Anesthetic considerations for pediatric electroconvulsive therapy
Summary Electroconvulsive therapy is being used more frequently in the treatment of many chronic and acute psychiatric illnesses in children. The most common psychiatric indications for pediatric electroconvulsive therapy are refractory depression, bipolar disorder, schizophrenia, catatonia, and autism. In addition, a relatively new indication is the treatment of pediatric refractory status epilepticus. The anesthesiologist may be called upon to assist in the care of this challenging and vulnerable patient population. Unique factors for pediatric electroconvulsive therapy include the potential need for preoperative anxioly...
Source: Pediatric Anesthesia - February 16, 2017 Category: Anesthesiology Authors: Andrew D. Franklin, Jenna H. Sobey, Eric T. Stickles Tags: Educational Review (Non Commissioned) Source Type: research

Safety of antifibrinolytics in cranial vault reconstructive surgery: a report from the pediatric craniofacial collaborative group
ConclusionsThis is the first report of an incidence of postoperative seizures of 0.6% in pediatric cranial vault reconstructive surgery. There was no significant difference in postoperative seizures or seizure‐like events in those patients who received the tranexamic acid or aminocaproic acid vs those that did not. This report provides evidence of the safety profile of antifibrinolytic in children having noncardiac major surgery. Caution should prevail however in using antifibrinolytic in high‐risk patients. Antifibrinolytic dosage regimes should be based on pharmacokinetic data avoiding high doses. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - February 16, 2017 Category: Anesthesiology Authors: Susan M. Goobie, Franklyn P. Cladis, Chris D. Glover, Henry Huang, Srijaya K. Reddy, Allison M. Fernandez, David Zurakowski, Paul A. Stricker, Tags: Research Report Source Type: research

Staged intraperitoneal brachytherapy and hyperthermic intraperitoneal chemotherapy in an adolescent: novel anesthetic challenges for pediatric anesthetists
We present a case of a patient with recurrent Wilms' tumor managed with a novel combination of cytoreductive surgery, intraperitoneal brachytherapy, and subsequent hyperthermic intraperitoneal chemotherapy. Each stage presents challenges that the pediatric anesthetist is unlikely to have faced before. Such cases require flexibility and thorough planning to manage the combination of major surgery, remote anesthesia with brachytherapy and hyperthermic chemotherapy with its potential for metabolic derangement, significant fluid shifts, analgesic care, and potential exposure of staff to cytotoxic agents. Comprehensive care can...
Source: Pediatric Anesthesia - February 16, 2017 Category: Anesthesiology Authors: Andrew D. Weatherall, Tristan R. Bennett, Mark Lovell, Winnie Fung, Jonathan Lima Tags: Special Interest Article Source Type: research

Comparison of the analgesic efficacy of ultrasound ‐guided rectus sheath block and local anesthetic infiltration for laparoscopic percutaneous extraperitoneal closure in children
ConclusionUltrasound‐guided rectus sheath block is a quicker way to control postoperative pain for pediatric patients undergoing laparoscopic extraperitoneal closure than local anesthetic infiltration, and thus may provide a clinical benefit. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - February 14, 2017 Category: Anesthesiology Authors: Yuka Uchinami, Fumika Sakuraya, Nobuhiro Tanaka, Koji Hoshino, Eri Mikami, Taro Ishikawa, Hitomi Fujii, Takehiko Ishikawa, Yuji Morimoto Tags: Research Report Source Type: research

Comparison of caudal ropivacaine ‐morphine and paravertebral catheter for major upper abdominal surgery in infants
ConclusionsIn this small series, there was no significant difference between caudal ropivacaine‐morphine and paravertebral catheter for postoperative care in infants undergoing upper abdominal surgery. Further prospective studies are needed to compare the efficacy and incidence of complications of caudal block and paravertebral catheter for postoperative analgesia. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - February 7, 2017 Category: Anesthesiology Authors: Makoto Sato, Takafumi Iida, Chika Kikuchi, Tomoki Sasakawa, Takayuki Kunisawa Tags: Research Report Source Type: research

