5,267 results match your criteria Pediatric Anesthesia[Journal]


The effect of pediatric patient temperament on post-operative outcomes.

Paediatr Anaesth 2019 Apr 18. Epub 2019 Apr 18.

Boston Children's Hospital, Department of Anesthesiology, Perioperative and Pain Medicine, Boston, MA, 02115.

Background: Research has improved practitioner awareness of the impact of individual characteristics on responses to painful procedures. However, there is little data relating pre-existing temperament profiles and post-surgical/anesthesia outcomes in pediatric patients. In particular, it is not clear how best to identify which patients are at risk of poor post-surgical outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13646DOI Listing

Quality Improvement and Safety Analytics can improve perioperative safety for children in developing countries.

Paediatr Anaesth 2019 04;29(4):298-299

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13599DOI Listing

Time to stop the go slow on the low flow.

Paediatr Anaesth 2019 04;29(4):300-301

Department of Anaesthesia, Christchurch Hospital, Christchurch, New Zealand.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13618DOI Listing

Apneic nasal oxygenation prolongs safe apnea time during pediatric intubations by learners.

Paediatr Anaesth 2019 Apr 3. Epub 2019 Apr 3.

Department of Anesthesiology & Critical Care Medicine, University of New Mexico School of Medicine, Albuquerque, USA.

Background: Apneic nasal oxygenation prolongs the time to desaturation during intubation of adult patients, but there is limited prospective evidence for apneic oxygenation in pediatric patients.

Aims: We hypothesized that apneic nasal oxygenation during operating room intubation of pediatric patients by inexperienced learners would prolong the interval before desaturation.

Methods: This prospective observational study compared intubation data for 196 pediatric surgical patients intubated by learners under baseline practice (no nasal cannula), to 160 patients enrolled after adoption of routine apneic nasal cannula oxygenation at 5 L·min . Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13645DOI Listing
April 2019
4 Reads

Clear fluids are the solution to the fasting drought. The SPANZA perspective.

Authors:
Ben Turner

Paediatr Anaesth 2019 Apr 2. Epub 2019 Apr 2.

Department of Anaesthesia and Pain Management, The Royal Children's Hospital, Melbourne.

We thank Dr. Lerman for his considered response to the endorsement of the Consensus Statement on clear fluids fasting for elective pediatric general anesthesia(1) by SPANZA. SPANZA,as other societies have, independently reviewed the current literature, including that referenced by Dr Lerman before endorsing a one hour clear fluid fasting policy. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/pan.13644
Publisher Site
http://dx.doi.org/10.1111/pan.13644DOI Listing
April 2019
3 Reads

Accuracy of pulse oximeters at low oxygen saturations in children with congenital cyanotic heart disease: an observational study.

Paediatr Anaesth 2019 Apr 2. Epub 2019 Apr 2.

Department of Anesthesiology and Pain medicine, Seoul National University Hospital, Seoul National University College of Medicine, #101 Daehak-ro, Jongno-GU, Seoul, 03080, Republic of Korea.

Background: Pulse oximetry overestimates arterial oxygen saturation (SaO ) at <90% saturation in cyanotic children. The Masimo Blue sensor (Masimo Corp., Irvine, CA, USA) is a pulse oximetry sensor developed for use in children with cyanosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13642DOI Listing
April 2019
4 Reads

Case Series of 331 doses of Sugammadex compared to Neostigmine in patients under 2 years old.

Paediatr Anaesth 2019 Apr 1. Epub 2019 Apr 1.

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

Background: Sugammadex is a novel neuromuscular blockade reversal agent approved by the Food and Drug Administration in 2015, but little literature exists for patients less than 2 years old.

Aims: The aims of this study were to: describe a cohort of patients 2 years old and younger who received sugammadex; describe any adverse effects of sugammadex in this age group; compare time from end of surgery to out of operating room for sugammadex versus neostigmine; compare time between last dose of neuromuscular blocking drug and reversal; and use train-of-four data to assess reversal.

Methods: Chart review of the medical record and the anesthesia information system captured all patients in this age cohort who received sugammadex or neostigmine over a two-year period. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13643DOI Listing
April 2019
3 Reads

Role of echocardiography in the assessment of right ventricular function in the pediatric population.

