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

Emergency front-of-neck access in infants: A pragmatic crossover randomized control trial comparing two approaches on a simulated rabbit model
CONCLUSIONS: The scalpel-bougie tracheotomy was slightly faster than the rapid-sequence tracheotomy and favored by participants, with fewer tracheal injuries. Therefore, we propose the scalpel-bougie tracheostomy as a rescue approach favoring the similarity to the adult approach for small children. The use of a comparable equipment kit for both children and adults facilitates standardization, performance, and logistics.TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT05499273.PMID:37950428 | DOI:10.1111/pan.14796 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 11, 2023 Category: Anesthesiology Authors: Thomas Riva Simon Goerge Alexander Fuchs Robert Greif Markus Huber Andrea C Lusardi Thomas Riedel Francis F Ulmer Nicola Disma Source Type: research

Emergency front-of-neck access in infants: A pragmatic crossover randomized control trial comparing two approaches on a simulated rabbit model
CONCLUSIONS: The scalpel-bougie tracheotomy was slightly faster than the rapid-sequence tracheotomy and favored by participants, with fewer tracheal injuries. Therefore, we propose the scalpel-bougie tracheostomy as a rescue approach favoring the similarity to the adult approach for small children. The use of a comparable equipment kit for both children and adults facilitates standardization, performance, and logistics.TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT05499273.PMID:37950428 | DOI:10.1111/pan.14796 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 11, 2023 Category: Anesthesiology Authors: Thomas Riva Simon Goerge Alexander Fuchs Robert Greif Markus Huber Andrea C Lusardi Thomas Riedel Francis F Ulmer Nicola Disma Source Type: research

Emergency front-of-neck access in infants: A pragmatic crossover randomized control trial comparing two approaches on a simulated rabbit model
CONCLUSIONS: The scalpel-bougie tracheotomy was slightly faster than the rapid-sequence tracheotomy and favored by participants, with fewer tracheal injuries. Therefore, we propose the scalpel-bougie tracheostomy as a rescue approach favoring the similarity to the adult approach for small children. The use of a comparable equipment kit for both children and adults facilitates standardization, performance, and logistics.TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT05499273.PMID:37950428 | DOI:10.1111/pan.14796 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 11, 2023 Category: Anesthesiology Authors: Thomas Riva Simon Goerge Alexander Fuchs Robert Greif Markus Huber Andrea C Lusardi Thomas Riedel Francis F Ulmer Nicola Disma Source Type: research

Re-paralysis or a canary in the coal mine?
Paediatr Anaesth. 2023 Nov 10. doi: 10.1111/pan.14799. Online ahead of print.NO ABSTRACTPMID:37947223 | DOI:10.1111/pan.14799 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 10, 2023 Category: Anesthesiology Authors: Debra J Faulk Myron Yaster Source Type: research

Perioperative steroid prophylaxis for adrenal insufficiency, a  single-centre experience
Paediatr Anaesth. 2023 Nov 10. doi: 10.1111/pan.14797. Online ahead of print.NO ABSTRACTPMID:37947252 | DOI:10.1111/pan.14797 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 10, 2023 Category: Anesthesiology Authors: Chloe Heath Angus Johnston Aris Siafarikas Glynis Price Britta S von Ungern-Sternberg Source Type: research

Innovating pediatric care with social robots to alleviate anxiety
Paediatr Anaesth. 2023 Nov 7. doi: 10.1111/pan.14798. Online ahead of print.NO ABSTRACTPMID:37936541 | DOI:10.1111/pan.14798 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 8, 2023 Category: Anesthesiology Authors: Teresa Nguyen Craig Yamaguchi Liana Tilton Thomas Caruso Source Type: research

Innovating pediatric care with social robots to alleviate anxiety
Paediatr Anaesth. 2023 Nov 7. doi: 10.1111/pan.14798. Online ahead of print.NO ABSTRACTPMID:37936541 | DOI:10.1111/pan.14798 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 8, 2023 Category: Anesthesiology Authors: Teresa Nguyen Craig Yamaguchi Liana Tilton Thomas Caruso Source Type: research

Innovating pediatric care with social robots to alleviate anxiety
Paediatr Anaesth. 2023 Nov 7. doi: 10.1111/pan.14798. Online ahead of print.NO ABSTRACTPMID:37936541 | DOI:10.1111/pan.14798 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 8, 2023 Category: Anesthesiology Authors: Teresa Nguyen Craig Yamaguchi Liana Tilton Thomas Caruso Source Type: research

The effect of intraoperative cerebral oxygen desaturations on postoperative cerebral oxygen metabolism in neonates and infants a pilot study
CONCLUSION: Cerebral oxygen desaturation during major surgery in neonates and infants is associated with early postoperative increased cerebral oxygen extraction and possibly increased cerebral oxygen metabolism.PMID:37933584 | DOI:10.1111/pan.14789 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 7, 2023 Category: Anesthesiology Authors: Anna Jock Felix Neunhoeffer Alisa R örden Martin U Schuhmann Julian Zipfel Michael Hofbeck Markus Dietzel Simon Scherer Cristian Urla J örg Fuchs J örg Michel Frank Fideler Source Type: research

The effect of intraoperative cerebral oxygen desaturations on postoperative cerebral oxygen metabolism in neonates and infants a pilot study
CONCLUSION: Cerebral oxygen desaturation during major surgery in neonates and infants is associated with early postoperative increased cerebral oxygen extraction and possibly increased cerebral oxygen metabolism.PMID:37933584 | DOI:10.1111/pan.14789 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 7, 2023 Category: Anesthesiology Authors: Anna Jock Felix Neunhoeffer Alisa R örden Martin U Schuhmann Julian Zipfel Michael Hofbeck Markus Dietzel Simon Scherer Cristian Urla J örg Fuchs J örg Michel Frank Fideler Source Type: research

The effects of dexmedetomidine on intraoperative neurophysiologic monitoring modalities during corrective scoliosis surgery in pediatric patients: A systematic review
CONCLUSION: Given the limitations of the studies available in the literature, it would be advisable to conduct rigorous randomized controlled trials with larger sample sizes to assess the effects of dexmedetomidine use of in scoliosis surgery in pediatric patients.PMID:37927199 | DOI:10.1111/pan.14795 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 6, 2023 Category: Anesthesiology Authors: Ahmed Abdelaal Ahmed Mahmoud Metwally Alkhatip Kerry Elizabeth Mills Olivia Hogue Amr Sallam Mohamed Khaled Hamza Ehab Farag Hany Mahmoud Yassin Mohamed Wagih Ahmed Mohamed Ibrahim Ahmed Mohamed Hussein Helmy Mohamed Elayashy Source Type: research

The effect of augmented reality on preoperative anxiety in children and adolescents: A randomized controlled trial
CONCLUSION: To our knowledge, this study is the first large randomized controlled trial to provide empirical evidence of reduction in anxiety for children and adolescents using augmented reality prior to induction of general anesthesia.PMID:37925608 | DOI:10.1111/pan.14793 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - November 5, 2023 Category: Anesthesiology Authors: Cindy Chamberland Myriam Bransi Ariane Boivin Sandra Jacques Jo ël Gagnon S ébastien Tremblay Source Type: research