{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T22:00:06Z","timestamp":1773180006246,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,3,12]],"date-time":"2016-03-12T00:00:00Z","timestamp":1457740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The goal of this study was to identify the etiology of events and demographics of patients that experience complications requiring activation of the Rapid Response Team (<jats:styled-content style=\"fixed-case\">RRT<\/jats:styled-content>) during the first 24 h following anesthetic care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective review of the Quality Improvement database from the Department of Anesthesiology &amp; Pain Medicine at Nationwide Children's Hospital. The database was searched to identify those patients who had a <jats:styled-content style=\"fixed-case\">RRT<\/jats:styled-content> evaluation activated within 24 h of receiving anesthesia or procedural sedation. These patients' charts were reviewed to obtain demographic information, etiology of the <jats:styled-content style=\"fixed-case\">RRT<\/jats:styled-content> call, and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study cohort included 106 <jats:styled-content style=\"fixed-case\">RRT<\/jats:styled-content> calls that were made over a 3\u2010year period. Six patients were excluded from analysis due to incomplete datasets. One hundred patients remained for analysis including 60 males and 40 females. Patients ranged in age from 0.08 to 31.21 years (7.8 \u00b1 7.7 years, median 5.3 years). Seventy\u2010one patients were American Society of Anesthesiologists' (<jats:styled-content style=\"fixed-case\">ASA<\/jats:styled-content>) status 3 or 4 and 29 patients were <jats:styled-content style=\"fixed-case\">ASA<\/jats:styled-content> status 1 or 2. Five calls were made for patients who had undergone procedural sedation while the other 95 were on patients who received general anesthesia. The average time to the <jats:styled-content style=\"fixed-case\">RRT<\/jats:styled-content> call after the end of anesthetic care was 11.4 \u00b1 6.6 h. Respiratory concern was the most common reason for <jats:styled-content style=\"fixed-case\">RRT<\/jats:styled-content> initiation, accounting for 71 of the 100 calls. Forty\u2010nine patients had a recent respiratory illness, chronic respiratory\u2010related disease, or history of preterm birth. Fifty patients (50%) were transferred to a higher level of care following the <jats:styled-content style=\"fixed-case\">RRT<\/jats:styled-content> consult. There was no significant difference between age, gender, <jats:styled-content style=\"fixed-case\">ASA<\/jats:styled-content> status, or etiology of the event for patients transferred vs those who were not. A significant difference was noted in the Pediatric Early Warning Score of patients transferred to a higher level of care in comparison to patients who remained on the floor (4 \u00b1 2 vs 3 \u00b1 2, <jats:italic>P<\/jats:italic> = 0.0097).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">RRT<\/jats:styled-content> calls were most common for respiratory concerns. High <jats:styled-content style=\"fixed-case\">ASA<\/jats:styled-content> status, general anesthesia administration, and the presence of acute or chronic conditions prior to anesthetic administration predispose a patient to perioperative complications resulting in the need for an <jats:styled-content style=\"fixed-case\">RRT<\/jats:styled-content> call.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12874","type":"journal-article","created":{"date-parts":[[2016,3,14]],"date-time":"2016-03-14T06:32:06Z","timestamp":1457937126000},"page":"504-511","source":"Crossref","is-referenced-by-count":8,"title":["Etiology of postanesthetic and postsedation events on the inpatient ward: data from a rapid response team at a tertiary care children's hospital"],"prefix":"10.1111","volume":"26","author":[{"given":"N'Diris","family":"Barry","sequence":"first","affiliation":[{"name":"Department of Anesthesiology &amp; Pain Medicine Nationwide Children's Hospital Columbus OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"M. 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