Anesthetic challenges in patients with multicompartmental lymphatic failure after Fontan palliation undergoing transcatheter thoracic duct decompression
Paediatr Anaesth. 2024 Apr 23. doi: 10.1111/pan.14891. Online ahead of print.ABSTRACTLymphatic flow abnormalities are central to the development of protein losing enteropathy, plastic bronchitis, ascites and pleural effusions in patients palliated to the Fontan circulation. These complications can occur in isolation or multicompartmental (two or more). The treatment of multicompartmental lymphatic failure aims at improving thoracic duct drainage. Re-routing the innominate vein to the pulmonary venous atrium decompresses the thoracic duct, as atrial pressure is lower than systemic venous pressure in Fontan circulation. Tran...
Source: Paediatric Anaesthesia - April 23, 2024 Category: Anesthesiology Authors: Kirsten R Groody Susan C Nicolson David R Jobes Source Type: research
Editor's picks for the pediatric anesthesia article of the day: February 2024
Paediatr Anaesth. 2024 Apr 21. doi: 10.1111/pan.14899. Online ahead of print.NO ABSTRACTPMID:38644681 | DOI:10.1111/pan.14899 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 22, 2024 Category: Anesthesiology Authors: Melissa Brooks Peterson Justin L Lockman Myron Yaster Source Type: research
Comparison of BlockBuster laryngeal mask with Air-Q intubating laryngeal airway as a conduit for fiber-optic guided intubation in children: A prospective randomized controlled study
CONCLUSION: BlockBuster SGA may be a useful alternative to Air-Q for SGA-assisted, fiber-optic-guided tracheal intubation in children.PMID:38646953 | DOI:10.1111/pan.14906 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 22, 2024 Category: Anesthesiology Authors: Lipika Soni Kanil Ranjith Kumar Renu Sinha Arshad Ayub Nishant Patel Source Type: research
Pediatric anesthesia in Mongolia and Thailand
CONCLUSION: As a Low- and Middle-Income Country (LMIC) with low population density and extreme weather, the challenges include insufficient equipment, supplies, and clinician numbers, matching few clinicians to many varied patient locations, and covering surgical emergencies over distance and weather. In Thailand, education and training in pediatric anesthesia remain a focus: Pediatric anesthesia is an official subspecialty, the fellowship is accredited, using a competency-based curriculum with milestones of Direct Observation of Procedural Skills and Entrusted Professional Activities. The Bangkok Anesthesia Regional Train...
Source: Paediatric Anaesthesia - April 17, 2024 Category: Anesthesiology Authors: Pornarun Charoenraj Zolzaya Chinzorig Dolgorsuren Adiya Naiyana Aroonpruksakul Khuanysh Ayatkhan Oyun Bayarsaikhan Odgerel Boldbaatar Duenpen Horatanaruang Urantuya Khorolsaikhan Pornswan Ngamprasertwong Tumenjargal Purev-Oidov Solongo Tumur Justin Skowno Source Type: research
Pediatric anesthesia in Mongolia and Thailand
CONCLUSION: As a Low- and Middle-Income Country (LMIC) with low population density and extreme weather, the challenges include insufficient equipment, supplies, and clinician numbers, matching few clinicians to many varied patient locations, and covering surgical emergencies over distance and weather. In Thailand, education and training in pediatric anesthesia remain a focus: Pediatric anesthesia is an official subspecialty, the fellowship is accredited, using a competency-based curriculum with milestones of Direct Observation of Procedural Skills and Entrusted Professional Activities. The Bangkok Anesthesia Regional Train...
Source: Paediatric Anaesthesia - April 17, 2024 Category: Anesthesiology Authors: Pornarun Charoenraj Zolzaya Chinzorig Dolgorsuren Adiya Naiyana Aroonpruksakul Khuanysh Ayatkhan Oyun Bayarsaikhan Odgerel Boldbaatar Duenpen Horatanaruang Urantuya Khorolsaikhan Pornswan Ngamprasertwong Tumenjargal Purev-Oidov Solongo Tumur Justin Skowno Source Type: research
Pediatric anesthesiology in Brazil, Chile, and Mexico
CONCLUSIONS: Brazil an upper middle-income country, population 203 million, has a public system insufficiently resourced and a private system, resulting in inequitable safety and accessibility. Surgical complications constitute the third leading cause of mortality. Anesthesiology residency is 3 years, with required rotations in pediatric anesthesia; five hospitals offer pediatric anesthesia fellowships. Anesthesiology is a physician-only practice. A Pediatric Anesthesia Committee within the Brazilian Society of Anesthesiology offers education through seasonal courses and workshops including pediatric advanced life support....
