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3-Dimensional Virtual Reality Versus 2-Dimensional Video for Distraction During the Induction of Anesthesia in Children to Reduce Anxiety
A Randomized Controlled Trial
Anesthesia Analgesia
This study did not find 3D virtual reality (VR) to be superior to 2D tablet audiovisual distraction in reducing anxiety during induction for children undergoing emergency or elective surgery. ...
Quality Improvement Protocol to Reduce Excessive Postoperative Recovery Following Cleft Palate Repair.
Pediatric Anesthesia
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. ...
Consensus recommendations for paediatric airway topicalisation using lidocaine
Anaesthesia
January 2026 by Dr Roeland Passier
This systematic literature review, followed by a three-round Delphi process, was conducted by an international expert multidisciplinary, multi-society working group. It produced consensus...
Comparison of analgesic efficacy and safety of caudal dexmedetomidine versus intranasal dexmedetomidine in paediatric infraumbilical surgeries
A randomised controlled trial
European Journal of Anaesthesiology
This randomised, double-blind non-inferiority trial compared the analgesic efficacy and safety of caudal dexmedetomidine versus intranasal dexmedetomidine as an adjunct to a single-shot caudal block...
Effects of Dexmedetomidine-Remifentanil on Neurodevelopment of Children after Inhalation Anesthesia
A Randomized Clinical Trial.
Anesthesiology
January 2026 by Dr Andrew Hughes
This prospective, double-blind RCT compares the neurodevelopmental effect of a single GA exposure using different doses of sevoflurane in children under 2 years of age. Children were randomised to...
A Randomized Controlled Trial of Intrathecal versus Caudal Morphine-Bupivacaine on Postoperative Analgesia and Cortisol Levels in Pediatric Patients
Bupivacaine on Postoperative Analgesia and Cortisol Levels in Pediatric Patients
Anesthesia Analgesia
September 2025 by Dr Stephanie Pauling
This study compared the analgesic outcomes of caudal morphine and bupivacaine with intrathecal morphine and bupivacaine in patients aged 1-5 having general, urological and orthopaedic surgery below...
Comment on "Safety of Intrathecal Clonidine as an Adjuvant to Spinal Anesthesia in Infants and Children".
Pediatric Anesthesia
September 2025 by Dr David Roche
This retrospective chart review explores the safety of intrathecal clonidine in infants and children up to 3 years of age who received spinal anaesthesia. In this single centre study the authors...
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
September 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...
Is the Compassion of Anesthesiologists Associated With Postoperative Pain and Patient Experience? A Prospective Cohort Study
Anesthesia Analgesia
September 2025 by Dr Andrew O’Donoghue
This study, published in Anaesthesia & Analgesia (2025), investigates the role of anaesthesiologist compassion in shaping postoperative outcomes among patients undergoing same-day surgery. The...
The promise of precision
Exploring the role of remimazolam in paediatric anaesthesia
British Journal of Anaesthesia
This narrative review serves as an update on the use of remimazolam in paediatric population. The introduction of remimazolam is a notable development in hypnotics in the past two...
Evaluation of the Pediatric Regional Anesthesia Time-Out Checklist
A Simulation Study
Pediatric Anesthesia
This simulation-based study examined the effect of a Paediatric Regional Anaesthesia Time-out Checklist training for pediatric anaesthetists and trainees. Not surprisingly it found that checklist...
Safety and Sustainability of Axillary Versus Radial Arterial Catheters in Critically Ill Children
A Retrospective Comparative Study
Pediatric Anesthesia
August 2025 by Dr Eamonn Upperton
This retrospective cohort study examines axillary arterial lines placed in PICU patients to compare their safety profile with radial arterial lines, and provides some baseline data to support their...
Regional Analgesia in Pediatric Cardiothoracic Surgery
A Bayesian Network Meta-analysis
Journal of Cardiothoracic and Vascular Anaesthesia
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...
Electroencephalography and Anesthetic Depth in Children Under 2 Years of Age
A Prospective Observational Study
Pediatric Anesthesia
This single-centre prospective observational study aimed to compare EEG spectral parameters during periods of false positive elevations in processed EEG indices to elevations in these indices during...
