{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T04:14:17Z","timestamp":1748405657705,"version":"3.41.0"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"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":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>After\u2010hours pediatric anesthesia may pose increased risks, with a heightened potential for sudden cardio\u2010respiratory decline. While mortality rates are low in Australia and New Zealand, critical events and morbidity occur more frequently and present ongoing challenges. However, little is known about how trainees are supervised during these high\u2010risk periods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An anonymized online survey of members of the Society for Pediatric Anesthesia in New Zealand and Australia (SPANZA) was conducted to explore supervising anesthetists attitudes towards after\u2010hours supervision. The survey examined the influence of patient age, medical history, trainee experience, and surgery type on supervision practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Respondents identified age and physical status as key risk factors but reported providing less direct supervision than recommended by international studies, especially for non\u2010complex surgeries in healthy children. Trainee experience was a significant factor in supervision decisions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pediatric anesthetists in Australia and New Zealand recognize major risk factors but tend to supervise more remotely after\u2010hours. Further research is needed to evaluate the effects of these supervision practices on outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.15068","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T12:28:46Z","timestamp":1737548926000},"page":"424-429","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Supervision of Pediatric Anesthesia After\u2010Hours: A Survey of Pediatric Anesthetists in Australia and New Zealand"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1583-2168","authenticated-orcid":false,"given":"Steven","family":"Cai","sequence":"first","affiliation":[{"name":"Department of Anaesthesia Prince of Wales Hospital  Sydney New South Wales Australia"},{"name":"School of Medicine, Randwick Clinical Campus UNSW Medicine  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4253-0643","authenticated-orcid":false,"given":"Fiona","family":"Taverner","sequence":"additional","affiliation":[{"name":"Flinders University College of Medicine and Public Health  Adelaide South Australia Australia"},{"name":"Department of Anaesthesia and Pain Medicine Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.14163"},{"key":"e_1_2_10_3_1","unstructured":"ANZCA \u201cSafety of Anaesthesia: A Review of Anaesthesia\u2010Related Mortality Reporting in Australia and New Zealand 2015\u20132017 \u201daccessed December 2024 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