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Regional Analgesia in Pediatric Cardiothoracic Surgery

A Bayesian Network Meta-analysis

Journal of Cardiothoracic and Vascular Anaesthesia

Reviewed July 2025 by Dr Aisling Gormley

This meta-analysis compared the effect of 13 different epidural and regional anaesthetic techniques (ERATs) on opioid consumption and pain scores in paediatric patients following cardiothoracic...

Tags: #cardiac· #guideline· #pain· #opioids· #regional-anaesthesia

Peri-operative cardiac arrest in children as reported to the 7th National Audit Project of the Royal College of Anaesthetists

Operative cardiac arrest in children as reported to the 7th National Audit Project of the Royal College of Anaesthetists

Anaesthesia

Reviewed August 2024 by Dr Heather Patterson

The focus for the 7th National Audit Project (NAP7) was perioperative cardiac arrest. This paper by Oglesby and colleagues synthesizes the paediatric data from NAP7, highlighting risk factors and...

Tags: #cardiac· #neonatal· #perioperative· #postoperative-complications· #resuscitation· #safety

Comparison of the efficacy of intranasal atomised dexmedetomidine versus intranasal atomised ketamine as a premedication for sedation and anxiolysis in children undergoing spinal dysraphism surgery

A randomized controlled trial.

European Journal of Anaesthesiology

Reviewed July 2024 by Dr Ben Blaise

This is a prospective randomised double blind trial in a single paediatric tertiary centre. 64 children aged 1 to 10y referred for elective spinal dysraphism surgery. Patients were randomly...

Tags: #cardiac· #delirium-emergence· #non-opioid-analgesics· #sedation

The effect of intraoperative cerebral oxygen desaturations on postoperative cerebral oxygen metabolism in neonates and infants a pilot study

Pediatric Anesthesia

Reviewed June 2024 by Dr Laura Panizza

Summary: This study by Jock et al assessed the effect of intraoperative cerebral oxygen desaturation on postoperative cerebral oxygen metabolism in neonates and infants undergoing non-cardiac surgery...

Tags: #cardiac· #eeg-neuromonitoring· #neonatal· #neurodevelopment

Anesthesia and Sedation Exposure and Neurodevelopmental Outcomes in Infants Undergoing Congenital Cardiac Surgery

A Retrospective Cohort Study

Anesthesiology

Reviewed December 2023 by Dr Rebecca McIntyre

The authors of this retrospective study hypothesized that greater exposure to sedation and anaesthesia in children undergoing complex cardiac surgery is associated with lower neurodevelopmental...

Tags: #cardiac· #neurodevelopment· #non-opioid-analgesics· #pharmacology

A prospective comparison of invasive and non-invasive blood pressure in children undergoing cardiac catheterization

Invasive blood pressure in children undergoing cardiac catheterization

Pediatric Anesthesia

Reviewed December 2023 by Dr Su May Koh

This was a multicentre prospective observational study of 254 children aged under 16 undergoing cardiac catheterisation where paired non-invasive and invasive blood pressure measurements were...

Tags: #general-anaesthesia· #cardiac· #equipment· #monitoring· #postoperative-complications

Development and Validation of a Nomogram for Predicting Heparin Resistance in Neonates and Young Infants Undergoing Cardiac Surgery

A Retrospective Study

Anesthesia Analgesia

Reviewed August 2024 by Dr Marlene Johnson

This study describes the development of a simple, predictive nomogram using pre-operative variables for heparin resistance in neonates and young infants undergoing cardiac surgery. Heparin...

Tags: #cardiac· #neonatal· #transfusion

Inappropriate Shock Delivery Is Common During Pediatric In-Hospital Cardiac Arrest

Hospital Cardiac Arrest

Pediatric Critical Care Medicine

Reviewed September 2023 by Dr Andrew Chazan

Summary: Study type - A retrospective multicenter international cohort study Methods - Data gathered from 2015 to 2020 in more than 50 paediatric hospitals internationally, looking at any patients...

Tags: #cardiac· #resuscitation

Cardiac disease in neonates

Anaesthesia & Intensive Care Medicine

Reviewed January 2023 by Dr Oh Ryong (Ryan) Kwen

This paper is a review article that provides basic description of the normal neonatal cardiovascular physiology as well as several congenital cardiac abnormalities and their presentations. It is very...

Tags: #cardiac· #neonatal

Bilateral erector spinae plane blocks in children undergoing cardiac surgery

A randomized, controlled study

Journal of Clinical Anesthesia

Reviewed September 2022 by Dr Neil Hauser

This small, randomized control study of 40 patients investigated the utility of erector spinae plane blocks (ESPB) in paediatric sternotomy for cardiac procedures. The primary outcome was cumulative...

Tags: #cardiac· #pain· #opioids· #regional-anaesthesia

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