Use of definition, risks factors, and management of hypoglycemia by UK anesthesiologists
Paediatr Anaesth. 2024 Feb 21. doi: 10.1111/pan.14858. Online ahead of print.NO ABSTRACTPMID:38379456 | DOI:10.1111/pan.14858 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 21, 2024 Category: Anesthesiology Authors: Hannah Lewis Katherine Brooks Tom Bennett Sarah Greenaway Benjamin J Blaise Source Type: research

Does anesthesia duration or number of cases per patient predict safety events?
CONCLUSIONS: Limiting dental care under general anesthesia to multiple short cases may decrease the risk of perioperative events when compared to completing all treatment in one long operative session.PMID:38379426 | DOI:10.1111/pan.14861 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 21, 2024 Category: Anesthesiology Authors: R J Berens C C Greene C E Frahm M E McCormick G M Hoffman Source Type: research

Use of definition, risks factors, and management of hypoglycemia by UK anesthesiologists
Paediatr Anaesth. 2024 Feb 21. doi: 10.1111/pan.14858. Online ahead of print.NO ABSTRACTPMID:38379456 | DOI:10.1111/pan.14858 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 21, 2024 Category: Anesthesiology Authors: Hannah Lewis Katherine Brooks Tom Bennett Sarah Greenaway Benjamin J Blaise Source Type: research

Pediatric anesthesia skills: Black and white or shades of gray?
Paediatr Anaesth. 2024 Feb 20. doi: 10.1111/pan.14863. Online ahead of print.NO ABSTRACTPMID:38376249 | DOI:10.1111/pan.14863 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 20, 2024 Category: Anesthesiology Authors: Fabio Sbaraglia Source Type: research

Pediatric anesthesia skills: Black and white or shades of gray?
Paediatr Anaesth. 2024 Feb 20. doi: 10.1111/pan.14863. Online ahead of print.NO ABSTRACTPMID:38376249 | DOI:10.1111/pan.14863 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 20, 2024 Category: Anesthesiology Authors: Fabio Sbaraglia Source Type: research

A randomized, double-blind, dose-controlled study of the use of dexmedetomidine alone for procedural sedation of children and adolescents undergoing MRI scans
CONCLUSIONS: Dexmedetomidine was well tolerated. The high dose was associated with meaningfully greater efficacy compared with lower doses. Based on these results, the recommended starting dose for procedural sedation in children ≥1month-<2years is loading dose 1.5 mcg/kg/maintenance infusion 1.5 mcg/kg/h; children ≥2-<17years is loading dose 2.0 mcg/kg/maintenance infusion 1.5 mcg/kg/h.PMID:38363011 | DOI:10.1111/pan.14857 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 16, 2024 Category: Anesthesiology Authors: Umar Khan Gregory B Hammer Cassandra Duncan-Azadi Yasuyuki Suzuki Deborah Chiles Sunring Chime Phillip Chappell Source Type: research

A randomized, double-blind, dose-controlled study of the use of dexmedetomidine alone for procedural sedation of children and adolescents undergoing MRI scans
CONCLUSIONS: Dexmedetomidine was well tolerated. The high dose was associated with meaningfully greater efficacy compared with lower doses. Based on these results, the recommended starting dose for procedural sedation in children ≥1month-<2years is loading dose 1.5 mcg/kg/maintenance infusion 1.5 mcg/kg/h; children ≥2-<17years is loading dose 2.0 mcg/kg/maintenance infusion 1.5 mcg/kg/h.PMID:38363011 | DOI:10.1111/pan.14857 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 16, 2024 Category: Anesthesiology Authors: Umar Khan Gregory B Hammer Cassandra Duncan-Azadi Yasuyuki Suzuki Deborah Chiles Sunring Chime Phillip Chappell Source Type: research

A randomized, double-blind, dose-controlled study of the use of dexmedetomidine alone for procedural sedation of children and adolescents undergoing MRI scans
CONCLUSIONS: Dexmedetomidine was well tolerated. The high dose was associated with meaningfully greater efficacy compared with lower doses. Based on these results, the recommended starting dose for procedural sedation in children ≥1month-<2years is loading dose 1.5 mcg/kg/maintenance infusion 1.5 mcg/kg/h; children ≥2-<17years is loading dose 2.0 mcg/kg/maintenance infusion 1.5 mcg/kg/h.PMID:38363011 | DOI:10.1111/pan.14857 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 16, 2024 Category: Anesthesiology Authors: Umar Khan Gregory B Hammer Cassandra Duncan-Azadi Yasuyuki Suzuki Deborah Chiles Sunring Chime Phillip Chappell Source Type: research

