Neuraxial anaesthesia in paediatrics

Publication date: Available online 7 May 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Ryan Marcelino, Amod Sawardekar, Santhanam SureshAbstractNeuraxial anaesthesia is a valuable aid in the practice of paediatric anaesthesia. Spinal and epidural blockade are used as either the sole anaesthetic or as an adjunct to general anaesthesia, and often confer significant postoperative analgesia. Caudal epidural anaesthesia is used extensively for lower abdominal, urological and orthopaedic procedures in the setting of outpatient surgery. Lumbar and thoracic epidural infusions via a catheter can provide analgesia for chest and upper abdominal procedures. Major complications related to neuraxial catheter placement are uncommon in paediatric anaesthesia, even though block placement is typically after the patient is anesthetized. The use of the ultrasound for real-time visualization during paediatric neuraxial blocks provides an opportunity for observing final catheter position or confirming successful injection into the epidural space.
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research

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Publication date: Available online 18 July 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Alan David Kaye, Mark W. Motejunas, Lauren A. Bonneval, Ken P. Ehrhardt, Dustin R. Latimer, Andrea Trescot, Kyle E. Wilson, Ibraham N. Ibrahim, Elyse M. Cornett, Richard D. Urman, Kenneth D. CandidoAbstractChronic pain management techniques have evolved in recent years. In this regard, ultrasound technology has become a standard for most acute pain procedures and essential for postsurgical pain relief and enhanced recovery after surgery protocols. This manuscript summarizes clinical studies evaluating ultra...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
Publication date: Available online 17 July 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Jinlei Li, Shuai Tang, David Lam, Anja Hergrueter, Jeremy Dennis, Henry LiuAbstractPurposeof review: Novel motor-sparing peripheral nerve blocks in hip and knee procedures are desirable.Recent findingsThe application of ultrasound in fascial plane blocks have improved the efficacy and effectiveness of obturator nerve block, lateral femoral cutaneous nerve block, and quadratus lumborum block. The improved performance of these fascial plane blocks has led to additional clinical applications to the hip and kne...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
Publication date: Available online 17 July 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Richard D. Urman, Alan David Kaye
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
AbstractPurpose of ReviewThis review illustrates the incremental value of echocardiography as a bedsite tool for diagnosis and monitoring in critically ill patients with cardiopulmonary dysfunction. It provides practical guidance on the use of basic echocardiography in clinical scenarios frequently encountered in the ICU.Recent FindingsEchocardiography has become readily accessible to critical care physicians now and equipment is even been designed specifically for use in acute and critical care environments. The most important barrier to a more widespread implementation of this technique today, however, is the lack of tra...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
Conclusions Point of care ultrasound can be used to evaluate postoperative diaphragmatic function. On the first postoperative day, diaphragmatic dysfunction was less common after video-assisted than after the thoracotomic surgery and is associated with postoperative pulmonary complications.
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Source: Anesthesiology - Category: Anesthesiology Source Type: research
AbstractAimTo compare intraocular pressure (IOP) measurements obtained with the Perkins applanation tonometer and Icare PRO (ICP) rebound tonometer in anesthetized aphakic or strabismus children. Furthermore, intra-operator correlation and inter-operator correlation have been evaluated, along with the effects of central corneal thickness (CCT) on IOP measurements.MethodsSeventy children undergoing examination under anesthesia with sevoflurane for aphakic patients and for surgery for strabismus were included. IOP have been measured twice immediately after anesthesia induction with both Perkins applanation tonometer (PAT) an...
Source: International Ophthalmology - Category: Opthalmology Source Type: research
PMID: 31301017 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - Category: Anesthesiology Authors: Tags: Can J Anaesth Source Type: research
ConclusionsThe results suggest that the ESP block reaches a wide range of the posterior rami of spinal nerves without diffusion into the paravertebral space or involvement of the anterior rami.
Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research
Pharyngeal packing (PP) is commonly performed to reduce the incidence of perioperative blood ingestion (PBI) in nasal surgery (NS), and thus the incidence and severity of postoperative nausea and vomiting (PON...
Source: BMC Anesthesiology - Category: Anesthesiology Authors: Tags: Research article Source Type: research
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