Regional anesthesia and sickle cell crisis in pediatric patients: An educational-focused review
DISCUSSION: The available literature, albeit all retrospective or anecdotal, suggests the potential utility of regional anesthesia to treat pain in patients with SCD. Additional benefits have included avoidance of the potential deleterious physiologic effects of systemic opioids and in one case series, an improvement in respiratory function as judged by pulse oximetry. The anecdotal and retrospective nature of the available reports with an absence of prospective trials limits the evidence based medicine available from which to develop to guidlines for the optimal local anesthetic agent to use, its concentration, the rate o...
Source: Paediatric Anaesthesia - November 20, 2023 Category: Anesthesiology Authors: Amr Elhamrawy Giorgio Veneziano Joseph D Tobias Source Type: research
Dexmedetomidine and neurophysiologic monitoring-A call for evidence to guide contemporary best practice for pediatric anesthesiologists
Paediatr Anaesth. 2023 Nov 20. doi: 10.1111/pan.14802. Online ahead of print.NO ABSTRACTPMID:37983954 | DOI:10.1111/pan.14802 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 20, 2023 Category: Anesthesiology Authors: Jonathan J Gamble Susan M Goobie Source Type: research
Regional anesthesia and sickle cell crisis in pediatric patients: An educational-focused review
DISCUSSION: The available literature, albeit all retrospective or anecdotal, suggests the potential utility of regional anesthesia to treat pain in patients with SCD. Additional benefits have included avoidance of the potential deleterious physiologic effects of systemic opioids and in one case series, an improvement in respiratory function as judged by pulse oximetry. The anecdotal and retrospective nature of the available reports with an absence of prospective trials limits the evidence based medicine available from which to develop to guidlines for the optimal local anesthetic agent to use, its concentration, the rate o...
Source: Paediatric Anaesthesia - November 20, 2023 Category: Anesthesiology Authors: Amr Elhamrawy Giorgio Veneziano Joseph D Tobias Source Type: research
Dexmedetomidine and neurophysiologic monitoring-A call for evidence to guide contemporary best practice for pediatric anesthesiologists
Paediatr Anaesth. 2023 Nov 20. doi: 10.1111/pan.14802. Online ahead of print.NO ABSTRACTPMID:37983954 | DOI:10.1111/pan.14802 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 20, 2023 Category: Anesthesiology Authors: Jonathan J Gamble Susan M Goobie Source Type: research
Regional anesthesia and sickle cell crisis in pediatric patients: An educational-focused review
DISCUSSION: The available literature, albeit all retrospective or anecdotal, suggests the potential utility of regional anesthesia to treat pain in patients with SCD. Additional benefits have included avoidance of the potential deleterious physiologic effects of systemic opioids and in one case series, an improvement in respiratory function as judged by pulse oximetry. The anecdotal and retrospective nature of the available reports with an absence of prospective trials limits the evidence based medicine available from which to develop to guidlines for the optimal local anesthetic agent to use, its concentration, the rate o...
Source: Paediatric Anaesthesia - November 20, 2023 Category: Anesthesiology Authors: Amr Elhamrawy Giorgio Veneziano Joseph D Tobias Source Type: research
Dexmedetomidine and neurophysiologic monitoring-A call for evidence to guide contemporary best practice for pediatric anesthesiologists
Paediatr Anaesth. 2023 Nov 20. doi: 10.1111/pan.14802. Online ahead of print.NO ABSTRACTPMID:37983954 | DOI:10.1111/pan.14802 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 20, 2023 Category: Anesthesiology Authors: Jonathan J Gamble Susan M Goobie Source Type: research
Erector spinae plane blocks: A narrative update
Paediatr Anaesth. 2023 Nov 16. doi: 10.1111/pan.14800. Online ahead of print.ABSTRACTThe erector spinae plane block (ESPB) is perhaps one of the most interesting of the tissue plane blocks described recently. There has been an exponential increase in the number of publications for both adults and children over the past 5 years. Single-shot, intermittent bolus, and continuous infusion techniques have been used effectively. Both the efficacy and safety of the procedure are widely accepted, but the exact mechanism by which the local anesthetic spreads from the tip of the transverse process to block the dorsal and ventral rami...
Source: Paediatric Anaesthesia - November 16, 2023 Category: Anesthesiology Authors: Adrian Bosenberg Source Type: research
Erector spinae plane blocks: A narrative update
Paediatr Anaesth. 2023 Nov 16. doi: 10.1111/pan.14800. Online ahead of print.ABSTRACTThe erector spinae plane block (ESPB) is perhaps one of the most interesting of the tissue plane blocks described recently. There has been an exponential increase in the number of publications for both adults and children over the past 5 years. Single-shot, intermittent bolus, and continuous infusion techniques have been used effectively. Both the efficacy and safety of the procedure are widely accepted, but the exact mechanism by which the local anesthetic spreads from the tip of the transverse process to block the dorsal and ventral rami...
Source: Paediatric Anaesthesia - November 16, 2023 Category: Anesthesiology Authors: Adrian Bosenberg Source Type: research
Erector spinae plane blocks: A narrative update
Paediatr Anaesth. 2023 Nov 16. doi: 10.1111/pan.14800. Online ahead of print.ABSTRACTThe erector spinae plane block (ESPB) is perhaps one of the most interesting of the tissue plane blocks described recently. There has been an exponential increase in the number of publications for both adults and children over the past 5 years. Single-shot, intermittent bolus, and continuous infusion techniques have been used effectively. Both the efficacy and safety of the procedure are widely accepted, but the exact mechanism by which the local anesthetic spreads from the tip of the transverse process to block the dorsal and ventral rami...