A randomized, double-blind, dose-controlled study of the use of dexmedetomidine alone for procedural sedation of children and adolescents undergoing MRI scans
CONCLUSIONS: Dexmedetomidine was well tolerated. The high dose was associated with meaningfully greater efficacy compared with lower doses. Based on these results, the recommended starting dose for procedural sedation in children ≥1month-<2years is loading dose 1.5 mcg/kg/maintenance infusion 1.5 mcg/kg/h; children ≥2-<17years is loading dose 2.0 mcg/kg/maintenance infusion 1.5 mcg/kg/h.PMID:38363011 | DOI:10.1111/pan.14857 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 16, 2024 Category: Anesthesiology Authors: Umar Khan Gregory B Hammer Cassandra Duncan-Azadi Yasuyuki Suzuki Deborah Chiles Sunring Chime Phillip Chappell Source Type: research

The state of point-of-care ultrasound training in pediatric anesthesia fellowship programs in the United States: A survey assessment
CONCLUSIONS: This observational survey-based study suggests that fewer than half of pediatric anesthesia training programs in the United States offer point-of-care ultrasound education. Additional research is needed to optimize this education and training in pediatric anesthesia fellowship programs.PMID:38358309 | DOI:10.1111/pan.14851 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 15, 2024 Category: Anesthesiology Authors: Elizabeth M O'Brien Rodrigo Daly Guris William Quarshie Elaina E Lin Source Type: research

Impact of dietary ketosis on volatile anesthesia toxicity in a model of Leigh syndrome
CONCLUSIONS: Our findings suggest that extra caution should be taken in the anesthetic management of mitochondrial disease patients in dietary ketosis.PMID:38358320 | DOI:10.1111/pan.14855 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 15, 2024 Category: Anesthesiology Authors: Kira A Spencer Miranda N Howe Michael T Mulholland Vivian Truong Ryan W Liao Yihan Chen Monyreak Setha John C Snell Allison Hanaford Katerina James Philip G Morgan Margaret M Sedensky Simon C Johnson Source Type: research

Negative pressure suction test
Paediatr Anaesth. 2024 Feb 15. doi: 10.1111/pan.14859. Online ahead of print.NO ABSTRACTPMID:38358324 | DOI:10.1111/pan.14859 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 15, 2024 Category: Anesthesiology Authors: Rodrigo J Daly Guris Alison R Perate Source Type: research

Goal-directed fluid therapy guided by plethysmographic variability index versus conventional liberal fluid therapy in neonates undergoing abdominal surgery: A prospective randomized controlled trial
CONCLUSION: Intraoperative plethysmographic variability index-guided goal-directed fluid therapy was comparable to liberal fluid therapy in terms of total volume of fluid infused in neonates during perioperative period. More randomized controlled trials with higher sample size are required.TRIAL REGISTRATION: Central Trial Registry of India (CTRI/2020/02/023561).PMID:38348932 | DOI:10.1111/pan.14856 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 13, 2024 Category: Anesthesiology Authors: A S Swathy Anudeep Jafra Neerja Bhardwaj Ravi P Kanojia Monika Bawa Source Type: research

Global pediatric anesthesia-Anglophone West Africa perspective
This article gives the pediatric anesthesia perspective from Cameroon, Nigeria, Ghana, Liberia, and Gambia, five out of six countries in Anglophone West Africa. Over 40% of the population of most of these countries are younger than 14 years and there is an increasing need for paediatric anesthesia services.FINDINGS: Workforce density ranges from 0.08 to 0.58 physician anesthesia providers per 100,000 population. There are only 13 trained pediatric anesthetists; ratios range from 0 to 0.4 per 100,000 children, thus pediatric anesthesia services are provided by various cadres of physician and non-physician anesthesia provide...
Source: Paediatric Anaesthesia - February 7, 2024 Category: Anesthesiology Authors: Ibironke Desalu Pokua Sarpong Maryrose O Osazuwa Raymond Ndikontar Kwinji Aramide Folayemi Faponle Musa Kallamu Suleiman Junette Metogo Mbengono Epse Njoki Iniabasi Ilori Olayinka R Eyelade Anastasia Abena Ohene Audrey Anno William Addison Source Type: research

Comparison of gastric emptying time between breast-fed and formula milk-fed infants less than 6  months old, using gastric ultrasound-An observational study
CONCLUSION: In our series, the gastric emptying times in breast-fed and formula-fed infants less than 6 months old were similar. Our results support the fasting guidelines of the European Society of Anaesthesiology and Intensive Care 2022, that is, 3 h for breastfeeding and 4 h for formula milk feeding. In addition, this shows that the Schmitz's and Spencer's formulae used to calculate the gastric volume based on ultrasound measurement of the antral cross-sectional area are not comparable in infants less than 6 months.PMID:38323713 | DOI:10.1111/pan.14841 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - February 7, 2024 Category: Anesthesiology Authors: Debashis Das Anjan Trikha Manpreet Kaur Thilaka Muthiah Ravinder Kumar Pandey Basavraj Ankalji Kumble Seetharama Madhusudhan Deep Narayan Srivastava Preet Mohinder Singh Source Type: research