Albuterol Before Tonsillectomy Protects Against Respiratory Problems Albuterol Before Tonsillectomy Protects Against Respiratory Problems
Preoperative inhaled albuterol can help protect against perioperative respiratory adverse events in young children undergoing anesthesia for tonsillectomy, according to data from the Australian REACT trial.Reuters Health Information
British anaesthetist Sir Robert Macintosh (1897 to 1989,right) was born in New Zealand under a lucky star. The son of a mayor and newspaper editor, young Macintosh shone as a student and athlete. In 1937, automotive magnate Lord Nuffield beamed as Oxford University officials installed Macintosh as Britain ’s first (Nuffield) Professor of Anaesthetics. Honorary doctorates and fellowships followed, along with knighthood by Queen Elizabeth II. Fortune indeed favored him, but adversity had forged his mettle. His beloved mother died in his youth. During World War I, German soldiers shot down his fighter plane and took him...
Paediatr Anaesth. 2021 Sep 3. doi: 10.1111/pan.14288. Online ahead of print.ABSTRACTFeedback around the hospital experience is often sought from caregivers; however, consultation with children offers a unique perspective that can also be valuable for quality improvement purposes. There are limited studies collecting direct feedback from children on their surgical and hospital experience, one study highlighting the need for individualised care in a perioperative setting, which can only be discerned through direct and meaningful conversations with children.1 Tonsillectomies are one of the most common childhood surgical proce...
CONCLUSION: DC scores overall were low for the group. DQ, as measured with the novel PtDA, had an inverse correlation with DC scores, suggesting validity of the proposed PtDA. Our instrument has potential use as a PtDA for parents who are offered tonsillectomy for their children.PMID:34362262 | DOI:10.1177/00034894211037187
CONCLUSIONS: Opioid-sparing effects did not differ following an oral or standard IV acetaminophen loading dose with no identified acetaminophen toxicity in pediatric patients undergoing tonsillectomy and adenoidectomy who received standardized multimodal postoperative analgesia. An oral loading dose may provide more consistent serum acetaminophen levels at lower cost compared to a standard IV dose.PMID:34304234 | DOI:10.1213/ANE.0000000000005678
Conclusion: A lower dose of dexmedetomidine (0.3 μg/kg/h) is equally effective as a higher dose (0.5 μg/kg/h) after a bolus dose of 0.5 μg/kg in decreasing EA.
Anesth Analg. 2021 Jul 1;133(1):e7-e9. doi: 10.1213/ANE.0000000000005567.NO ABSTRACTPMID:34127598 | DOI:10.1213/ANE.0000000000005567
CONCLUSIONS: A model based on pre- and intraoperative pupillometry measures including CONQ, MIN, along with weight-based morphine dose-predicted postoperative RD in our cohort of children undergoing tonsillectomy. More studies with a larger sample size are required to validate this finding.PMID:34029273 | DOI:10.1213/ANE.0000000000005579
ConclusionsStandardized diagnostic workup followed by ND and risk-factor adapted therapy improves survival of NSCCUP-P.
CONCLUSIONS: Despite extensive changes to our discharge protocols parents continued to report a prolonged period of pain, PONV and behavioural changes. Further work is required to examine barriers to compliance with simple analgesia and education in appropriate methods of opioid disposal.PMID:33788340 | DOI:10.1111/pan.14187
Conclusions Premedication with midazolam was not associated with prolonged emergence or discharge time or higher incidence of complications after anesthesia for T&A in patients with OSA.PMID:33728122 | PMC:PMC7935262 | DOI:10.7759/cureus.13101