The Influence of Electroencephalographic Density Spectral Array Guidance of Sevoflurane Administration on Recovery From General Anesthesia in Children. A Randomized Controlled Trial
Pediatric Anesthesia
Single centre, prospective randomised controlled trial conducted at Sophia Children’s Hospital, a tertiary paediatric hospital in Rotterdam, Netherlands, between September 2022 and March 2024 ...
Racial Disparities in Pediatric Anesthesia
An Updated Review
Anesthesiology Clinics
July 2025 by Dr Megan Wellbeloved
This narrative review serves as an update of a previous paper published in 2020 by the same authors. It serves to highlight continued racial disparities in the provision of perioperative care in...
Dorsal penile nerve block versus caudal block for circumcision in pediatric patients
A systematic review and meta-analysis
Trends in Anaesthesia and Critical Care
A systematic review and meta-analysis comparing dorsal penile nerve block (DPNB) versus caudal block (CB), in addition to general anaesthesia, for paediatric patients undergoing circumcision. Primary...
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
July 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...
Prolonged opioid use after surgery in children, adolescents, and young adults
A systematic review
Canadian Journal of Anaesthesia
July 2025 by Dr Maximiliane Beck
Persistent use of opioids after surgery remains a significant concern in the paediatric population and has been the subject of debate, particularly in North America. In Australia, between 2013 and...
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
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...
Design considerations for development of cuffed endotracheal tube for small airways
Pediatric Anesthesia
This paper and the work relating to the design of endotracheal tubes specifically for the paediatric population was sponsored and funded by Medtronic. The article begins by introducing technical...
Awake Supraglottic Airway Placement in Pediatric Patients for Airway Obstruction or Difficult Intubation
Insights From an International Airway Registry (PeDI)
Anesthesia Analgesia
A large, prospective, observational study using data from the international, multi-centre PEDI registry. Data was contributed from 18 institutions. All cases of awake supraglottic airway (SGA)...
International multiinstitutional external validation of preoperative risk scores for 30 day in hospital mortality in paediatric patients
British Journal of Anaesthesia
March 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...
Consensus on decommissioning piped nitrous oxide from UK and Ireland operating theatre suites
A rational approach to an increasingly ignoble gas
Anaesthesia
This editorial summarises the context and evidence for the release of the July 2024 Consensus statement of the Association of Anaesthetists, Royal College of Anaesthetists, College of...
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
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...
Optimizing pediatric tonsillectomy outcomes with an opioid sparing anesthesia protocol
Learning and continuously improving with real-world data
Pediatric Anesthesia
March 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)...
Short-term Outcomes in Infants after General Anesthesia with Low-dose Sevoflurane/Dexmedetomidine/Remifentanil versus Standard-dose Sevoflurane
The TREX Trial
Anesthesiology
March 2025 by Dr Roeland Passier
This is a secondary analysis comparing the two treatment groups in The Trial Remifentanil DEXmedetomidine (TREX) trial looking at early perioperative results. TREX, which is ongoing, was designed to...
Long-term outcomes of early exposure to repeated general anaesthesia in children with cystic fibrosis (CF-GAIN)
A multicentre, open-label, randomised controlled phase 4 trial
The Lancet
February 2025 by Dr Nicole Wylie
The initial trial was a prospective, open-label, unblinded, randomised and multi-centre trial designed to look at the entirely different clinical question of pulmonary and nutritional outcomes. This...
Exposure to Operative Anesthesia in Childhood and Subsequent Neurobehavioral Diagnoses
A Natural Experiment Using Appendectomy
Anesthesiology
November 2024 by Dr Eamonn Upperton
This retrospective study looks at the risk of developing a neurobehavioural diagnosis in two parallel groups of children aged between 3 and 15 years: Those who underwent appendicectomy Those...
Intravenous lidocaine infusion therapy and intraoperative neurophysiological monitoring in adolescents undergoing idiopathic scoliosis correction
A retrospective study
Pediatric Anesthesia
November 2024 by Dr Elizabeth Dalton
This was a single-centre retrospective study aimed at determining whether intravenous lignocaine infusion therapy during posterior spinal instrumentation and fusion (PSIF) for adolescent idiopathic...
Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants
The New England Journal of Medicine
This study compares first pass intubation success using video vs. direct laryngoscopy in neonates. Single centre, randomised, prospective trial of 214 patients at a tertiary centre in Dublin...
An observational study of gastric contents in pediatric patients with long bone fracture using gastric ultrasound
Pediatric Anesthesia
November 2024 by Dr Su May Koh
This prospective observational study involved 200 paediatric surgical patients and assessed the reliability of fasting with ultrasound (US) imaging and suction in paediatric patients presenting for...
High-flow nasal oxygen for children's airway surgery to reduce hypoxaemic events
A randomised controlled trial
The Lancet Respiratory Medicine
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...
Pediatric anesthesia in Australia and New Zealand and health inequity among First Nations and Māori children
Pediatric Anesthesia
November 2024 by Dr Meghan Cooney
This article provides excellent context for starting to understand health inequity among First Nations and Māori children and young people in Australia and New Zealand. It is essential reading as we...
Comparison of postoperative pain in children after maintenance anaesthesia with propofol or sevoflurane
A systematic review and meta-analysis
British Journal of Anaesthesia
This was a systematic review and meta-analysis of 13 randomised controlled trials that compared post-operative pain between sevoflurane and propofol anaesthesia in children. The primary outcome was...
Development and Validation of a Nomogram for Predicting Heparin Resistance in Neonates and Young Infants Undergoing Cardiac Surgery
A Retrospective Study
Anesthesia Analgesia
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...
Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal
A retrospective cohort study of 326 patients
Pediatric Anesthesia
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...
The relationship between gastric ultrasound findings and endoscopically aspirated volume in infants and determining the antral cutoff value for empty stomach diagnosis
Pediatric Anesthesia
August 2024 by Dr Aisling Gormley
This single centre, prospective observational study, performed in a paediatric endoscopy unit between November 2021 and June 2022 examines the relationship between ultrasound measured gastric antrum...
Pediatric Intraoperative Electromyographic Responses at the Adductor Pollicis and Flexor Hallucis Brevis Muscles
A Prospective, Comparative Analysis
Anesthesia Analgesia
August 2024 by Dr Aileen Fenelon
Summary This prospective comparative analysis study aimed to evaluate the feasibility of recording cAMP’s (compound muscle action potentials) from the lower extremity and compared paired responses...
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
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...
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
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...
Comparison of preformed microcuff and preformed uncuffed endotracheal tubes in pediatric cleft palate surgery
A randomized controlled trial
Pediatric Anesthesia
July 2024 by Dr Kevin McCarthy
This was an RCT of microcuff oral RAE versus uncuffed oral RAE endotracheal tubes for cleft palate surgery. The microcuff tubes were associated with a lower tube exchange rate (0% vs. 38%) and lower...
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
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...
Awake caudal anesthesia in ex-premature infants undergoing lower abdominal surgery
A narrative review.
Pediatric Anesthesia
It is well known that ex-premature infants are a high risk patient group, particularly with regard to perioperative apnoea. A question that is front of mind for most paediatric anaesthetists is “how...
Canadian tertiary care pediatric massive hemorrhage protocols
A survey and comprehensive national review
Canadian Journal of Anaesthesia
Bleeding, often because of unintentional injury, is a leading cause of death in children Massive haemorrhage protocols improve outcomes. Dedicated paediatric protocols are needed due to unique...
Second infant spinal anesthetic
Incidence, dose modification, and adverse events after initial failure
Pediatric Anesthesia
To determine the overall spinal failure rate, incidence of second spinal attempt and success rate and any associated adverse events in infants. The Royal Children's Hospital, Melbourne has a long...
Population Pharmacokinetics of Single Bolus Dose Fentanyl in Obese Children
Anesthesia Analgesia
Background: Childhood obesity is a significant problem. Obesity may alter the pharmacokinetics (PKs) of many medications. Fentanyl is commonly used in paediatric anaesthesia, but there is a paucity...