Paediatr Anaesth 2019 Apr 1. Epub 2019 Apr 1.

Pediatrics- Cardiology, Stanford University school of Medicine, Stanford, CA, USA.

This review article summarizes the use of echocardiography in the evaluation of right ventricle with special emphasis on pediatric patients. After reading this article, the anesthesiologists will develop a better understanding of anatomy and echocardiographic parameters for hemodynamic and functional assessment of the right ventricle. This knowledge will assist with the perioperative management of patients with cardiopulmonary disorder. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13641DOI Listing
April 2019
1 Read

The Society for Pediatric Anesthesiology Recommendations for the Use of Opioids in Children During the Perioperative Period.

Paediatr Anaesth 2019 Mar 31. Epub 2019 Mar 31.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, USA.

Opioids have long held a prominent role in the management of perioperative pain in adults and children. Published reports concerning the appropriate, and inappropriate, use of these medications in pediatric patients have appeared in various publications over the last 50 years. For this document, the Society for Pediatric Anesthesia appointed a taskforce to evaluate the available literature and formulate recommendations with respect to the most salient aspects of perioperative opioid administration in children. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13639DOI Listing
March 2019
1 Read

Airway Management in Patients with Mucopolysaccharidoses: The Progression Towards Difficult Intubation.

Paediatr Anaesth 2019 Mar 31. Epub 2019 Mar 31.

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

Background: Patients with mucopolysaccharidoses have physical changes to their airways over time. Due to the natural progression of their disease, these patients become more difficult to intubate as they get older.

Aims: The aims of this study were to evaluate the difficulty of airway management in mucopolysaccharidoses patients over time, and to evaluate the effect of bone marrow transplant and/or enzyme replacement therapy on airway difficulty. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/pan.13640
Publisher Site
http://dx.doi.org/10.1111/pan.13640DOI Listing
March 2019
3 Reads

Pediatric drug regulation: International perspectives.

Paediatr Anaesth 2019 Mar 28. Epub 2019 Mar 28.

Pediatric Drugs Working Group/Office of Vaccines and Blood Products, Pharmaceuticals and Medical Devices Agency, Tokyo, Japan.

There was a time when the predominant approach to exposing children to new drugs was to protect children from research. This has evolved over the past several decades into protecting children through research. To encourage pediatric studies and approval of pediatric medicines, governments have provided financial incentives as well as obligations/requirements for pharmaceutical companies to carry out pediatric studies in certain circumstances. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13638DOI Listing
March 2019
1 Read

Varying screen size for passive video distraction during induction of anesthesia in low-risk children: A pilot randomized controlled trial.

Paediatr Anaesth 2019 Mar 27. Epub 2019 Mar 27.

Division of Pediatric Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California.

Background: Preoperative anxiety affects up to 65% of children who undergo anesthesia induction and often results in uncooperative behavior. Electronic devices have been used to distract children to reduce anxiety and create a more enjoyable preoperative experience. Few studies have compared the effects of different video delivery systems on preoperative anxiety. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13636DOI Listing
March 2019
1 Read

Simple technique to avoid complications of head and neck movements in children undergoing ventriculoperitoneal shunt.

Paediatr Anaesth 2019 Mar 25. Epub 2019 Mar 25.

Department of Anaesthesiology, Kasturba Medical College, Manipal, 576104, INDIA.

Hydrocephalous in children is usually due to the result of obstruction to cerebrospinal fluid (CSF) flow or impaired CSF resorption. The most common choice for cerebrospinal fluid diversion in children is a ventriculoperitoneal shunt (VP shunt), which involves shunting of CSF from the lateral ventricles in to the peritoneum. During VP shunt surgery, the patient is positioned supine with the head turned toward the opposite side. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13635DOI Listing
March 2019
1 Read

Shakespeare, Perioperative Respiratory Adverse Events, COLDS, and the Room Air Oxygen Saturation: "All's Well That Ends Well".

Paediatr Anaesth 2019 Mar 25. Epub 2019 Mar 25.

Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.

