Arterial line cannulation in children: Is it time for guidelines?

Pediatric Anesthesia,Volume 28, Issue 6, Page 564-565, June 2018.
Source: Pediatric Anesthesia - Category: Anesthesiology Authors: Source Type: research

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terman BG, Pirracchio R Abstract PURPOSE: The pressure recording analytical method (PRAM) monitor is a non-invasive pulse contour cardiac output (CO) device that cannot be considered interchangeable with the gold standard for CO estimation. It, however, generates additional hemodynamic indices that need to be evaluated. Our objective was to investigate the performance of a multiparametric predictive score based on a combination of several parameters generated by the PRAM monitor to predict fluid responsiveness. METHODS: Secondary analysis of a prospective observational study from April 2016 to December 2017 i...
Source: Canadian Journal of Anaesthesia - Category: Anesthesiology Authors: Tags: Can J Anaesth Source Type: research
Introduction Arterial cannulation is frequently performed on intensive care unit (ICU) and operating room patients; a 1% complication rate has been reported. Investigators applied simulation to study clinical providers' arterial catheter (AC) insertion performance and to assess for interdisciplinary and intradisciplinary variation that may contribute to complications. Methods Anesthesia, medical critical care, and surgical critical care providers with AC insertion experience were enrolled at 2 academic hospitals. Each subject completed a simulated AC insertion on an in situ task trainer. Using a Delphi-derived checkli...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - Category: Medical Devices Tags: Empirical Investigations Source Type: research
Most modern blood pressure cuffs use the oscillometric technique, in which the cuff measures one value (mean arterial pressure) and an algorithm calculates systolic and diastolic blood pressure readings. However, this indirect method can produce inac...
Source: Medgadget - Category: Medical Devices Authors: Tags: Anesthesiology Cardiology Critical Care Diagnostics Emergency Medicine Exclusive Pediatrics Source Type: blogs
CONCLUSION: The large bias and the wide limits of agreement between Sp-Hb and Lab-Hb denote that Masimo-derived Sp-Hb is not accurate in children with congenital heart disease especially in the cyanotic group; the error in Sp-Hb increases when oxygen saturation decreases. PMID: 32160358 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
Conclusions: Blood pressure is only one of the measures anesthesiologists look to for good perfusion during surgery. Pediatric anesthesiologists and orthopedics agree in trying tight blood pressure control during surgery to decrease blood loss, but what the exact definition of that blood pressure number is, is still unclear. We propose that using mean arterial pressure less than 60 mmHg is perhaps a better definition. We provide recommendations for future studies.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Authors: Derycke L, Mallios A Abstract OBJECTIVE: To report our technique for percutaneous ultrasound-guided retrieval of accidentally transected arterial lines. CASES DESCRIPTION: Two patients are reported herein; in both of these patients, a part of the 20-gauge catheter inserted for invasive monitoring of their blood pressure in the intensive care unit was accidentally transected with part of the catheter remaining in the radial artery. Both patients were initially asymptomatic; therefore, a minimally invasive technique was sought to remove the catheters without inducing significant risk. Under local anesthe...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
CONCLUSIONS: This is the first well powered study comparing the effect of low tidal volume ventilation versus high tidal volume ventilation during surgery on the incidence of postoperative respiratory complications in adult patients receiving moderate levels of PEEP. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ACTRN12614000790640). PMID: 31778630 [PubMed - in process]
Source: Critical Care and Resuscitation - Category: Intensive Care Tags: Crit Care Resusc Source Type: research
Publication date: Available online 25 October 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Lori-Ann Oliver, Jodi-Ann Oliver, Sargis Ohanyan, William Park, Aharon Benelyahoo, Nalini VadiveluPeripheral venous access is perhaps the most commonly performed procedure in hospitals, urgent care, or surgical centers across the country. The ability to obtain peripheral intravenous (IV) access, and in a timely manner, is arguably one of the most important skill sets to be mastered by health care professionals. While skill and experience play a role in successful and timely vascular access, numerous pati...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
Publication date: Available online 25 October 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Jodi-Ann Oliver, Sargis Ohanyan, William Park, Aharon Benelyahoo, Nalini VadiveluAbstractPeripheral venous access is perhaps the most commonly performed procedure in hospitals, urgent care, or surgical centers across the country. Thus, arguably the ability to obtain peripheral intravenous access in a timely manner is one of the most important skill sets to be mastered by health care professionals. While the skill and experience of a health care professional is an important factor in determining successfu...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
This study is divided into two parts; in phase A baseline TWA data from 40 patients will be collected prospectively. A device (HemoSphere) with HPI software will be connected but fully covered. Phase B is designed as a single-center, randomized controlled trial were 60 patients will be randomized with computer-generated blocks of four, six or eight, with an allocation ratio of 1:1. In the intervention arm the HemoSphere with HPI will be used to guide treatment; in the control arm the HemoSphere with HPI software will be connected but fully covered. The primary outcome is the TWA in hypotension during surgery.DiscussionThe ...
Source: Trials - Category: Research Source Type: clinical trials
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