Dextrose‐containing intraoperative fluid in neonates: a randomized controlled trial

ConclusionsAll three solutions, when infused at 10 ml·kg−1·h−1, are equally effective in maintaining glucose homeostasis, but 1% dextrose‐containing fluid promotes catabolism, insulin resistance, rebound hyperglycemia, and acidosis. Therefore, 2–4% dextrose‐containing fluids is more suitable compared to 1% dextrose‐containing fluids for use during major neonatal surgeries requiring average fluid infusion rate of 10 ml·kg−1·h−1.
Source: Pediatric Anesthesia - Category: Anesthesiology Authors: Tags: Research Report Source Type: research

Related Links:

Publication date: Available online 25 January 2020Source: Anaesthesia &Intensive Care MedicineAuthor(s): Graham Knottenbelt, Amanda DaltonAbstractSpecialist surgery in infancy provides challenges for paediatric anaesthetists. There is growing appreciation that the relatively higher rate of severe critical events in infants during the perioperative period requires appropriate competence, experience and resources for the safe conduct of anaesthesia. Both common (inguinal hernias and hypertrophic pyloric stenosis) and less common conditions (tracheo-oesophageal fistula, congenital diaphragmatic hernia, exomphalos, gastros...
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
A tracheal pouch is a rare complication of successful repair of a congenital tracheoesophageal fistula (TEF). An 18-month-old child with a repaired congenital TEF was scheduled for esophageal dilation to treat his esophageal stricture. Migration of the distal end of the endotracheal tube into a previously undetected tracheal pouch caused an abrupt failure to ventilate at the end of surgery. Given our experience, we recommend to screen the trachea of every patient with corrected TEF for a tracheal pouch when they are scheduled for another procedure requiring general anesthesia.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
Authors: Edelman B, Selvaraj BJ, Joshi M, Patil U, Yarmush J Abstract Tracheoesophageal fistula (TEF) is a rare congenital developmental anomaly, affecting 1 in 2500-3000 live births. The H-type TEF, consisting of a fistula between the trachea and a patent esophagus, is one of the rare anatomic subtypes, accounting for 4% of all TEFs. The presentation and perioperative management of neonates with H-type TEFs and all other TEFs are very similar to each other. Patients present with congenital heart disease and other defects and are prone to recurrent aspirations. A barium esophagogram or computed tomography of the ch...
Source: Anesthesiology Research and Practice - Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research
CONCLUSIONS: Open and thoracoscopic correction of esophageal atresia were associated with periods of severe metabolic derangements. These events need to be taken into account for the evaluation of esophageal atresia (surgical) care and in evaluations of short- and long-term outcomes. This article is protected by copyright. All rights reserved. PMID: 31343794 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
CONCLUSION: Use of bronchoscopy varies considerably between institutions. Infants undergoing tracheo-oesophageal fistula repair are at risk of peri-operative respiratory morbidity. The advent of thoracoscopic repair has introduced further variation. This article is protected by copyright. All rights reserved. PMID: 30811748 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
We read with interest the recent paper discussing an ultrasound guided oblique intercostal approach for paravertebral catheters placement in 2 neonates scheduled for tracheoesophageal fistula repair [1]. While we applaud the author's choice of using for paravertebral catheters (PVBCs) in such small neonates, we question the technique used; an ultrasound image was not presented, and the figure and block details do not seem to be in concordance with the approach used. The depth of paravertebral space with intercostal approach is only few millimiters, making this approach extremely challenging, with a high risk of pneumothora...
Source: Journal of Clinical Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research
Deepak Dwivedi, Jeetinder Makkar, Ridhima Sharma, Anudeep JafraSaudi Journal of Anaesthesia 2018 12(2):355-357
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Ridhima Sharma, Deepak Dwivedi, Ripon ChoudharySaudi Journal of Anaesthesia 2018 12(1):154-155
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
AbstractThe value of laryngotracheobronchoscopy (LTB) immediately prior to repair of esophageal atresia with or without tracheo-esophageal fistula is contentious. Currently, there is a wide range of opinion on the utility of this investigation which is reflected by huge variation in clinical practice. This review is a critical analysis of the arguments for and against performing routine LTB prior to esophageal atresia repair. Reserving LTB for selected cases only is potentially disadvantageous since it limits the surgeon ’s and anesthetist’s familiarity with the procedure, equipment, and range of potential find...
Source: Pediatric Surgery International - Category: Surgery Source Type: research
Summary BackgroundIntraoperative hypercapnia and acidosis have been associated with thoracoscopic repair of both congenital diaphragmatic hernia and esophageal atresia/tracheoesophageal fistula. AimThe aim of the present study was to investigate whether thoracoscopic repair of congenital diaphragmatic hernia or esophageal atresia/tracheoesophageal fistula was associated with acidosis and hypercapnia in a large group of neonates, and to analyze the effects of acidosis and hypercapnia on early postoperative outcomes. MethodsWe reviewed the charts of neonates who underwent open or thoracoscopic congenital diaphragmatic hernia...
Source: Pediatric Anesthesia - Category: Anesthesiology Authors: Tags: RESEARCH REPORT Source Type: research
More News: Anesthesia | Anesthesiology | Gastroschisis Repair | Insulin | Pediatrics | Perinatology & Neonatology | Study | Tracheo-Esophageal Fistula