The effect of intraoperative cerebral oxygen desaturations on postoperative cerebral oxygen metabolism in neonates and infants a pilot study
Pediatric Anesthesia
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...
The effect of augmented reality on preoperative anxiety in children and adolescents
A randomized controlled trial
Pediatric Anesthesia
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...
It's time to stop using nitrous oxide for pediatric mask induction
Pediatric Anesthesia
This short ‘perspectives essay’ is aimed at getting anaesthetists to reconsider the routine use of nitrous oxide in mask induction of anaesthesia. The points raised in the article include: Greater...
Effect of BIS-guided anesthesia on emergence delirium following general anesthesia in children
A prospective randomized controlled trial
Anaesthesia Critical Care & Pain Medicine
February 2024 by Dr Priya Sreedharan
This prospective, randomised, double-blinded study was conducted at the University hospital of Ostrava in the Czech Republic. The study hypothesized that optimizing the depth of general anaesthesia...
The accuracy of the ultrasound measured transverse cricoid diameter and the epiphyseal transverse diameter of the distal radius in predicting the pediatric endotracheal tube size
Pediatric Anesthesia
January 2024 by Dr Sorcha Evans
This single centre prospective randomised study in Egypt looked at the use of USS measurements of the transverse cricoid distance (TCD) and the epiphyseal diameter of the distal radius to predict the...
The association between intraoperative fluid management and perioperative allogenic blood transfusion during adolescent idiopathic scoliosis surgery
Pediatric Anesthesia
December 2023 by Dr Frank Hsiao
Take home summary - This single centre study of 200 paediatric patients undergoing adolescent scoliosis surgery found that an increased volume of intraoperative crystalloid intake is an associated...
Pediatric anesthetic for tracheobronchial foreign body extraction
A survey of practice in France
Pediatric Anesthesia
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...
Reducing the environmental impact of mask inductions in children
A quality improvement report
Pediatric Anesthesia
December 2023 by Dr Tracy Jackson
The environmental impact of anaesthetic gases are of increasing concern. In Australia and New Zealand, children are traditionally induced by gas induction with high flow nitrous/oxygen and...
Modified technique for endobronchial blocker placement in pediatric patients undergoing thoracic surgery
Pediatric Anesthesia
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...
Evaluation of quality of care in neonatal anesthesia using a bundle of intraoperative parameters
Pediatric Anesthesia
December 2023 by Dr Eamonn Upperton
Inspired by the SAFETOTS ‘10Ns’ of quality in paediatric anaesthesia, this paper sets out to measure how often physiological variables stray outside the target range during and after neonatal...
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
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...
Efficacy of an expanded preoperative survey during perioperative care to identify illicit substance use in teenagers and adolescents
Pediatric Anesthesia
December 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...
Efficacy of a hybrid technique of simultaneous videolaryngoscopy with flexible bronchoscopy in children with difficult direct laryngoscopy in the Pediatric Difficult Intubation Registry
Anaesthesia
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: -...
Transnasal Humidified Rapid Insufflation Ventilatory Exchange Augments Oxygenation in Children With Juvenile Onset Recurrent Respiratory Papillomatosis During Surgery
A Prospective Randomized Crossover Controlled Trial
Anesthesia Analgesia
December 2023 by Dr Chris Brasher
Children undergoing suspension laryngoscopy for papillomatosis surgery were randomised to either THRIVE or room air during apnoea. All patients were paralysed and intubated/ventilated periodically....
Anesthesia and Sedation Exposure and Neurodevelopmental Outcomes in Infants Undergoing Congenital Cardiac Surgery
A Retrospective Cohort Study
Anesthesiology
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...
The role of volatile capture technology in desflurane disposal from decommissioned vaporisers
Anaesthesia
December 2023 by Dr Rebecca McIntyre
This letter outlines a pilot project examining a method for capturing retained desflurane from decommissioned desflurane vaporizers in the UK. As part of the NHS’s drive to be more environmentally...
Preoperative clear fluid fasting and endoscopy-measured gastric fluid volume in children
Measured gastric fluid volume in children
Pediatric Anesthesia
October 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...