We read with some interest the article by Lee et al. on using the COLDS assessment tool to evaluate the risk of perioperative respiratory adverse events in children with an upper respiratory tract infection (URI). This article, like many research reports looking at URI and perioperative respiratory adverse events in children, reminds us that as typically defined, perioperative respiratory adverse events are fairly common in pediatric patients, even in those who do not have a URI. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13633DOI Listing
March 2019
1 Read

Postoperative Tramadol administration at home after ambulatory surgery in children.

Paediatr Anaesth 2019 Mar 25. Epub 2019 Mar 25.

Department of Anesthesia, Intensive care and Pain Management, AP-HP, Robert Debré University Hospital., Paris, France.

Since the withdrawal of codeine in children, rescue analgesia is usually usually performed using tramadol. This compound is metabolized (by the P2D6 cytochrome the same enzyme that transforms codeine to morphine) to the O-Demethyl tramadol, a compound 20 times more potent than morphine (1). Cases of respiratory depression have been observed in patients receiving tramadol. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13634DOI Listing
March 2019
4 Reads

Cervical instability in patients with Trisomy 21: the gamble continues.

Authors:
Anju R Bhalotra

Paediatr Anaesth 2019 Mar 25. Epub 2019 Mar 25.

Department of Anaesthesiology, Maulana Azad Medical College& associated Lok Nayak Hospital, New Delhi, India.

Sir - Down syndrome (DS) continues to be the most common chromosomal disorder and it is the rare anesthesiologist who has not encountered these patients. I read with interest the review by Bertolizio et al on cervical instability in patients with Trisomy 21. For children with documented instability, as discussed by Bertolizio, due care can be taken, including limitation of neck movements, use of video laryngoscopy, MILS, a neck collar etc. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/pan.13630
Publisher Site
http://dx.doi.org/10.1111/pan.13630DOI Listing
March 2019
2 Reads

Dräger Ventilator - Ventilates without Fresh Gas Flow.

Paediatr Anaesth 2019 Mar 25. Epub 2019 Mar 25.

Department of Anaesthesia, Leicester Royal Infirmary, Leicester, UK.

We present a case which illustrates a serious design flaw in the Dräger Fabius Tiro anaesthetic machine, which risks hypoxia and, additionally, awareness in a paralysed patient. This occurred during anaesthesia in a healthy 2 year old child undergoing emergency trauma surgery to their hand. Following intravenous induction with Propofol and Alfentanil, tracheal intubation was performed without a muscle relaxant. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/pan.13631
Publisher Site
http://dx.doi.org/10.1111/pan.13631DOI Listing
March 2019
3 Reads

Using a feeding tube to intubate and ventilate a 650 gram preterm neonate.

Paediatr Anaesth 2019 Mar 25. Epub 2019 Mar 25.

Department of Anaesthesiology, Lady Hardinge Medical College and Associated Hospitals, Shaheed Bhagat Singh Marg, New-Delhi, 110001, India.

A 28 week old male patient born of a normal vaginal delivery in the hospital presented on the second day of life with failure to feed, vomiting and abdominal distension, diagnosed as necrotizing enterocolitis. The baby weighed 650gm and was planned for an exploratory laparotomy. On examination, the child was conscious and actively moving all four limbs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13632DOI Listing
March 2019
1 Read

Persistent subcutaneous CSF leak after removal of epidural catheter.

Paediatr Anaesth 2019 Mar 25. Epub 2019 Mar 25.

Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, Wisconsin.

We report the case of an 11-month-old boy with Wilm's tumor, who underwent nephrectomy. Postoperative pain was managed with a lumbar epidural for 3 days, with the formation of a persistent cerebral spinal fluid cutaneous fistula. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13629DOI Listing

Modification of the use of mask for inhalation induction in uncooperative patients.

Paediatr Anaesth 2019 Mar 25. Epub 2019 Mar 25.

Division of Anesthesiology, Department of Highly Advanced Stomatology, Kanagawa Dental University Graduate School, Yokohama, Japan.