Sedation methods for transthoracic echocardiography in children with Trisomy 21 —a retrospective study
ConclusionIntranasal dexmedetomidine sedation was not associated with a significantly higher risk of bradycardia in patients with Trisomy 21, compared with other sedative or anesthetic regimens. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - February 7, 2017 Category: Anesthesiology Authors: Jeff Miller, Lili Ding, James Spaeth, Jennifer Lam, Joanna Paquin, Erica Lin, Allison Divanovic, Bi Lian Li, Shankar Baskar, Andreas W. Loepke Tags: Research Report Source Type: research

General anesthesia with a native airway for patients with mucopolysaccharidosis type III
ConclusionA combination of dexmedetomidine and propofol provided effective general anesthesia with a native airway during the procedures. Although upper airway obstruction was noted, it resolved with simple airway maneuvers without further airway intervention. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - February 7, 2017 Category: Anesthesiology Authors: Mineto Kamata, Christopher McKee, Kristen V. Truxal, Kevin M. Flanigan, Kim L. McBride, Shawn C. Aylward, Joseph D. Tobias, Marco Corridore Tags: Research Report Source Type: research

Hemodynamic profile and behavioral characteristics during induction of anesthesia in pediatric patients with attention deficit hyperactivity disorder
Abstract AimThere is no consensus regarding the administration of stimulant drugs preoperatively, particularly in pediatric patients diagnosed with ADHD. The primary objective of the current study was to assess differences in blood pressure and heart rate before and after induction of anesthesia between patients on chronic amphetamine or methylphenidate therapy who receive their normal dose preoperatively compared to patients in whom the prescribed medication was withheld. Secondary objectives were to assess the anxiety level during the induction of anesthesia and the effect of premedication with midazolam. MethodPatients,...
Source: Pediatric Anesthesia - February 7, 2017 Category: Anesthesiology Authors: Richard S. Cartabuke, Joseph D. Tobias, Julie Rice, Dmitry Tumin Tags: Research Report Source Type: research

The impact of capnography monitoring among children and adolescents in the postanesthesia care unit: a randomized controlled trial
Summary BackgroundPulse oximetry does not reliably recognize respiratory depression, particularly in the presence of supplemental oxygen. Capnography frequently detects hypoventilation and apnea among children recovering from anesthesia. Although children are routinely monitored with capnography during anesthesia, reducing the rate of adverse events, it is not routinely used in the postanesthesia care unit (PACU), where patients remain at risk for respiratory depression. AimWe hypothesized that children monitored with capnography would have more frequent staff interventions and fewer adverse events than children monitored ...
Source: Pediatric Anesthesia - February 7, 2017 Category: Anesthesiology Authors: Melissa L. Langhan, Fang ‐Yong Li, J. Lance Lichtor Tags: Research Report Source Type: research

The influence of parents ’ voice on the consumption of propofol for pediatric procedural sedation—a randomized controlled trial
ConclusionListening to parental voice during deep sedation does not result in a reduction of sedative dose in children undergoing short medical procedures. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - February 7, 2017 Category: Anesthesiology Authors: Eva Tschiedel, Victoria Heck, Ursula Felderhoff ‐Mueser, Christian Dohna‐Schwake Tags: Research Report Source Type: research

A case ‐controlled comparison of postoperative analgesic dosing between girls with Rett syndrome and girls with and without developmental disability undergoing spinal fusion surgery
ConclusionThis study highlights possible discrepancies in postoperative pain management specific to girls with Rett syndrome and suggests further investigation is warranted to determine best practice for postoperative analgesic management for this vulnerable patient population. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - February 7, 2017 Category: Anesthesiology Authors: Chantel C. Barney, Alyssa M. Merbler, Kelsey Quest, Breanne J. Byiers, George L. Wilcox, Scott Schwantes, Samuel A. Roiko, Timothy Feyma, Arthur Beisang, Frank J. Symons Tags: Research Report Source Type: research