Source: Paediatric Anaesthesia - November 16, 2023 Category: Anesthesiology Authors: Adrian Bosenberg Source Type: research
A case of antenatally undiagnosed laryngeal atresia with tracheo-esophageal fistula with airway obstruction at birth and its management
Paediatr Anaesth. 2023 Nov 15. doi: 10.1111/pan.14794. Online ahead of print.ABSTRACTLaryngeal atresia is a rare congenital anomaly that is usually diagnosed by antenatal ultrasound, however, if undiagnosed presents with desaturation after birth. A term neonate presented with airway obstruction after birth with multiple failed attempts at intubation and was rescued by proseal laryngeal mask airway (LMA). An esophagoscopy using an Ambuscope utilizing a modified connector assembly revealed an opening on the anterior wall of the esophagus with no esophageal atresia, leading to a diagnosis of H-type tracheo-esophageal fistula ...
Source: Paediatric Anaesthesia - November 15, 2023 Category: Anesthesiology Authors: Lipika Soni Ganga Prasad Manpreet Kaur Source Type: research
A case of antenatally undiagnosed laryngeal atresia with tracheo-esophageal fistula with airway obstruction at birth and its management
Paediatr Anaesth. 2023 Nov 15. doi: 10.1111/pan.14794. Online ahead of print.ABSTRACTLaryngeal atresia is a rare congenital anomaly that is usually diagnosed by antenatal ultrasound, however, if undiagnosed presents with desaturation after birth. A term neonate presented with airway obstruction after birth with multiple failed attempts at intubation and was rescued by proseal laryngeal mask airway (LMA). An esophagoscopy using an Ambuscope utilizing a modified connector assembly revealed an opening on the anterior wall of the esophagus with no esophageal atresia, leading to a diagnosis of H-type tracheo-esophageal fistula ...
Source: Paediatric Anaesthesia - November 15, 2023 Category: Anesthesiology Authors: Lipika Soni Ganga Prasad Manpreet Kaur Source Type: research
A case of antenatally undiagnosed laryngeal atresia with tracheo-esophageal fistula with airway obstruction at birth and its management
Paediatr Anaesth. 2023 Nov 15. doi: 10.1111/pan.14794. Online ahead of print.ABSTRACTLaryngeal atresia is a rare congenital anomaly that is usually diagnosed by antenatal ultrasound, however, if undiagnosed presents with desaturation after birth. A term neonate presented with airway obstruction after birth with multiple failed attempts at intubation and was rescued by proseal laryngeal mask airway (LMA). An esophagoscopy using an Ambuscope utilizing a modified connector assembly revealed an opening on the anterior wall of the esophagus with no esophageal atresia, leading to a diagnosis of H-type tracheo-esophageal fistula ...
Source: Paediatric Anaesthesia - November 15, 2023 Category: Anesthesiology Authors: Lipika Soni Ganga Prasad Manpreet Kaur Source Type: research
Implementation of an electroencephalogram-guided propofol anesthesia practice in a large academic pediatric hospital: A quality improvement project
CONCLUSION: Quality improvement methods may be deployed to adopt electroencephalogram-guided total intravenous anesthesia in a large academic pediatric anesthesia practice. Keys to success include education, in operating room case training, scheduling teachers with learners, electronic health record modifications, and electroencephalogram devices and supplies.PMID:37962837 | DOI:10.1111/pan.14791 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 14, 2023 Category: Anesthesiology Authors: Sheri Jones Oguh Rajeev S Iyer Ian Yuan Richard Missett Rodrigo J Daly Guris Gregory Johnson Lenard W Babus Christopher B Massa Heather McClung-Pasqualino Annery G Garcia-Marcinkiewicz Luis Sequera-Ramos C Dean Kurth Source Type: research
Implementation of an electroencephalogram-guided propofol anesthesia practice in a large academic pediatric hospital: A quality improvement project
CONCLUSION: Quality improvement methods may be deployed to adopt electroencephalogram-guided total intravenous anesthesia in a large academic pediatric anesthesia practice. Keys to success include education, in operating room case training, scheduling teachers with learners, electronic health record modifications, and electroencephalogram devices and supplies.PMID:37962837 | DOI:10.1111/pan.14791 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 14, 2023 Category: Anesthesiology Authors: Sheri Jones Oguh Rajeev S Iyer Ian Yuan Richard Missett Rodrigo J Daly Guris Gregory Johnson Lenard W Babus Christopher B Massa Heather McClung-Pasqualino Annery G Garcia-Marcinkiewicz Luis Sequera-Ramos C Dean Kurth Source Type: research
Pediatric influenza vaccination in the perioperative setting: A quality improvement project
CONCLUSIONS: Over three consecutive influenza vaccination seasons, we safely established and met vaccination rate goals of 10, 15, and 18% to eligible patients during preoperative clinic visits within a pediatric PSH system. Through iterative PDSA cycles, we continue to identify opportunities for future improvement. This suggests that the perioperative period presents opportunity for seasonal influenza vaccination with potential program expansion to include routine vaccines of childhood.PMID:37955042 | DOI:10.1111/pan.14790 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 13, 2023 Category: Anesthesiology Authors: Andrew J Meyer Jill R Smith Tara L Wright Laurie J Engler Michael T Bigham Tarun Bhalla Source Type: research
