5,239 results match your criteria Paediatric anaesthesia[Journal]


An exploratory study of the relationship between post-operative nausea and vomiting and post discharge nausea and vomiting in children undergoing ambulatory surgery.

Paediatr Anaesth 2019 Feb 14. Epub 2019 Feb 14.

Department of Anesthesiology, Case Western Reserve University School of Medicine, Cleveland, USA.

Background: The factors contributing to postoperative nausea and vomiting in children have been identified, but there have been no reported studies that have studied pediatric post-discharge nausea and vomiting .

Aims: A preliminary study of the factors affecting post discharge nausea and vomiting in ambulatory children, specifically whether postoperative nausea and vomiting factors are contributory.

Methods: 122 pediatric patients aged 5-10 years undergoing elective ambulatory surgery participated in this institution-approved study. Read More

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http://dx.doi.org/10.1111/pan.13612DOI Listing
February 2019

Obituary for Dr Kester Brown 9/12/1935 - 14/11/2018.

Authors:
Ian McKenzie

Paediatr Anaesth 2019 Feb 14. Epub 2019 Feb 14.

Royal Childrens Hospital, Melbourne, Anaesthesia and Pain Management, Flemington Rd, Parkville, Victoria, Australia, 3052.

Kester Brown was a giant of paediatric anaesthesia on whose shoulders so many of us stood. In the spirit of his valuing the importance of publishing as a key tool for others to benefit from his clinical, educational, research or administrative ideas, Kester summarised and published the story of his life and his philosophy. That story, not surprisingly, required two parallel volumes. Read More

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http://dx.doi.org/10.1111/pan.13611DOI Listing
February 2019

Erector spinae plane block for pediatric palliative care.

Paediatr Anaesth 2019 Feb 13. Epub 2019 Feb 13.

Department of Anesthesiology, Perioperative, and Pain Medicine, Lucile Packard Children's Hospital Stanford, Palo Alto, California, United States.

We read with great interest the excellent editorial by Dr.Bosenberg addressing innovative peripheral nerve blocks . As highlighted by Dr. Read More

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http://doi.wiley.com/10.1111/pan.13607
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http://dx.doi.org/10.1111/pan.13607DOI Listing
February 2019
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An innovative airway management technique in an infant with tongue hemangioma.

Paediatr Anaesth 2019 Feb 13. Epub 2019 Feb 13.

Department of Anaesthesiology and Critical care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.

Congenital vascular malformations of tongue complicate pediatric airway management by causing airway obstruction or bleeding during manipulation. We here describe an innovative technique with limited resources to secure the airway in such cases. This article is protected by copyright. Read More

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http://dx.doi.org/10.1111/pan.13610DOI Listing
February 2019

Pediatric ventricular assist devices: Bridge to a new era of peri-operative care.

Paediatr Anaesth 2019 Feb 13. Epub 2019 Feb 13.

Pediatric Cardiology, Stanford Children's Hospital, Stanford University Medical Center, Palo Alto, USA.

Pediatric ventricular assist devices (VADs) are evolving as a standard therapy for end stage heart failure in children. Major recent developments include the increased use of continuous flow (CF) devices in children and increased experience with congenital heart disease (CHD) and outpatient management. In the current and future era anesthesiologists will encounter more children presenting for VAD implantation, subsequent procedures and heart transplantation. Read More

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http://dx.doi.org/10.1111/pan.13609DOI Listing
February 2019

Amending the fasting polemic: is fasting 1 h the answer?

Authors:
Jerrold Lerman

Paediatr Anaesth 2019 Feb 13. Epub 2019 Feb 13.

From the Department of Anesthesiology, Oishei Children's Outpatient Center, 1001 Main St. Suite K-3502, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, U.S.A.

I read with interest recent the APA-ESPA-ADARPEF joint consensus statement and the SPANZA endorsement to reduce the fasting interval after clear fluids in children to 1 hour. I am fully committed to re-examining fasting guidelines in children periodically. However, abbreviating the fasting interval to the point where flexibility to change the order of the surgical list in the face of an unexpected delay or cancellation occur is eliminated, would preclude our ability to run an efficient operating room schedule. Read More

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http://doi.wiley.com/10.1111/pan.13606
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http://dx.doi.org/10.1111/pan.13606DOI Listing
February 2019
1 Read

Comment on 'The Ayre's T-piece turns 80: A 21st century review' Oswald L, Smith E-J, Mathew M, Goonasekera C.

