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30 foundTip: use year and tags above to explore the back catalogue without typing a specific article name.
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...
What airway management information do anaesthetic charts prompt for? An audit of charts from 132 hospitals across Australia and New Zealand
Anaesthesia & Intensive Care Medicine
This article presents the results of an audit of blank anaesthetic charts from 132 hospitals accredited for training by ANZCA. The charts were evaluated for 17 data fields describing tracheal...
Postanesthesia complications in pediatric patients with previous SARS-CoV-2 infection
A cohort study
Pediatric Anesthesia
Report of a single centre, retrospective, case–control study comparing complications after anaesthesia within 90 days of a known positive PCR, as compared to matched controls. The study period was...
Preoperative COVID-19 testing at pediatric institutions
19 testing at pediatric institutions - Current practice
Pediatric Anesthesia
Results of a survey sent to US paediatric institutions to explore the pre-operative testing protocols in use at the time (Feb 2022, repeated June 2022). The results from 27/62 (44%) responding...
The COVID-19 pandemic in 2023
Far from over
The Lancet
Presents a reasonably current (Jan 2023) perspective from China, detailing the Dec 2022-Jan 2023 rise in COVID infections. Some of the reasons are outline (policy changes dropping most of the...
