Critères objectifs d'indication de l'anesthésie générale : proposition d'un score d'indication

Abstract : The decision to use general anaesthesia relies mostly on the sensitivity or the experience of the practitioner. This work aims to provide an indicator score to assist the practitioner in his decision process. The score is based on objective criteria, such as age, number of sextants to treat, child's behaviour and medical background. In order to assess the reliability of this indicator score, all records of patients treated under general anaesthesia between 2015 and 2016 have been analysed and retrospectively tested. Among 101 cases, nearly 90% of patients obtained a score superior or equal to the threshold which requests general anaesthesia. Patients under the threshold were mainly treated for oral surgery. The provided general anaesthesia indicator score turns out to be a decision-making tool which assists the practitioner to select the best medical care, more specifically for polycarious children or children with special needs. This tool seems less relevant when facing one-time surgery for children in good health. This work also pointed out that, with the incorporation of a time factor and a software, the indication score enables to dynamically manage the waiting list for general anaesthesia
Mots-clés : Score d'indication
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02050646
Contributor : Cécile Arènes - Scd Paris Diderot <>
Submitted on : Wednesday, February 27, 2019 - 11:56:22 AM
Last modification on : Thursday, August 8, 2019 - 6:09:21 AM
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  • HAL Id : dumas-02050646, version 1

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Pierre-Jean Bérat. Critères objectifs d'indication de l'anesthésie générale : proposition d'un score d'indication. Sciences du Vivant [q-bio]. 2017. ⟨dumas-02050646⟩

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