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Safe Anesthesia For Every Tot – The SAFETOTS initiative

Weiss, Markusa,b; Vutskits, Laszloc; Hansen, Tom G.d,e; Engelhardt, Thomasf

Current Opinion in Anaesthesiology: June 2015 - Volume 28 - Issue 3 - p 302–307
doi: 10.1097/ACO.0000000000000186
Editor's Choice

Purpose of review The term ‘safe use of anesthesia in children is ill-defined and requires definition of and focus on the ‘safe conduct of pediatric anesthesia’.

Recent findings The Safe Anesthesia For Every Tot initiative ( has been set up during the last year to focus on the safe conduct of pediatric anesthesia. This initiative aims to provide guidance on markers of quality anesthesia care. The introduction and implementation of national regulations of ‘who, where, when and how’ are required and will result in an improved perioperative outcome in vulnerable children. The improvement of teaching, training, education and supervision of the safe conduct of pediatric anesthesia are the main goals of the initiative.

Summary This initiative addresses the well known perioperative risks in young children, perioperative causes for cerebral morbidity as well as gaps in regulations, teaching and research. Defining the ‘who’, ‘where’, ‘when’ and ‘how’ in this context provides the framework for the safe conduct of pediatric anesthesia.

aFaculty of Medicine, University of Zurich

bDepartment of Anaesthesia, University Children's Hospital Zurich, Zurich, Switzerland

cDepartment of Anesthesiology, Pharmacology and Intensive Care, University Hospital of Geneva, Geneva

dDepartment of Anaesthesia & Intensive Care, Paediatric Section, Odense University Hospital

eClinical Institute – Anaesthesiology, University of Southern Denmark, Odense, Denmark

fSchool of Medicine and Dentistry, University of Aberdeen, Royal Aberdeen Children's Hospital, Scotland, UK

Correspondence to Markus Weiss, MD, Department of Anaesthesia, University Children's Hospital, Steinwiesstrasse 75, 8032 Zurich, CH., Switzerland. Tel: +41 44 266 7365; fax: +41 44 266 8032; e-mail:

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