Paediatr Anaesth 2019 Feb 13. Epub 2019 Feb 13.

Anesthesia and Neurosurgical Intensive Care, Università Vita-Salute - Ospedale San Raffaele, Milano, Italy.

We read with great interest and pleasure, the article The Ayre's T-piece turns 80: A 21st century review [1], written by L. Oswald et al. We would like to add that the circuit scheme of modern neonatal ventilators, for example, any version of the Dräger Babylog , are derived from Ayre's T-piece and its successor the Jackson-Rees circuit. Read More

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http://dx.doi.org/10.1111/pan.13605DOI Listing
February 2019

Ultrasound guided brachiocephalic vein cannulation: parasagittal out - plane approach.

Paediatr Anaesth 2019 Feb 13. Epub 2019 Feb 13.

Department of Anesthesia, AIIMS, Patna, India.

Central venous cannulation (CVC) is a commonly performed technique in the perioperative period. Various modifications of the classical internal jugular vein (IJV)/ subclavian vein (SCV) approach have been described which prove handy in situations of difficult cannulation. Lately ultrasound guided brachiocephalic vein (BCV) cannulation has been described wherein the probe is kept transversely on the medial aspect of supraclavicular fossa to visualize the BCV. Read More

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http://dx.doi.org/10.1111/pan.13608DOI Listing
February 2019

The angle Range of Leg Abduction with External Hip Rotation Which Can Minimize Femoral Artery and Vein Overlap in Pediatric Patients.

Paediatr Anaesth 2019 Feb 8. Epub 2019 Feb 8.

Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Since the femoral artery frequently overlaps the femoral vein, femoral central venous catheterization carries the risk of arterial puncture in pediatric patients.

Aim: We evaluated the angle range of leg abduction with external hip rotation to minimize the overlap between the femoral artery and vein in pediatric patients undergoing general anesthesia.

Methods: Eighty-two pediatric patients who underwent elective surgery with general anesthesia were enrolled in this study. Read More

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http://dx.doi.org/10.1111/pan.13603DOI Listing
February 2019

Reply to Haydar, Bishr; Holman, Ashlee; Galante, Dario, regarding their comment 'ESPA Pain Management Ladder: Caudal Clonidine and Cost/Benefit Considerations.

Paediatr Anaesth 2019 Feb 8. Epub 2019 Feb 8.

Retired Reader in Paediatric Anaesthesia and Pain Management, University of Glasgow, Glasgow, Scotland UK.

we thank Dr Haydar and colleagues for their comments on our article and we appreciate their interest and expertise in this field. We note their support for the concept of providing a framework for improvement in care. They make specific points about caudal epidural clonidine, outcomes, risk-benefit balance, use of ultrasound guidance, and the possibility that pain assessment has caused overuse of opioids. Read More

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http://dx.doi.org/10.1111/pan.13602DOI Listing
February 2019
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Handling Section Editor : Prof Britta von Ungern-Sternberg Serious airway-related adverse events with sevoflurane anesthesia via facemask for magnetic resonance imaging in 7129 pediatric patients: a retrospective study.

Paediatr Anaesth 2019 Feb 6. Epub 2019 Feb 6.

Sedation and Analgesia Center, Kunming Children's Hospital, Kunming, China.

Objective: This retrospective study evaluated the safety and effectiveness of sevoflurane anesthesia by facemask for magnetic resonance imaging (MRI) scanning among pediatric patients in a high-volume MRI department.

Methods: The medical records of 7129 pediatric patients (median age 12 mo, range 4.0-36. Read More

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http://dx.doi.org/10.1111/pan.13601DOI Listing
February 2019

Can we use ultrasound examination of gastric content as a diagnostic test in clinical anaesthesia?

Paediatr Anaesth 2019 Feb;29(2):112-113

Department of Anaesthesia and Children's Research Center, University Children's Hospital, Zurich, Switzerland.

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http://dx.doi.org/10.1111/pan.13555DOI Listing
February 2019

In this issue: February 2019.

Authors:
Andrew Davidson

Paediatr Anaesth 2019 Feb;29(2):111

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http://dx.doi.org/10.1111/pan.13592DOI Listing
February 2019

The challenges in managing perioperative hypoglycemia in a child on modified Atkins diet.

