Principles of anaesthesia for term neonates

Anaesthesia & Intensive Care Medicine

Reviewed June 2023 by Dr Oh Ryong (Ryan) Kwen

This paper appears to be a review article and several articles were referenced to support the authors’ statements. However, no clear description was provided to explain the search methods or...

Special considerations in the premature and ex-premature infant

Premature infant

Anaesthesia & Intensive Care Medicine

Reviewed July 2023 by Dr Oh Ryong (Ryan) Kwen

This is a review article that highlights the physiological and pathological consequences of prematurity in various systems, as well as their subsequent implications in the provision of anaesthesia....

Cardiac disease in neonates

Anaesthesia & Intensive Care Medicine

Reviewed July 2023 by Dr Oh Ryong (Ryan) Kwen

This paper is a review article that provides basic description of the normal neonatal cardiovascular physiology as well as several congenital cardiac abnormalities and their presentations. It is very...

Anaesthesia for surgery in infancy

Anaesthesia & Intensive Care Medicine

Reviewed July 2023 by Dr Oh Ryong (Ryan) Kwen

This is a review article that provides a basic understanding of common surgical conditions encountered in neonates and infants. The description of the surgical procedure and perioperative anaesthetic...

Acute pain management in the neonate

Anaesthesia & Intensive Care Medicine

Reviewed July 2023 by Dr David Sainsbury

This is an educational article discussing the management of mainly post-surgical pain in neonates from a group of authors based at Alder Hey Children’s Hospital in the UK. It has sections on...

Applied forces with direct versus indirect laryngoscopy in neonatal intubation

A randomized crossover mannequin study

Canadian Journal of Anaesthesia

Reviewed 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...

Evaluation of quality of care in neonatal anesthesia using a bundle of intraoperative parameters

Pediatric Anesthesia

Reviewed 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...

The effect of intraoperative cerebral oxygen desaturations on postoperative cerebral oxygen metabolism in neonates and infants a pilot study

Pediatric Anesthesia

Reviewed June 2024 by Dr Laura Panizza

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...

Second infant spinal anesthetic

Incidence, dose modification, and adverse events after initial failure

Pediatric Anesthesia

Reviewed August 2024 by Dr H Hack

Study Aim & background 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,...

Awake caudal anesthesia in ex-premature infants undergoing lower abdominal surgery

A narrative review.

Pediatric Anesthesia

Reviewed August 2024 by Dr John Burnett

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...

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 August 2024 by Dr K C Law

Rationale 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...

Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants

The New England Journal of Medicine

Reviewed November 2024 by Dr Siak Lee

Study Overview: This study compares first pass intubation success using video vs. direct laryngoscopy in neonates. Methods: Single centre, randomised, prospective trial of 214 patients at a...