{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T17:06:21Z","timestamp":1784912781127,"version":"3.55.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pain management is a cornerstone of acute pediatric burn care, and burn wound care frequently requires sedation or anesthesia to optimize patient comfort and procedural success. Anesthesia delivered outside of the operating room (OR) has been shown to be a safe and effective alternative to OR-based care; however, eligibility has traditionally been restricted to older and larger children. Following a quality care audit in 2022, eligibility for anesthesiologist-administered out-of-OR anesthesia at our tertiary pediatric burn center was expanded to include children aged 8-12\u00a0months and\/or weighing 8-10\u00a0kg. The objective of this study was to compare key quality and safety indicators between patients meeting expanded eligibility criteria and those meeting historical criteria (&amp;gt;10\u00a0kg and\/or 12-24\u00a0months) undergoing burn dressing changes in a general anesthesia-ready satellite anesthesia room. This single-center retrospective study included patients treated between January 2022 and January 2024. Outcomes included procedure duration, anesthetic technique, airway management, anesthesia-related complications, and postprocedure disposition. A total of 211 patients undergoing 296 procedures were included. Burn characteristics were similar between groups, with scald injuries and partial-thickness burns predominating. No episodes of oxygen desaturation, hemodynamic instability, airway obstruction, or difficult mask ventilation were observed. One episode of laryngospasm occurred in the expanded group and resolved with conservative airway management. Procedure duration was shorter, while time to discharge was slightly longer, in the expanded group. These findings suggest that expanding eligibility criteria for out-of-OR anesthesia in pediatric patients with burn injuries is safe and feasible, without compromising procedural efficiency or outcomes.<\/jats:p>","DOI":"10.1093\/jbcr\/irag118","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T11:39:49Z","timestamp":1783424389000},"source":"Crossref","is-referenced-by-count":0,"title":["Reviewing the Safety of Providing Out-of-Operating-Room Anesthesia for Acute Burns in Pediatric Patients"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7495-9188","authenticated-orcid":false,"given":"Sabrina","family":"Yang","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Ottawa , Ottawa Ontario K1H 8M5 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Faour","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children , Toronto, Ontario M5G 1X8 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farrukh","family":"Munshey","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Medicine, The Hospital for Sick Children , Toronto, Ontario M5G 1XB ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Everett","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Medicine, The Hospital for Sick Children , Toronto, Ontario M5G 1XB ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charis","family":"Kelly","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children , Toronto, Ontario M5G 1X8 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1662-5297","authenticated-orcid":false,"given":"Eduardo","family":"Gus","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children , Toronto, Ontario M5G 1X8 ,","place":["Canada"]},{"name":"Department of Surgery, Temerty Faculty of Medicine, University of Toronto , Toronto, Ontario M5T 1P5 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Fish","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children , Toronto, Ontario M5G 1X8 ,","place":["Canada"]},{"name":"Department of Surgery, Temerty Faculty of Medicine, University of Toronto , Toronto, Ontario M5T 1P5 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"2026072412351621300_ref1","author":"American Burn Association"},{"key":"2026072412351621300_ref2","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1016\/j.burns.2013.11.024","article-title":"Play and heal: randomized controlled trial of ditto\u2122 intervention efficacy on improving re-epithelialization in pediatric burns","volume":"40","author":"Brown","year":"2014","journal-title":"Burns"},{"key":"2026072412351621300_ref3","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1016\/j.cpr.2012.12.006","article-title":"Psychological consequences of pediatric burns from a child and family perspective: a review of the empirical literature","volume":"33","author":"Bakker","year":"2013","journal-title":"Clin Psychol Rev"},{"key":"2026072412351621300_ref4","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1097\/BCR.0b013e31822bef92","article-title":"Patterns of medication administration from 2001 to 2009 in the treatment of children with acute burn injuries: a multicenter study","volume":"32","author":"Stoddard","year":"2011","journal-title":"J Burn Care Res"},{"key":"2026072412351621300_ref5","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1097\/BCR.0b013e318236fe4f","article-title":"Efficacy and safety of procedural sedation and analgesia for burn wound care","volume":"33","author":"Thompson","year":"2012","journal-title":"J Burn Care Res"},{"key":"2026072412351621300_ref6","doi-asserted-by":"publisher","first-page":"9950870","DOI":"10.1155\/2023\/9950870","article-title":"Pain management in pediatric burns: a review of the science behind it","volume":"2023","author":"Ciornei","year":"2023","journal-title":"Glob Health Epidemiol Genom"},{"key":"2026072412351621300_ref7","doi-asserted-by":"publisher","first-page":"1445","DOI":"10.1016\/j.burns.2021.08.005","article-title":"Intranasal dexmedetomidine and rectal ketamine for young children undergoing burn wound procedures","volume":"48","author":"Frestadius","year":"2022","journal-title":"Burns"},{"key":"2026072412351621300_ref8","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1177\/2292550319876663","article-title":"A 3-year review of an outpatient burn sedation program in a tertiary burn care centre: is it safe and does it work?","volume":"27","author":"Chan","year":"2019","journal-title":"Plast Surg (Oakv)"},{"key":"2026072412351621300_ref9","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1097\/BCR.0000000000000007","article-title":"Outcomes of outpatient management of pediatric burns","volume":"35","author":"Brown","year":"2014","journal-title":"J Burn Care Res"},{"key":"2026072412351621300_ref10","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1016\/j.bjae.2020.02.006","article-title":"Anxiolytic premedication for children","volume":"20","author":"Heikal","year":"2020","journal-title":"BJA Educ"},{"key":"2026072412351621300_ref11","doi-asserted-by":"publisher","first-page":"4096","DOI":"10.3390\/jcm14124096","article-title":"Complications of intravenous midazolam\u2013fentanyl sedation in children and adults undergoing oral surgery: a retrospective study","volume":"14","author":"Nys","year":"2025","journal-title":"J Clin Med"},{"key":"2026072412351621300_ref12","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1093\/bja\/aeh042","article-title":"Developmental pharmacokinetics of morphine and its metabolites in neonates, infants and young children","volume":"92","author":"Bouwmeester","year":"2004","journal-title":"Br J Anaesth"},{"key":"2026072412351621300_ref13","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1007\/s40263-015-0259-6","article-title":"Propofol: a review of its role in pediatric anesthesia and sedation","volume":"29","author":"Chidambaran","year":"2015","journal-title":"CNS Drugs"},{"key":"2026072412351621300_ref14","doi-asserted-by":"publisher","first-page":"e49012","DOI":"10.7759\/cureus.49012","article-title":"Pediatric burns: a systematic review and meta-analysis on epidemiology, gender distribution, risk factors, management, and outcomes in emergency departments","volume":"15","author":"Nassar","year":"2023","journal-title":"Cureus"}],"container-title":["Journal of Burn Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jbcr\/advance-article-pdf\/doi\/10.1093\/jbcr\/irag118\/68719467\/irag118.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/advance-article-pdf\/doi\/10.1093\/jbcr\/irag118\/68719467\/irag118.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T16:35:24Z","timestamp":1784910924000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbcr\/advance-article\/doi\/10.1093\/jbcr\/irag118\/8728379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":14,"URL":"https:\/\/doi.org\/10.1093\/jbcr\/irag118","relation":{},"ISSN":["1559-047X","1559-0488"],"issn-type":[{"value":"1559-047X","type":"print"},{"value":"1559-0488","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]},"article-number":"irag118"}}