In our institution, we often encounter handicapped and pediatric patients who undergo inhalation induction with sevoflurane because securing an intravenous line before anesthesia induction is difficult. Inhalation induction (nitrous oxide: 66%, sevoflurane: 8%) takes 60 seconds to acquire loss of eyelash reflex. Single breath induction, which is faster, is not always tolerated. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/pan.13628
Publisher Site
http://dx.doi.org/10.1111/pan.13628DOI Listing
March 2019
6 Reads

Classification of postoperative behavior disturbances in preschool children: a qualitative study.

Paediatr Anaesth 2019 Mar 14. Epub 2019 Mar 14.

Psychopathology and Cognitive Neuropsychology Unit, Department of Psychology, University of Geneva, 1211, Geneva 4, Switzerland.

Background/aim: Negative postoperative changes in children are frequent and have been described for decades. However, there is currently no theoretical framework, nor any consensual operational criteria for identifying them. This study aims at characterizing the many dimensions involved in postoperative behavioral disturbances in early childhood, using a qualitative analysis applied for the first time to these symptoms. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/pan.13627
Publisher Site
http://dx.doi.org/10.1111/pan.13627DOI Listing
March 2019
5 Reads

Regional anesthesia for sternotomy and bypass-Beyond the epidural.

Authors:
Naveen Raj

Paediatr Anaesth 2019 Mar 12. Epub 2019 Mar 12.

Jackson Rees, Department of Anesthesia. Alder Hey Children's NHS Foundation Trust, Liverpool, UK.

Systemic opioids have been the main stay for the management of perioperative pain in children undergoing cardiac surgery with sternotomy. The location, distribution and duration of pain in these children has not been studied as extensively as in adults. Currently there is no consensus to the dose of opioids required to provide optimum analgesia and attenuate the stress response whilst minimising their unwanted side effects. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13626DOI Listing
March 2019
2 Reads

Perioperative management of antithrombotic treatment in children.

Paediatr Anaesth 2019 Mar 7. Epub 2019 Mar 7.

Thrombosis & Haemophilia Centre, Guy's & St Thomas' NHS Foundation Trust, London, UK.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13511DOI Listing
March 2019
1 Read

Getting to Know a Familiar Face: Current and Emerging Focused Ultrasound Applications for the Perioperative Setting.

Paediatr Anaesth 2019 Mar 6. Epub 2019 Mar 6.

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

Ultrasound technology is available in many pediatric perioperative settings. There is an increasing number of ultrasound applications for anesthesiologists which may enhance clinical performance, procedural safety and patient outcomes. This review highlights the literature and experience supporting focused ultrasound applications in the pediatric perioperative setting across varied disciplines including anesthesiology. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13625DOI Listing
March 2019
1 Read

A multicentre audit of the use of bronchoscopy during open and thoracoscopic repair of oesophageal atresia with tracheo-oesophageal fistula.

Paediatr Anaesth 2019 Feb 27. Epub 2019 Feb 27.

Department of Anaesthesia, Royal Brompton NHS Foundation Trust, London, UK.

Background: Oesophageal atresia with tracheo-oesophageal fistula is usually repaired in the neonatal period. Preferential ventilation through the fistula can lead to gastric distension. Bronchoscopy has a role in defining the site and size of the fistula and may be carried out by the surgeon or the anaesthetist. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13621DOI Listing
February 2019
1 Read

Williams Syndrome.

Paediatr Anaesth 2019 Feb 27. Epub 2019 Feb 27.

Department of Anesthesiology, University of Colorado Anschutz Medical Campus &Children's Hospital Colorado, Aurora, USA.

Williams syndrome affects approximately 1 in 10,000 people and is caused by the deletion of genes on chromosome 7q11.23 which code for elastin. The phenotypic appearance of people with Williams syndrome is well characterized, but there continues to be new genetic and therapeutic discoveries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13620DOI Listing
February 2019
2 Reads

Is prespecification taking the search out of research?

Authors:
Jamie Sleigh

Paediatr Anaesth 2019 03;29(3):216-217

Department of Anaesthesia, Waikato Clinical Campus, University of Auckland, Hamilton, New Zealand.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13538DOI Listing
March 2019
1 Read

Association between perioperative surgical home implementation and transfusion patterns in adolescents with idiopathic scoliosis undergoing spinal fusion.

