{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T11:35:50Z","timestamp":1785584150110,"version":"3.56.0"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T00:00:00Z","timestamp":1688860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Maintenance of physiological homeostasis is key in the safe conduct of pediatric anesthesia. Achieving this goal is especially difficult in neonatal surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The first aim was to document the absolute number of seven intraoperative parameters monitored during anesthesia in neonates undergoing gastroschisis surgery. The second aims were to determine the frequency of monitoring of each of these intraoperative parameters as well as the proportion of cases in which each parameter was both monitored and maintained within a pre\u2010defined range.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective observational analysis includes data from 53 gastroschisis surgeries performed at Caen University Hospital (2009\u20132020). Seven intraoperative parameters were analyzed. First, we assessed if the intraoperative parameters were monitored or not. Second, when monitored, we assessed if these parameters were maintained within a pre\u2010defined range, based on the current literature and on local agreement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median [first\u2013third <jats:italic>Q<\/jats:italic>], range (min\u2013max) number of intraoperative parameters monitored during the 53 gastroschisis surgeries was 6 [5\u20136], range (4\u20137). There were no missing data for the automatically recorded ones such as arterial blood pressure, heart rate, end\u2010tidal CO<jats:sub>2,<\/jats:sub> and oxygen saturation. Temperature was monitored in 38% of the patients, glycemia in 66%, and natremia in 68% of the cases. Oxygen saturation and heart rate were maintained within the pre\u2010defined range in 96% and 81% of the cases respectively. The blood pressure (28%) and temperature (30%) were instead the least often maintained within the pre\u2010defined range.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although a median of six out of the seven selected intraoperative parameters were monitored during gastroschisis repair, only two of them (oxygen saturation and heart rate) were maintained within the pre\u2010defined range more than 80% of the time. It might be of interest to extend physiologic age\u2010 and procedure\u2010based approach to the development of specific preoperative anesthetic planning.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.14719","type":"journal-article","created":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T07:14:11Z","timestamp":1688886851000},"page":"823-828","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of quality of care in neonatal anesthesia using a bundle of intraoperative parameters"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2132-2231","authenticated-orcid":false,"given":"Jean\u2010Philippe","family":"Sala\u00fcn","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine CHU Caen Normandie Caen University Hospital  14000 Caen France"},{"name":"Normandie Univ, UNICAEN, INSERM UMR\u2010S U1237, Physiopathology and Imaging of Neurological Disorders (PhIND) Institut Blood and Brain @ Caen\u2010Normandie (BB@C), GIP Cyceron  Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roxane","family":"Beaufils","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine CHU Caen Normandie Caen University Hospital  14000 Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Chagnot","sequence":"additional","affiliation":[{"name":"Normandie Univ, UNICAEN, INSERM UMR\u2010S U1237, Physiopathology and Imaging of Neurological Disorders (PhIND) Institut Blood and Brain @ Caen\u2010Normandie (BB@C), GIP Cyceron  Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9n\u00e9ric","family":"Alexandre","sequence":"additional","affiliation":[{"name":"Department of Neonatology CHU Caen Normandie Caen University Hospital  14000 Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry","family":"Petit","sequence":"additional","affiliation":[{"name":"Department of Pediatric surgery CHU Caen Normandie Caen University Hospital  14000 Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Luc","family":"Hanouz","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine CHU Caen Normandie Caen University Hospital  14000 Caen France"},{"name":"EA 4650, Caen Normandy University, UNICAEN  Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0930-2251","authenticated-orcid":false,"given":"Gilles","family":"Orliaguet","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesia and Intensive Care Necker\u2010Enfants Malades University Hospital, AP\u2010HP, Centre\u2010Universit\u00e9 de Paris  Paris France"},{"name":"Pharmacologie et \u00c9valuation des Th\u00e9rapeutiques Chez l'enfant et la Femme Enceinte EA 7323 Universit\u00e9 de Paris  Paris 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