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Caudal Block, High Flow Oxygen Insufflation and Dexmedetomidine Sedation for Infant Inguinal Hernia Surgery-An Analysis of Post-Study Implementation Into Clinical Practice.

An Analysis of Post-Study Implementation Into Clinical Practice.

Pediatric Anesthesia

Reviewed May 2025 by Dr Michael Tan

This study is a prospective, multicentre, observational study across two Australian centres and one New Zealand centre. The aim was to assess the feasibility of intravenous dexmedetomidine, high-flow...

Tags: #airway· #regional-anaesthesia· #respiratory

High-flow nasal oxygen for children's airway surgery to reduce hypoxaemic events

A randomised controlled trial

The Lancet Respiratory Medicine

Reviewed November 2024 by Dr Richard Barnes

This prospective randomised trial was conducted in five tertiary Australian paediatric centres. The trial compared two techniques of oxygen delivery during tubeless ENT airway surgery in children...

Tags: #airway· #neonatal· #respiratory

Inverse ratio ventilation versus conventional ratio ventilation during one lung ventilation in neonatal open repair of esophageal atresia/tracheoesophageal fistula

A randomized clinical trial.

Pediatric Anesthesia

Reviewed July 2024 by Dr K C Law

This study is based upon the practice of inverse ratio ventilation (IRV) used in ARDS (acute respiratory distress syndrome) to improve oxygenation and lung function. IRV can be used to prevent...

Tags: #neonatal· #respiratory· #safety

Efficacy of a hybrid technique of simultaneous videolaryngoscopy with flexible bronchoscopy in children with difficult direct laryngoscopy in the Pediatric Difficult Intubation Registry

Anaesthesia

Reviewed December 2023 by Dr David Rawson

This study examined the effectiveness and safety of a hybrid technique – videolaryngoscope (VL) with flexible bronchoscope (FB) – in paediatric patients with difficult tracheal intubation. Methods: -...

Tags: #airway· #equipment· #respiratory

Pediatric anesthetic for tracheobronchial foreign body extraction

A survey of practice in France

Pediatric Anesthesia

Reviewed December 2023 by Dr Meghan Cooney

Summary: This study describes the practices and preferences of pediatric anaesthetists in France, when presented with a survey with an anaesthetic scenario of tracheobronchial foreign body...

Tags: #regional-anaesthesia· #respiratory

Modified technique for endobronchial blocker placement in pediatric patients undergoing thoracic surgery

Pediatric Anesthesia

Reviewed December 2023 by Dr Shravya Karna

Summary: Despite one-lung ventilation providing optimised surgical conditions, positioning an extraluminal Arndt endobronchial blocker (AEBB) remains challenging particularly in children aged less...

Tags: #airway· #equipment· #respiratory

Beta Agonists for Prevention of Respiratory Adverse Events in Children Undergoing Adenotonsillectomy

Long-Acting, Short Acting, or Not Acting

Anesthesia Analgesia

Reviewed August 2023 by Dr J Houghton

Recent studies have shown a reduction in perioperative respiratory adverse events (PRAE) especially the major PRAEs bronchospasm and laryngospasm with short acting inhaled beta agonists. This...

Tags: #day-surgery· #respiratory

Effect of Tulobuterol Patch Versus Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies

A Randomized Controlled Trial

Anesthesia Analgesia

Reviewed August 2023 by Dr J Houghton

Hypothesis: Inhaled B-2 agonists have proven benefits in reducing the incidence of paediatric perioperative respiratory adverse events (PRAE). Therefore, transdermal tulobuterol (peak effect 9-12...

Tags: #airway· #day-surgery· #difficult-airway· #respiratory

Perioperative management of the child with asthma

British Journal of Anaesthesia Education

Reviewed September 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,...

Tags: #perioperative· #respiratory

Effect of high-flow nasal oxygen on hypoxaemia during procedural sedation

A systematic review and meta-analysis

Anaesthesia

Reviewed January 2023 by Dr Derek Rosen

Overview - Systematic review of the effect of high-flow nasal oxygen (NHFO2) vs conventional oxygen (nasal prongs, face mask, mouth guard) for procedural sedation in adults and children. - Methods:...

Tags: #airway· #respiratory

The Influence of Positive End-Expiratory Pressure on Leakage and Oxygenation Using a Laryngeal Mask Airway

A Randomized Trial

Anesthesia Analgesia

Reviewed September 2022 by Dr Liam O'Doherty

An RCT of adult patients undergoing surgery (urology, gynaecology, peripheral) with mandatory ventilation via a Proseal LMA mask randomised to PEEP 8.2 cmH2O (PEEP group) or PEEP 0 cmH2O (ZEEP...

Tags: #general-anaesthesia· #airway· #icu-critical-care· #respiratory

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