Paediatr Anaesth 2019 Feb 23. Epub 2019 Feb 23.

Research Center for Genetic Medicine, Children's National Health System, Washington, District of Columbia.

Background: Blood transfusions in patients with adolescent idiopathic scoliosis after fusion have been associated with increased morbidity, mortality, and cost.

Objective: The aim of this study was to evaluate the association between implementation of blood-conservation strategies within the perioperative surgical home on transfusion rates for patients with adolescent idiopathic scoliosis undergoing spinal fusion.

Methods: Two hundred and thirteen patients (44 preperioperative surgical home, 169 postperioperative surgical home) who underwent posterior spine fusion for adolescent idiopathic scoliosis between 23 June 2014, and 30 July 2017, were enrolled in this case control study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13617DOI Listing
February 2019
2 Reads
1.742 Impact Factor

The utility of the pretracheal stethoscope in detecting ventilatory abnormalities during propofol sedation in children.

Paediatr Anaesth 2019 Feb 23. Epub 2019 Feb 23.

Department of Pediatrics, University of Wisconsin, Madison, Wisconsin.

Background: Monitoring of ventilation with capnography or a stethoscope is recommended because the detection of ventilatory abnormalities can be significantly delayed by the use of pulse oximetry alone in patients receiving supplemental oxygen. The aim of this study was to evaluate the diagnostic performance of the pretracheal stethoscope with pulse oximetry and capnography in detecting adverse respiratory events during propofol sedation in nonintubated children. We hypothesized that use of the pretracheal stethoscope would facilitate earlier detection of adverse respiratory events. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13616DOI Listing
February 2019
3 Reads

A new way to determine correct depth of central venous catheter insertion using a real-time ultrasound-guided insertion technique in pediatric patients.

Paediatr Anaesth 2019 04 13;29(4):368-376. Epub 2019 Mar 13.

Department of Pediatric Anesthesiology and Critical Care Medicine, German Pediatric Heart Center/Asklepios Klinik Sankt Augustin, Sankt Augustin, Germany.

Background: Several formulae or methods are reported to predict the ideal central venous catheter insertion depth. However, they are complicated and often unsuitable in cases requiring rapid management.

Aims: This study aimed to determine a simple and practical method to predict the ideal central venous catheter insertion depth after the real-time ultrasound-guided right internal jugular vein, or left or right supraclavicular approach in pediatric patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13614DOI Listing
April 2019
1 Read

Safe pediatric procedural sedation and analgesia by anesthesiologists for elective procedures: A clinical practice statement from the European Society for Paediatric Anaesthesiology.

Paediatr Anaesth 2019 Feb 21. Epub 2019 Feb 21.

University of Glasgow, Glasgow, UK.

The growing number of medical procedures performed in children that require cooperation of patients, lack of movement, anxiolysis or/and analgesia triggers the increased need for procedural sedation. This document presents the consensus statement of the European Society for Paediatric Anaesthesiology about the principles connected with the safe management of procedural sedation and analgesia (PSA) by anaesthesiologists for elective procedures in children. It does not aim to provide a legal statement on how and by whom PSA should be performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13615DOI Listing
February 2019
4 Reads

The heart rate variability-derived Newborn Infant Parasympathetic Evaluation (NIPE™) Index in pediatric surgical patients from 0 to 2 years under sevoflurane anesthesia-A prospective observational pilot study.

Paediatr Anaesth 2019 04 21;29(4):377-384. Epub 2019 Mar 21.

Department of Anaesthesia, Erasmus University Medical Center - Sophia Children's, Hospital, Rotterdam, The Netherlands.

Background: The heart rate variability-derived Newborn Infant Parasympathetic Evaluation (NIPE™) Index is a continuous noninvasive tool to assess pain and discomfort in infants <2 years. Initial studies focused on pain monitoring in the neonatal intensive care unit environment.

Aims: The aim of this study was to investigate the performance of the NIPE in infants under sevoflurane anesthesia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13613DOI Listing
April 2019
3 Reads

An exploratory study of the relationship between postoperative nausea and vomiting and postdischarge nausea and vomiting in children undergoing ambulatory surgery.

