[Regional organization for intensive care in children, need for maintenance of competence in paediatric anaesthesia and intensive care].
The recent French text concerning the medical care both of the child and the teenager classifies the establishments either in specialized centers or in proximity centers according to their level in the management of children and teenagers, the competences of their medical teams, their organization in permanence of care and the volume of acts they carry out and pathologies they treat by class of age. This grid of the paediatric activities implies a new organization both in paediatric surgery and in paediatric ENT and consequently in the anaesthetic organization. Anaesthetic competences necessary to the achievement of this mission and the means of maintaining these later are analyzed and compared with some foreign experiments.
Courrèges
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Service d'anesthésie pédiatrique, hôpital pédiatrique Saint-Antoine, BP 255, 59019 Lille cedex, France.
Ecoffey
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D000293:Adolescent; D000367:Age Factors; D000776:Anesthesiology / Q000193:education / Q000379:methods / Q000458:organization & administration*; D001315:Australia; D002648:Child; D002675:Child, Preschool; D002983:Clinical Competence; D003422:Critical Care / Q000458:organization & administration*; D005602:France; D006040:Goals; D006761:Hospitals / Q000145:classification; D006776:Hospitals, Pediatric / Q000458:organization & administration; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009520:New Zealand; D010038:Otorhinolaryngologic Diseases / Q000601:surgery; D010372:Pediatrics / Q000193:education; D017410:Practice Guidelines as Topic; D014481:United States