Paediatr Anaesth 2019 Feb 5. Epub 2019 Feb 5.

Department of Paediatric Anaesthesia, KK Women's and Children's Hospital, Singapore.

Our patient is a 5-year-old boy with West syndrome, complicated by neurodevelopmental delays, scheduled for elective gastrostomy. He was started on MAD 6 months prior to surgery. His oral anti-epileptics were converted to intravenous equivalents during fasting. Read More

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http://dx.doi.org/10.1111/pan.13600DOI Listing
February 2019
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Recent achievements and future developments in neonatal cardiopulmonary bypass.

Authors:
Mirela Bojan

Paediatr Anaesth 2019 Feb 3. Epub 2019 Feb 3.

Department of Anaesthesia, Congenital Cardiac Unit, Marie Lannelongue Hospital, 133 Avenue de la Resistance, 92350, Le Plessis-Robinson.

A primary goal of improving neonatal cardiopulmonary bypass has been making the circuit smaller and reduce the blood contacting surfaces. As bypass circuit size has decreased, bloodless surgery has become possible even in neonates. Since transfusion guidelines are difficult to construct based on existing literature, these technical advances should be taken advantage of in conjunction with an individualized transfusion scheme, based on monitoring of oxygen availability to the tissues. Read More

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http://dx.doi.org/10.1111/pan.13597DOI Listing
February 2019
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Manual versus pressure-controlled facemask ventilation during the induction of general anaesthesia in children: a prospective randomised controlled study.

Paediatr Anaesth 2019 Feb 3. Epub 2019 Feb 3.

Department of Anaesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.

Background: Gastric insufflation frequently occurs during facemask ventilation in children. In the present study, we compared the incidence of gastric insufflation between pressure-controlled facemask ventilation and manual facemask ventilation during general anaesthesia induction in children.

Methods: Children in the pressure-controlled ventilation group (n = 76) received pressure-controlled facemask ventilation at an inspiratory pressure of 13 cmH O. Read More

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http://dx.doi.org/10.1111/pan.13594DOI Listing
February 2019

Professionalism in Pediatric Anesthesiology: Affirmation of a definition based on results of a nationally-administered survey of pediatric anesthesiologists.

Paediatr Anaesth 2019 Feb 1. Epub 2019 Feb 1.

Department of Family Medicine and Community Health.

Background: Previously published work established the need for a specialty-specific definition of professionalism in pediatric anesthesiology. That work established a composite definition consisting of 11 domains and their component "defining themes" for professionalism in pediatric anesthesiology. As a next step towards assessing generalizability of our single-center findings, we sought to gain input from a national sample of pediatric anesthesiologists. Read More

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http://dx.doi.org/10.1111/pan.13598DOI Listing
February 2019

Risk associated with anesthesia for non-cardiac surgery in children with congenital heart disease.

Paediatr Anaesth 2019 Feb 1. Epub 2019 Feb 1.

Department of Anaesthesiology, Pharmacology and Intensive Care, Paediatric Anaesthesia Unit, University Hospitals of Geneva, Geneva, Switzerland.

Database analysis has proved that peri-operative cardiac arrest occurs with increased frequency in children with congenital heart disease. Several case series and bigger data from ACS NSQIP, have elucidated subgroups at the highest risk. Consistently patients with single ventricle physiology (especially prior to cavo-pulmonary anastomosis), severe/supra-systemic pulmonary hypertension, complex lesions and cardiomyopathy with significantly reduced ventricular function have been shown to be of the greatest concern. Read More

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http://dx.doi.org/10.1111/pan.13595DOI Listing
February 2019
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Retrospective audit of airway management practices in children with craniocervical pathology.

Paediatr Anaesth 2019 Feb 1. Epub 2019 Feb 1.

Department of Neurosurgery, Great Ormond Street Hospital, London, UK.

Background: Craniocervical immobilisation using halo body orthoses may be required in the management of children with craniocervical junction pathology. To date, the effect of such immobilisation on perioperative anaesthetic management has not been addressed in large series.