Error traps in Pediatric Patient Blood Management in the Perioperative Period
Pediatric Anesthesia
September 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...
Targeted temperature management in patients with intracerebral haemorrhage, subarachnoid haemorrhage, or acute ischaemic stroke
Updated consensus guideline recommendations by the Neuroprotective Therapy Consensus Review (NTCR) group
British Journal of Anaesthesia
September 2023 by Dr Megan Wellbeloved
Summary: This is an updated guideline on targeted temperature management in adult patients in the critical care setting with intracerebral haemorrhage (ICH), subarachnoid haemorrhage (SAH) or acute...
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
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...
The usefulness of a nasopharyngeal multiplex polymerase chain reaction system to screen pediatric patients with preoperative fever
Acta Anaesthesiologica Scandinavica
September 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...
Parents' perspective on recovery at home following adenotonsillectomy
A prospective single-centre qualitative analysis
Canadian Journal of Anaesthesia
September 2023 by Dr Patrick Cowie
Summary: This article explores parental experiences following paediatric adenotonsillectomy. The authors recruited parents of children having adenotonsillectomy over a year-long period at Montreal’s...
Possibilities and challenges for artificial intelligence and machine learning in perioperative care
British Journal of Anaesthesia Education
September 2023 by Dr Hamish Johnston
Summary: There is growing interest for artificial intelligence (AI) in medicine to assist in repetitive tasks, diagnosis, prediction, drug discovery, personalised treatment, and decision support....
Inappropriate Shock Delivery Is Common During Pediatric In-Hospital Cardiac Arrest
Hospital Cardiac Arrest
Pediatric Critical Care Medicine
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...
Determining residual gastric volume in healthy children using ultrasound
Canadian Journal of Anaesthesia
September 2023 by Dr Marlene Johnson
Summary This Canadian study was a prospective, observational study of 33 healthy volunteers aged between 2-14. It examined residual gastric volume using ultrasound, after patients were given 250mL...
Difficult or impossible facemask ventilation in children with difficult tracheal intubation
A retrospective analysis of the PeDI registry
British Journal of Anaesthesia
September 2023 by Dr Rory Walsh
Summary: The Pediatric Difficult Intubation (PeDI) Registry is a large, multicentre international registry that collects data on paediatric patients where difficult intubation is identified. The...
A review of pediatric fasting guidelines and strategies to help children manage preoperative fasting
Pediatric Anesthesia
September 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...
Assessing the utility of ultrasound guided vascular access placement with longer catheters in critically ill pediatric patients
Pediatric Anesthesia
Summary This is a retrospective single-center cohort study looking at using ultrasound to place longer length peripheral intravenous cannulae to prolong its indwelling life-span and use, increase...
Applied forces with direct versus indirect laryngoscopy in neonatal intubation
A randomized crossover mannequin study
Canadian Journal of Anaesthesia
August 2023 by Dr Caroline Mann
This is a single centre randomized crossover trial comparing applied oropharyngeal forces of tracheal intubation of direct laryngoscopy versus video laryngoscopy in a neonatal manikin. Manikin...
Beta Agonists for Prevention of Respiratory Adverse Events in Children Undergoing Adenotonsillectomy
Long-Acting, Short Acting, or Not Acting
Anesthesia Analgesia
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...
Effect of Tulobuterol Patch Versus Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies
A Randomized Controlled Trial
Anesthesia Analgesia
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...
Intranasal dexmedetomidine sedation for paediatric MRI by radiology personnel
A retrospective observational study
European Journal of Anaesthesiology
This Scandinavian study adds to the evidence base around needle-free sedation techniques for paediatric imaging, itself the subject of a recent systematic review...
Comparison of intravenous and inhalation anesthesia on postoperative behavior changes in children undergoing ambulatory endoscopic procedures
A randomized clinical trial
Pediatric Anesthesia
March 2023 by Dr Priya Sreedharan
This randomized, parallel, double-blinded clinical trial performed in an outpatient endoscopic clinic between October 2018 and December 2021 was designed to determine if intravenous anaesthesia was...