Source: Paediatric Anaesthesia - April 15, 2024 Category: Anesthesiology Authors: Vin ícius Caldeira Quintão Mario Concha Lina Andrea Sarmiento Arg üello Silvana Cavallieri Luis I Cortinez Gabriel Soares de Sousa Marcella Marino Malavazzi Clemente Ricardo Vieira Carlos Juan Manuel Rodr íguez Karla Guti érrez Denis H Jablonka Anner Source Type: research
Halothane: Why we still use it
Paediatr Anaesth. 2024 Apr 15. doi: 10.1111/pan.14900. Online ahead of print.NO ABSTRACTPMID:38619502 | DOI:10.1111/pan.14900 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 15, 2024 Category: Anesthesiology Authors: Raymond Ndikontar Kwinji Source Type: research
Pediatric anesthesiology in Brazil, Chile, and Mexico
CONCLUSIONS: Brazil an upper middle-income country, population 203 million, has a public system insufficiently resourced and a private system, resulting in inequitable safety and accessibility. Surgical complications constitute the third leading cause of mortality. Anesthesiology residency is 3 years, with required rotations in pediatric anesthesia; five hospitals offer pediatric anesthesia fellowships. Anesthesiology is a physician-only practice. A Pediatric Anesthesia Committee within the Brazilian Society of Anesthesiology offers education through seasonal courses and workshops including pediatric advanced life support....
Source: Paediatric Anaesthesia - April 15, 2024 Category: Anesthesiology Authors: Vin ícius Caldeira Quintão Mario Concha Lina Andrea Sarmiento Arg üello Silvana Cavallieri Luis I Cortinez Gabriel Soares de Sousa Marcella Marino Malavazzi Clemente Ricardo Vieira Carlos Juan Manuel Rodr íguez Karla Guti érrez Denis H Jablonka Anner Source Type: research
Halothane: Why we still use it
Paediatr Anaesth. 2024 Apr 15. doi: 10.1111/pan.14900. Online ahead of print.NO ABSTRACTPMID:38619502 | DOI:10.1111/pan.14900 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 15, 2024 Category: Anesthesiology Authors: Raymond Ndikontar Kwinji Source Type: research
Brain drain in pediatric anesthesiology: The geographic and demographic distribution of national origin among pediatric anesthesiologists in the United States
CONCLUSIONS: International medical graduates, disproportionately from low- and middle-income countries, compose a large proportion of the US Pediatric Anesthesiology workforce. While these clinicians play a vital role in providing care for American children, the potential impacts of skilled physician loss on their nations of origin must also be considered.PMID:38610114 | DOI:10.1111/pan.14901 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 13, 2024 Category: Anesthesiology Authors: Liam K Sullivan Guillermo Salda ña Cody W Williams Yuli Lim Richard M Hubbard Source Type: research
Brain drain in pediatric anesthesiology: The geographic and demographic distribution of national origin among pediatric anesthesiologists in the United States
CONCLUSIONS: International medical graduates, disproportionately from low- and middle-income countries, compose a large proportion of the US Pediatric Anesthesiology workforce. While these clinicians play a vital role in providing care for American children, the potential impacts of skilled physician loss on their nations of origin must also be considered.PMID:38610114 | DOI:10.1111/pan.14901 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 13, 2024 Category: Anesthesiology Authors: Liam K Sullivan Guillermo Salda ña Cody W Williams Yuli Lim Richard M Hubbard Source Type: research
In this issue June 2024
Paediatr Anaesth. 2024 Apr 12. doi: 10.1111/pan.14903. Online ahead of print.NO ABSTRACTPMID:38607369 | DOI:10.1111/pan.14903 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 12, 2024 Category: Anesthesiology Source Type: research
Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research
Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research
Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research
