Quality Improvement Protocol to Reduce Excessive Postoperative Recovery Following Cleft Palate Repair.
Pediatric Anesthesia
Reviewed 一月 2026 by Dr Tom Walker
This Australian single-centre quality improvement (QI) study focussed on the anaesthetic management of children undergoing cleft palate repair with the primary aim of reducing PACU length of stay. ...
Impact of liberal preoperative clear fluid fasting regimens on the risk of pulmonary aspiration in children (EUROFAST)
An international prospective cohort study
British Journal of Anaesthesia
Reviewed 九月 2025 by Dr Meghan Cooney
The EUROFAST (European Preoperative Fasting Audit) project demonstrated that more liberal clear fluid fasting (≥1 hour) before anaesthesia in children is non-inferior to the more traditional ≥2 hour...
Retrospective Cohort Study of Perioperative Complications in Symptomatic and Asymptomatic Children Testing SARS-CoV-2-Positive Within 21 Days Before Surgery
CoV-2-Positive Within 21 Days Before Surgery
Pediatric Anesthesia
Reviewed 七月 2025 by Dr Liam O'Doherty
This is a single centre, retrospective cohort study of 523 paediatric patients who tested positive to COVID 19 within 21 days prior to surgery. Data was acquired via chart review. The primary outcome...
International multiinstitutional external validation of preoperative risk scores for 30 day in hospital mortality in paediatric patients
British Journal of Anaesthesia
Reviewed 三月 2025 by Dr Andrew Hughes
This is an external validation study of two patient-specific paediatric preoperative risk scores for 30-day in-hospital mortality The Pediatric Risk Assessment (PRAm) score and the intrinsic...
Optimizing pediatric tonsillectomy outcomes with an opioid sparing anesthesia protocol
Learning and continuously improving with real-world data
Pediatric Anesthesia
Reviewed 三月 2025 by Dr David Kinchington
This paper is a perspective piece primarily providing insight into how one ambulatory surgical centre utilised quality improvement processes supported by new generation artificial intelligence (AI)...
Analgesic efficacy and safety of erector spinae plane block in pediatric patients undergoing elective surgery
A systematic review and Meta-analysis of randomized controlled trials
Journal of Clinical Anesthesia
Reviewed 三月 2025 by Dr Matt Hart
This systematic review and meta-analysis compared analgesic efficacy and safety between erector spinae plane block (ESPB) and controls in paediatric surgical patients. The primary outcome analysed...
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 八月 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...
The effect of augmented reality on preoperative anxiety in children and adolescents
A randomized controlled trial
Pediatric Anesthesia
Reviewed 六月 2024 by Dr Jon Stacey
Augmented Outcomes or Virtual Benefits? Prior to a more thorough discussion, and for those with limited time, it must first be noted that the text of the abstract and that of the manuscript’s main...
A review of pediatric fasting guidelines and strategies to help children manage preoperative fasting
Pediatric Anesthesia
Reviewed 九月 2023 by Dr David Pachter
Summary: Balancing the risk between pulmonary aspiration of gastric contents, and the adverse consequences of prolonged fasting times is one of the age-old conundrums of paediatric anaesthesia. This...
Efficacy of an expanded preoperative survey during perioperative care to identify illicit substance use in teenagers and adolescents
Pediatric Anesthesia
Reviewed 十二月 2023 by Dr Su May Koh
Illicit substance use is increasing in the teenage and adolescent population and relying on parental history alone is unlikely to be reliable. Illicit substance use and abuse not only has...
Error traps in Pediatric Patient Blood Management in the Perioperative Period
Pediatric Anesthesia
Reviewed 九月 2023 by Dr Liam O'Doherty
Summary: This review article provides a practical guide to optimise perioperative blood management in children. It identifies 5 ‘Error Traps’ in blood management. 1. Failure to recognise and treat...
Preoperative clear fluid fasting and endoscopy-measured gastric fluid volume in children
Measured gastric fluid volume in children
Pediatric Anesthesia
Reviewed 十月 2023 by Dr Pallavi Kumar
Summary: Study Type: Single-centre, prospective study in paediatric perioperative day care at a university-affiliated tertiary care centre. Methods: Aspiration of gastric fluid contents was...
The usefulness of a nasopharyngeal multiplex polymerase chain reaction system to screen pediatric patients with preoperative fever
Acta Anaesthesiologica Scandinavica
Reviewed 九月 2023 by Dr Neil Hauser
Summary: This single-center retrospective observational study investigated the utility of a PCR respiratory panel (PCR FilmArray Respiratory Panel 2.1, Biomeriuex) to determine whether surgery should...
2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting
Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration-A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting
Anesthesiology
Reviewed 一月 2023 by Dr Don Hannah
This was an update of previous guidelines aimed at addressing the ingestion of carbohydrate-containing clear liquids with or without protein, chewing gum, and paediatric fasting...
Perioperative Anaphylaxis
Anesthesiology
Reviewed 一月 2023 by Dr Renee Burton
A comprehensive overview of anaphylaxis is delivered by this paper. Covering the pathophysiology (triggering mechanisms, diagnosis) and epidemiology. Of particular interest, is a review of agents...
Perioperative management of the child with asthma
British Journal of Anaesthesia Education
Reviewed 九月 2022 by Dr Heather Patterson
This educational review outlines the pathophysiology of asthma, key aspects of preoperative evaluation of children with asthma, and provides updates in asthma treatment from multinational guidelines,...
Ultrasound Assessment of Gastric Fluid Volume in Children Scheduled for Elective Surgery After Clear Fluid Fasting for 1 Versus 2 Hours
A Randomized Controlled Trial
Anesthesia Analgesia
Reviewed 三月 2023 by Dr David Stoeter
This small randomized single-blinded controlled trial is the second such trial comparing gastric fluid volumes after a 1-hour versus a 2-hour clear fluid fast in children undergoing general...
