Postoperative and Pain Management Unit, Medical University Children’s Hospital in Bialystok, Poland
Submission date: 2025-02-12
Final revision date: 2025-05-28
Acceptance date: 2025-10-10
Publication date: 2025-10-19
Corresponding author
Alicja Bartkowska-Śniatkowska
Institute of Paediatrics/Department of Paediatric Anaesthesiology and Intensive Therapy, Poznan University of Medical Sciences, 27/33 Szpitalna St., 60-572 Poznań, Poland
Institute of Paediatrics/Department of Paediatric Anaesthesiology and Intensive Therapy, Poznan University of Medical Sciences, 27/33 Szpitalna St., 60-572 Poznań, Poland
Anaesthesiol Intensive Ther 2025;57(1):304-331
KEYWORDS
TOPICS
ABSTRACT
Anaesthesia in children seems to be still a challenge for anaesthetists, who usually anaesthetize adult patients in everyday practice. The principles in the field of pediatric anaesthesiology in Poland are regulated by the regulation of the Minister of the Health on the organizational standard as well as requirements regarding the equipment and staff skills, taking into account the safety and quality of the comprehensive perioperative care in hospitals where those procedures are performed in children. The most important rule in the perioperative care is ERAS concept i.e. improving the results of surgical treatment through a comprehensive approach to child in the perioperative period. Some components of this concept apply to anesthetic field such as shortening fasting time, avoiding pharmacological premedication, multimodal analgesia, prevention nausea and vomiting or emergence delirium.
This article presents the updated consensus statement of the Section of Paediatric Anaesthesiology and Intensive Therapy of the Polish Society of Anaesthesiology and Intensive Therapy on anesthesia in children over 3 years of age, regarding general and specific recommendations in selected surgical specialties. We hope that this statement, which is a continuation of the statement for children under 3 years, will be of interest to anaesthetists who perform anaesthesia in children and adolescents.
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