Aim: To review the airway management of children requiring halo body orthoses undergoing general anaesthesia. Read More

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http://doi.wiley.com/10.1111/pan.13596
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http://dx.doi.org/10.1111/pan.13596DOI Listing
February 2019
2 Reads

Saving Sevoflurane: Automated gas control can reduce consumption of anesthetic vapor by one third in pediatric anesthesia.

Paediatr Anaesth 2019 Jan 22. Epub 2019 Jan 22.

Department of Anesthesia, Children's University Hospital Temple Street, Dublin, Ireland.

Background: Many modern anesthetic machines offer automated control of anesthetic vapor. The user simply sets a desired end-tidal concentration and the machine will manipulate the vaporizer and gas flow rates to obtain and maintain the pre set target. The aim of this software is to allow greater efficiency, and more accurate delivery of anesthetic vapor during anesthesia. Read More

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http://doi.wiley.com/10.1111/pan.13587
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http://dx.doi.org/10.1111/pan.13587DOI Listing
January 2019
6 Reads

Hemodynamic monitoring in children with heart disease: Overview of newer technologies.

Authors:
Justin J Skowno

Paediatr Anaesth 2019 Jan 22. Epub 2019 Jan 22.

Department of Anaesthesia, The Children's Hospital at Westmead, Sydney, Australia.

Every day, hundreds of children around the world undergo some form of heart surgery. Safely seeing a patient through the complexities of paediatric cardiac surgery requires a range of skills, many of which are based on use and interpretation of standard clinical monitoring. However, these monitors are unable to tell us about absolute cardiac output, or whether the current cardiovascular state is adequate to the patient's needs. Read More

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http://doi.wiley.com/10.1111/pan.13590
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http://dx.doi.org/10.1111/pan.13590DOI Listing
January 2019
7 Reads

Statistical Analysis Plan (SAP) for "An international multicenter study of isoelectric electroencephalography (EEG) events in infants and young children during anesthesia for surgery".

Paediatr Anaesth 2019 Jan 21. Epub 2019 Jan 21.

Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania, Perelman School of Medicine, Philadelphia, USA.

This Statistical Analysis Plan (SAP) details the statistical procedures to be applied for the analysis of data for the multi-center electroencephalography (EEG) study. It consists of a basic description of the study in broad terms and separate sections that detail the methods of different aspects of the statistical analysis, summarized under the following headings 1: Background; 2: Definitions of protocol violations; 3: Definitions of objectives and other terms; 4: Variables for analyses; 5: Handling of missing data and study bias; 6: Statistical analysis of the primary and secondary study outcomes; 7: Reporting of study results; and 8: References. It serves as a template for researchers interested in writing a SAP. Read More

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http://dx.doi.org/10.1111/pan.13589DOI Listing
January 2019
1 Read

Quadratus Lumborum Blocks: Two Cases of Associated Hematoma.

Paediatr Anaesth 2019 Jan 21. Epub 2019 Jan 21.

Department of Pediatric Anesthesiology, Acute Pediatric Pain Service, UPMC Children's Hospital of Pittsburgh, Pennsylvania, USA.

The quadratus lumborum block associated complication is a rare event. We report two cases of hematoma following the performance of quadratus lumborum blocks in two patients. Performing this block requires additional consideration of abdominal wall anatomy and patient coagulation status. Read More

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http://dx.doi.org/10.1111/pan.13588DOI Listing
January 2019
2 Reads

The impact of a quality improvement project to standardize pain, agitation, and withdrawal assessments on the use of morphine and midazolam in the Pediatric Intensive Care Unit.

Paediatr Anaesth 2019 Jan 21. Epub 2019 Jan 21.

Division of Pediatric Critical Care, Department of Pediatrics, McGill University, Montreal, Canada.

Objectives: This study aims to assess the impact of a quality improvement initiative to increase assessments of pain, agitation, and iatrogenic withdrawal syndrome, on the use of sedative and analgesic medication in a pediatric intensive care unit.

Design And Setting: This is a retrospective pre- and post, observational, quality improvement study conducted in an eighteen-bed medical-surgical-cardiac, tertiary intensive care unit.

Patients: We included patients consecutively admitted from October 1- March 31 (pre period 2015-2016, post period 2016-2017) who were mechanically ventilated beyond 48 hours. Read More

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http://dx.doi.org/10.1111/pan.13591DOI Listing
January 2019
3 Reads

Supplemental Glucocorticoids and Anesthesia for Non-Invasive Indications in Children with Central Adrenal Insufficiency: A Retrospective Study.

