Boston Children's Hospital Post Anesthesia Care Unit Outcomes Study

Evaluation of Perioperative Outcomes in Children: Creation of the Boston Children's Hospital Perioperative Outcomes Registry

The purpose of this study is to evaluate the quality of outcomes in the Post Anesthesia Care Unit (PACU) at BCH and to identify preoperative demographic and behavioral data as well as intraoperative and anesthetic predictors of adverse PACU outcomes. The investigators hypothesize quality of PACU outcomes will correlate with preoperative demographic and behavioral characteristics as well as intraoperative and anesthetic procedures/techniques. This study will help the investigators improve post anesthetic care quality and create a higher level of satisfaction for patients, family, and health care providers.

Inclusion Criteria:

• All patients scheduled for surgery at Boston Children's Hospital ages 6 months to 30 years undergoing the following qualifying surgeries:

Genito-Urinary/Urology Department:

• Circumcision, Orchidopexy, Hypospadias Repair, Hernia Repair, Cystoscopy, Pyeloplasty, and Ureteral Reimplants or Ureteral Stents.

Otolaryngology Department:

• Tonsil and/or Adenoid Removal, Tympanostomy, Tympanoplasty, and Mastoidectomy.

Orthopaedics Department:

• Hip and Knee Arthroscopies, Hardware Removal, and Tendon Lengthening.
• Plastic Surgery Department: Alveolar Cleft Repair.

Exclusion Criteria:

• English as a second language.
• < 6 months, > 21 or 30 (hip patients only).
• Resident of a residential facility or ward of state.
• Guardianship status unclear.
• Not headed to the PACU post-operatively.
• Day of: Projected to arrive in PACU after 3 PM.
• Duration of surgery well beyond ordinary for procedure type.
• Exceptionally complex medical history.