Paediatr Anaesth 2019 04;29(4):353-360

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

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 postdischarge nausea and vomiting.

Aims: This preliminary study aimed to identify  the factors affecting postdischarge nausea and vomiting in ambulatory children, specifically whether postoperative nausea and vomiting factors are contributory.

Methods: One hundred and twenty-two pediatric patients aged 5-10 years undergoing elective ambulatory surgery participated in this institution-approved study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13612DOI Listing
April 2019
1 Read

Erector spinae plane block for pediatric palliative care.

Paediatr Anaesth 2019 04;29(4):386-387

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

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/pan.13607
Publisher Site
http://dx.doi.org/10.1111/pan.13607DOI Listing
April 2019
18 Reads

An innovative airway management technique in an infant with tongue hemangioma.

Paediatr Anaesth 2019 04;29(4):389-390

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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/pan.13609
Publisher Site
http://dx.doi.org/10.1111/pan.13609DOI Listing
February 2019
4 Reads

Clear fluid fasting in children: Is 1 hour the answer?

Authors:
Jerrold Lerman

Paediatr Anaesth 2019 04;29(4):385

Department of Anesthesiology, Oishei Children's Outpatient Center, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/pan.13606
Publisher Site
http://dx.doi.org/10.1111/pan.13606DOI Listing
April 2019
9 Reads
1.742 Impact Factor

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 04;29(4):386

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

View Article

Download full-text PDF

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

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

Paediatr Anaesth 2019 04;29(4):388-389

Department of Anesthesia, AIIMS, Patna, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13608DOI Listing
April 2019
4 Reads

The angle range of leg abduction with external hip rotation which can minimize femoral artery and vein overlap in pediatric patients.

Paediatr Anaesth 2019 04 21;29(4):361-367. Epub 2019 Mar 21.

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.

Aims: 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13603DOI Listing
April 2019
3 Reads

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

View Article

Download full-text PDF

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

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

Paediatr Anaesth 2019 02;29(2):112-113

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

View Article

Download full-text PDF

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

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

Paediatr Anaesth 2019 04;29(4):392-393

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13600DOI Listing
April 2019
2 Reads

Recent achievements and future developments in neonatal cardiopulmonary bypass.

Authors:
Mirela Bojan

Paediatr Anaesth 2019 Feb 3. Epub 2019 Feb 3.

Congenital Cardiac Unit, Department of Anesthesiology, Marie Lannelongue Hospital, Le Plessis Robinson, France.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13597DOI Listing
February 2019
3 Reads

Manual vs pressure-controlled facemask ventilation during the induction of general anesthesia in children: A prospective randomized controlled study.

Paediatr Anaesth 2019 04 28;29(4):331-337. Epub 2019 Mar 28.

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 anesthesia induction in children.

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13594DOI Listing
April 2019
1 Read

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

Paediatr Anaesth 2019 04 7;29(4):345-352. Epub 2019 Mar 7.

Department of Family Medicine and Community Health, Perelman School of Medicine at The University of Pennsylvania, Philadelphia, Pennsylvania.

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 toward assessing generalizability of our single-center findings, we sought to gain input from a national sample of pediatric anesthesiologists. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13598DOI Listing
April 2019
1 Read

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13595DOI Listing
February 2019
1 Read

Retrospective audit of airway management practices in children with craniocervical pathology.

Paediatr Anaesth 2019 04 26;29(4):338-344. Epub 2019 Mar 26.

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

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

Aims: The aim of this study was to review the airway management of children requiring halo body orthoses undergoing general anesthesia. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/pan.13596
Publisher Site
http://dx.doi.org/10.1111/pan.13596DOI Listing
April 2019
11 Reads

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

Paediatr Anaesth 2019 04 7;29(4):310-314. Epub 2019 Mar 7.

Department of Anesthesia, Children's University Hospital, 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 preset target. Greater efficiency, and more accurate delivery of anesthetic vapor have been documented across multiple machines within the adult setting however, there is little evidence for their use in children. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/pan.13587
Publisher Site
http://dx.doi.org/10.1111/pan.13587DOI Listing
April 2019
11 Reads