Paediatr Anaesth 2019 Jan 10. Epub 2019 Jan 10.

Department of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, USA.

Adrenal insufficiency is characterized by the deficiency of circulating adrenocortical hormones and can be primary or central. Primary adrenal insufficiency is due to disease of the adrenal cortex, central adrenal insufficiency to a deficit in hypothalamic/pituitary secretion of adrenocorticotropic hormone. Patients with adrenal insufficiency require basal steroid replacement and need supplemental glucocorticoids (GC) during periods of medical stress. Read More

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http://doi.wiley.com/10.1111/pan.13586
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http://dx.doi.org/10.1111/pan.13586DOI Listing
January 2019
10 Reads

Current perspectives on treatment of perioperative hemodynamic instability and hypotension.

Paediatr Anaesth 2019 Jan 5. Epub 2019 Jan 5.

Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA, USA.

Children with congenital heart disease are prone to perioperative hypotension and low cardiac output during cardiac surgery. In order to optimize treatment, it is important to understand the myriad of congenital heart lesions as well as the complexity of the pathophysiology and details of the surgical repair. This paper will review common causes of hypotension and treatment in patients with congenital heart disease. Read More

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http://doi.wiley.com/10.1111/pan.13583
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http://dx.doi.org/10.1111/pan.13583DOI Listing
January 2019
6 Reads

EEG profiles during general anesthesia in children: A comparative study between sevoflurane and propofol.

Paediatr Anaesth 2019 Jan 4. Epub 2019 Jan 4.

Anesthesiology Department, Hôpital Armand Trousseau, Paris, France.

Background: In this prospective study, we describe the electroencephalographic (EEG) profiles in children anesthetized with sevoflurane or propofol.

Methods: Seventy-three subjects (11 years, range 5-18) were included and randomly assigned to two groups according to the anesthetic agent. Anesthesia was performed by target-controlled infusion of propofol (group P) or by sevoflurane inhalation (group S). Read More

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http://dx.doi.org/10.1111/pan.13579DOI Listing
January 2019

SPANZA endorses one-hour clear fluid fasting consensus statement.

Authors:
David Linscott

Paediatr Anaesth 2019 Jan 5. Epub 2019 Jan 5.

University of Otago Christchurch, Anaesthesia Department, Christchurch Hospital, 8140, NZ.

The Society for Paediatric Anaesthesia of New Zealand and Australia (SPANZA) has examined the APA-ESPA-ADARPEF joint consensus statement on clear fluid fasting in children, and associated special interest article: Thomas M, Morrison C, Newton R, Schindler E. Consensus statement on clear fluids fasting for elective pediatric general anesthesia. Pediatr Anesth. Read More

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http://dx.doi.org/10.1111/pan.13585DOI Listing
January 2019
1 Read

Correspondence to: 'Diagnosis and perioperative management in pediatric sleep-disordered breathing'.

Paediatr Anaesth 2019 Jan 5. Epub 2019 Jan 5.

Consultant Paediatric Anaesthetists, Department of Anaesthesia, Great Ormond Street Hospital, UK.

We read with interest the article recently published by Scalzitti et al. (1) discussing the diagnosis and perioperative management for children with sleep disordered breathing. The author proposes a modified analgesic regime for children with severe sleep disordered breathing. Read More

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http://dx.doi.org/10.1111/pan.13584DOI Listing
January 2019

ESPA Pain Management Ladder: Caudal Clonidine and Cost/Benefit Considerations.

Paediatr Anaesth 2019 Jan 4. Epub 2019 Jan 4.

University Department of Anesthesia and Intensive Care, University Hospital Ospedali Riuniti, Foggia, Italy.

We read with interest the work by Vittinghoff and colleagues(1) on the creation of guidelines for postoperative pain management in children which aims to "guide best practice" through expert consensus. The creation of a framework for improvement is laudable and may prove useful to lower-resource institutions as they seek to maximize the patient benefit obtained from any increase in funding. Improving patient outcomes is the essence of medicine. Read More

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http://dx.doi.org/10.1111/pan.13575DOI Listing
January 2019

The association between high-volume intraoperative fluid administration and outcomes among pediatric patients undergoing large bowel resection.

