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Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal

A retrospective cohort study of 326 patients

Pediatric Anesthesia

Reviewed August 2024 by Dr Chloe Heath

Endoscopic removal of oesophageal foreign bodies (EFB) in children is an urgent or emergency procedure traditionally performed with endotracheal intubation under general anaesthesia. A shift in...

Tags: #airway· #day-surgery· #sedation

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 intranasal dexmedetomidine administration on emergence agitation or delirium in pediatric patients after general anesthesia

A meta-analysis of randomized controlled trials

Pediatric Anesthesia

Reviewed September 2023 by Dr Matt Jenke

Summary: This article is a meta-analysis of randomised control trials analysing the effect of preoperative intranasal dexmedetomidine on emergence agitation (EA) and emergence delirium (ED) in...

Tags: #general-anaesthesia· #delirium-emergence· #non-opioid-analgesics· #pharmacology· #postoperative-complications· #sedation

Intranasal dexmedetomidine sedation for paediatric MRI by radiology personnel

A retrospective observational study

European Journal of Anaesthesiology

Reviewed March 2023 by Dr Jon Stacey

This Scandinavian study adds to the evidence base around needle-free sedation techniques for paediatric imaging, itself the subject of a recent systematic review...

Tags: #non-opioid-analgesics· #pharmacology· #sedation

Needle-free pharmacological sedation techniques in paediatric patients for imaging procedures

A systematic review and meta-analysis

British Journal of Anaesthesia

Reviewed January 2023 by Dr Renee Burton

The authors present extensive review of the current literature relating to providing sedation “needle free” for MRI. The study includes a wide variety of different techniques of providing sedation in...

Tags: #monitoring· #non-opioid-analgesics· #pharmacology· #sedation

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