Paediatr Anaesth 2019 Jan 4. Epub 2019 Jan 4.

Department of Anesthesiology, Critical Care & Pain Medicine, Boston Children's Hospital, Boston.

Background: Traditional intraoperative fluid administration practices have been challenged this century with data suggesting improved outcomes with restrictive or goal-directed fluid administration during adult bowel surgery. Minimal data on outcomes associated with differing intraoperative fluid administration practice exists for pediatric patients.

Aims: We assessed factors and outcomes associated with high-volume fluid administration in pediatric patients undergoing colectomy. Read More

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http://dx.doi.org/10.1111/pan.13581DOI Listing
January 2019

Comparison of low-fresh gas flow technique to standard technique of sevoflurane induction in children-A randomized controlled trial.

Paediatr Anaesth 2019 Jan 4. Epub 2019 Jan 4.

Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

Background: Although sevoflurane is preferred for inhalational induction in children, financial and environmental costs remain major limitations. The aim of this study was to determine if the use of low-fresh gas flow during inhalational induction with sevoflurane could significantly reduce agent consumption, without adversely affecting induction conditions.

Methods: After institutional ethical committee approval, 50 children, aged 1-5 years, undergoing ophthalmic procedures under general anesthesia, were randomized into two groups-standard induction (Group S) and low-flow induction (Group L). Read More

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http://doi.wiley.com/10.1111/pan.13582
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http://dx.doi.org/10.1111/pan.13582DOI Listing
January 2019
10 Reads
1.742 Impact Factor

Society for the Advancement of Blood Management Administrative and Clinical Standards for Patient Blood Management Programs. 4 Edition (Pediatric Version).

Paediatr Anaesth 2019 Jan 4. Epub 2019 Jan 4.

Department of Anesthesiology and Bloodless Medicine, Englewood Hospital and Medical Center, NJ, USA.

Patient Blood Management is the timely application of evidence-based medical and surgical concepts designed to maintain hemoglobin concentration, optimize hemostasis and minimize blood loss to improve patient outcomes. Conceptually similar to a "bundle" strategy, it is designed to improve clinical care by using comprehensive evidence-based treatment strategies to manage patients with potential or ongoing critical bleeding, bleeding diathesis, critical anemia and/ or a coagulopathy. Patient Blood Management includes multimodal strategies to screen, diagnose and properly treat anemia, coagulopathies and minimize bleeding, using goal-directed therapy and leverages a patient's physiologic ability to adapt to anemia while definitive treatment is undertaken. Read More

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http://dx.doi.org/10.1111/pan.13574DOI Listing
January 2019
6 Reads

Increasing Compliance of Safe Medication Administration in Pediatric Anesthesia by use of a standardized checklist.

Paediatr Anaesth 2019 Jan 4. Epub 2019 Jan 4.

Department of Pediatric Anesthesiology, Cincinnati Children's Hospital, Cincinnati, Ohio.

Background: Medication errors pose a significant risk perioperatively. In the perioperative environment, common medication administration processes are not typically performed. Given the common administration of potentially harmful medications and the potential for medication errors, patient risk is substantial. Read More

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http://doi.wiley.com/10.1111/pan.13578
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http://dx.doi.org/10.1111/pan.13578DOI Listing
January 2019
2 Reads

Feasibility and Indicator Outcomes Using Computerized Clinical Decision Support in Pediatric Traumatic Brain Injury Anesthesia Care.

Paediatr Anaesth 2019 Jan 4. Epub 2019 Jan 4.

Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, USA.

Background: Traumatic brain injury anesthesia care is complex. The use of clinical decision support to improve pediatric trauma care has not been examined.

Aim: To examine feasibility, reliability, and key performance indicators for traumatic brain injury anesthesia care using clinical decision support. Read More

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http://dx.doi.org/10.1111/pan.13580DOI Listing
January 2019
1 Read

Single injection ultrasound-guided rectus sheath blocks for children: Distribution of injected anesthetic.

Paediatr Anaesth 2019 Jan 4. Epub 2019 Jan 4.

Department of Pediatric General and Thoracic Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.

Background: Single injection ultrasound-guided rectus sheath blocks are used for postoperative analgesia after midline abdominal incisions, but the ultrasonographic spread of medication posterior to the rectus muscle has not been investigated.

Aims: The primary goal of this study was to determine the ultrasound-measured medication spread superiorly and inferiorly after single injection ultrasound-guided rectus sheath blocks and to calculate the incidence of cases with spread up to the subcostal margin and below of umbilicus. The secondary goals were to correlate the spread with the volume of medication administered and with the patient's age, weight, height, sex, and body mass index. Read More

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http://doi.wiley.com/10.1111/pan.13577
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http://dx.doi.org/10.1111/pan.13577DOI Listing
January 2019
7 Reads

Guide to the statistical analysis plan.

Paediatr Anaesth 2019 Jan 4. Epub 2019 Jan 4.

Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania.

Biomedical research has been struck with the problem of study findings that are not reproducible. With the advent of large databases and powerful statistical software, it has become easier to find associations and form conclusions from data without forming an a-priori hypothesis. This approach may yield associations without clinical relevance, false positive findings, or biased results due to "fishing" for the desired results. Read More

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http://dx.doi.org/10.1111/pan.13576DOI Listing
January 2019
2 Reads

In this issue: January 2019.

Authors:
Andrew Davidson

Paediatr Anaesth 2019 Jan;29(1)

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http://dx.doi.org/10.1111/pan.13564DOI Listing
January 2019

News from SPANZA.

Authors:
David Linscott

Paediatr Anaesth 2019 Jan;29(1):3-4

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http://dx.doi.org/10.1111/pan.13560DOI Listing
January 2019

Acetaminophen dosing in the era of enhanced recovery after surgery.

Paediatr Anaesth 2019 Jan;29(1)

Department of Anesthesiology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.

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http://dx.doi.org/10.1111/pan.13532DOI Listing
January 2019

Balancing competing risks.

Paediatr Anaesth 2019 Jan;29(1):6-7

Department of Anesthesiology, Critical Care and Pain Medicine, Division of Cardiac Anesthesia, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

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http://dx.doi.org/10.1111/pan.13537DOI Listing
January 2019
1 Read

Anesthesia for high-risk procedures in the catheterization laboratory.

Paediatr Anaesth 2018 Dec 28. Epub 2018 Dec 28.

Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

Recent advances in catheterization and imaging technology allow for more complex procedures to be performed in the catheterization laboratory. A number of lesions are now amenable to a percutaneous procedure, eliminating or at least postponing the need for a surgical intervention. Due to the increase in the complexity of the procedures performed, the involvement of anesthesiologists and their close collaboration with the interventional cardiologists have increased. Read More

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http://dx.doi.org/10.1111/pan.13571DOI Listing
December 2018
6 Reads

Intraoperative antibiotic redosing compliance and the extended postoperative recovery period: often overlooked areas that may reduce surgical site infections.

Paediatr Anaesth 2018 Dec 28. Epub 2018 Dec 28.

Department of Pediatrics, University of Washington, Washington and Seattle Children's Hospital, Seattle, USA.

It was with great interest that we read Compliance with perioperative prophylaxis guidelines and the use of novel outcome measures by Morse, et al. The authors should be applauded for presenting a well-balanced review of the rationale behind the use of prophylactic antibiotics, data supporting dosing intervals, and potential outcome measures. This article is protected by copyright. Read More

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http://doi.wiley.com/10.1111/pan.13568
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http://dx.doi.org/10.1111/pan.13568DOI Listing
December 2018
9 Reads

Anaesthetic management of uncorrected Tetralogy of Fallot and mitochondrial disorder: a role for Dexmedetomidine.

Paediatr Anaesth 2018 Dec 28. Epub 2018 Dec 28.

Queensland Children's Hospital, Department of Cardiology, Brisbane, Australia.

The case presented is a patient with uncorrected cyanotic congenital heart disease (CHD) and a mitochondrial disorder, and highlights the need for understanding of the physiological sequelae and impact of anaesthesia for these disorders. A 9-year-old boy with uncorrected Tetralogy of Fallot (TOF) and mitochondrial disorder presented for palliative right ventricular outflow tract (RVOT) stent insertion. Given the severity of his developmental delay and guarded prognosis, definitive surgical management was not undertaken earlier in life. Read More

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http://dx.doi.org/10.1111/pan.13570DOI Listing
December 2018
3 Reads

Resilience in children and their parents enduring pediatric medical traumatic stress.

Paediatr Anaesth 2018 Dec 27. Epub 2018 Dec 27.

Faculty of Health Sciences, Department of Anaesthesiology and Intensive Care, School of Medicine, University of Eastern Finland, Kuopio, Finland.

Due to the general lack of familiarity with the concept in the medical field, resilience is rarely considered in pediatric medical traumas. Resilience is an ability that enables recovery after adversities such as traumas, surgeries, serious health problems, or social issues. Stress from medical traumas encompasses both the psychological and physical responses of children and their families. Read More

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http://dx.doi.org/10.1111/pan.13573DOI Listing
December 2018

Tetralogy of Fallot: Everything You Wanted to Know but Were Afraid to Ask.

Paediatr Anaesth 2018 Dec 27. Epub 2018 Dec 27.

Department of Surgery, Stanford University, Palo Alto, USA.

Tetralogy of Fallot (TOF) is the most common form of congenital cyanotic heart disease, occurring in approximately 4 to 5 per 10,0000 live births, and represents 7-10% of all congenital heart defects (1,2). Although TOF is often thought of in terms of the tetrad of anomalies-pulmonary stenosis, ventricular septal defect (VSD), aorta overriding the ventricular septum, and right ventricular hypertrophy-it has been proposed that all of these features are the result of anterior malalignment of the infundibular septum with the muscular septum (3,4). There are several variants of TOF as well, which manifest other abnormal features and are discussed in the following review. Read More

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http://dx.doi.org/10.1111/pan.13569DOI Listing
December 2018
2 Reads

Anesthetist-delivered intraoperative transesophageal echocardiography in pediatric cardiac surgery.

Authors:
Tim Murphy

Paediatr Anaesth 2018 Dec 27. Epub 2018 Dec 27.

Bristol Royal Hospital for Children, Bristol, UK.

This article reviews the evidence for anesthetist-delivered perioperative transesophageal echocardiography for children undergoing cardiac surgery. It addresses the additional issues of training, developing practice, accreditation, and the requirement for collaboration with pediatric cardiologists, surgeons and other members of the perioperative team. Finally an overview of the potential structure of an anesthetist-delivered perioperative transesophageal echocardiography service is presented. Read More

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http://dx.doi.org/10.1111/pan.13572DOI Listing
December 2018

Adverse events in radiation oncology: A case series from wake up safe, the pediatric anesthesia quality improvement initiative.

Paediatr Anaesth 2018 Dec 23. Epub 2018 Dec 23.

Radiation Oncology, University of Michigan, Ann Arbor, Michigan.

Background: Radiation therapy in pediatric patients often requires anesthesia and poses environmental challenges. Monitoring must be done remotely to limit radiation exposure to the provider. Airway access can be limited by masks or frames. Read More

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http://dx.doi.org/10.1111/pan.13567DOI Listing
December 2018
7 Reads

Behavioural training and mirroring techniques to prepare elective anaesthesia in severe autistic spectrum disorder patients: an illustrative case and review.

Paediatr Anaesth 2018 Dec 21. Epub 2018 Dec 21.

Department of paediatric psychiatry, Necker Enfants Malades Paris FR.

Children with autistic spectrum disorder are more likely to become distressed during induction of anaesthesia. Inhalational induction is almost always the preferred route with acceptance of the face mask often presenting a considerable challenge. Tempering measures to facilitate gas induction such as forced premedication and physical restraint are no longer viable options except in extenuating circumstances. Read More

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http://doi.wiley.com/10.1111/pan.13566
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http://dx.doi.org/10.1111/pan.13566DOI Listing
December 2018
6 Reads

Quality control and stability of ketamine, remifentanil, and sufentanil syringes in a pediatric operating theater.

Paediatr Anaesth 2019 Feb 15;29(2):193-199. Epub 2019 Jan 15.

CHU Lille, Institut de Pharmacie, Lille, France.

Background: Transforming a drug from its commercial form into a ready-to-use drug is common practice, especially in pediatrics. However, the risk of compounding error is real and data on drug stability in practice are not always available.

Aims: The aim of this study was to assess, in real conditions, both the error rate and stability of three drugs: ketamine, remifentanil, and sufentanil. Read More

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http://dx.doi.org/10.1111/pan.13563DOI Listing
February 2019
1 Read