Perioperative considerations in infantile neuroaxonal dystrophy
Summary Infantile neuroaxonal dystrophy is a rare neurological disorder that is universally fatal with life expectancy under 10 years. A 10‐year‐old boy with infantile neuroaxonal dystrophy and severe neuromuscular scoliosis underwent posterior spinal fusion following halo traction. He was successfully extubated to bilevel positive airway pressure on postoperative day 3 and discharged home on postoperative day 11. Infantile neuroaxonal dystrophy presents several perioperative challenges including concerns for difficult intubation and respiratory dysfunction. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - February 7, 2017 Category: Anesthesiology Authors: Jina L. Sinskey, Robert S. Holzman Tags: Case Report Source Type: research

Electroencephalographic discontinuity during sevoflurane anesthesia in infants and children
Summary BackgroundDeep anesthesia in adults may be associated with electroencephalographic (EEG) suppression and higher rates of postoperative complications. Little is known about the impact of anesthetic depth on short‐ or long‐term outcomes in pediatrics. Brain activity monitoring may complement clinical signs of anesthetic depth. This prospective observational study aimed to assess the frequency and degree of profound EEG suppression using multichannel EEG in children during sevoflurane general anesthesia. MethodsChildren aged 0–40 months who required general anesthesia for elective surgery were included. Cont...
Source: Pediatric Anesthesia - February 7, 2017 Category: Anesthesiology Authors: Laura Cornelissen, Ann M. Bergin, Kimberly Lobo, Carolina Donado, Janet S. Soul, Charles B. Berde Tags: Research Report Source Type: research

Optimization of initial propofol bolus dose for EEG Narcotrend Index ‐guided transition from sevoflurane induction to intravenous anesthesia in children
The objective of this prospective clinical observational study was to identify the optimal initial propofol bolus dose for a smooth transition from sevoflurane induction to TIVA using the EEG Narcotrend Index (NI). MethodsFifty children aged 1–8 years scheduled for elective pediatric surgery were studied. After sevoflurane induction and establishing of an intravenous access, a propofol bolus dose range 0–5 mg·kg−1 was administered at the attending anesthetist's discretion to maintain a NI between 20 and 64, and sevoflurane was stopped. Anesthesia was continued as TIVA with a propofol infusion dose ...
Source: Pediatric Anesthesia - January 31, 2017 Category: Anesthesiology Authors: Nils Dennhardt, Dietmar Boethig, Christiane Beck, Sebastian Heiderich, Martin Boehne, Andreas Leffler, Barbara Schultz, Robert S ümpelmann Tags: Research Report Source Type: research

Congenital diaphragmatic hernia: outcomes of neonates treated at Mayo Clinic with and without extracorporeal membrane oxygenation
ConclusionThe overall survival of neonates with CDH was 79%. Intrathoracic liver herniation was associated with more frequent use of ECMO and greater mortality. A substantial number of survivors, especially those who required ECMO, experienced chronic conditions after discharge. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 31, 2017 Category: Anesthesiology Authors: Katarina Bojani ć, Jason M. Woodbury, Alexandre N. Cavalcante, Ruža Grizelj, Garth F. Asay, Christopher E. Colby, William A. Carey, Gregory J. Schears, Toby N. Weingarten, Darrell R. Schroeder, Juraj Sprung Tags: Research Report Source Type: research

Sequential allocation trial design in anesthesia: an introduction to methods, modeling, and clinical applications
In conclusion the up‐and‐down method can be more efficient than nonsequential designs for the estimation of the median dose/intervention level for a given intervention (ED50). The biased coin approach or continual reassessment method are preferred for the estimation of higher or lower tail quantiles such as ED90 or ED10. Continual reassessment method may be superior if knowledge of the dose–response relationship is available for the drug of interest. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 31, 2017 Category: Anesthesiology Authors: Matthias G örges, Guohai Zhou, Rollin Brant, J. Mark Ansermino Tags: Educational Review Source Type: research

Cuffed endotracheal tubes in children: the effect of the size of the cuffed endotracheal tube on intracuff pressure
Summary BackgroundIn children, the size of the cuffed endotracheal tube is based on various age‐based formulas. However, such formulas may over or underestimate the size of the cuffed endotracheal tube. There are no data on the impact of different‐sized cuffed endotracheal tubes (ETT) on the intracuff pressure in children. AimThe current study measures intracuff pressure with different‐sized cuffed ETT. MethodThe study was conducted in an in vitro and in vivo phase. For the in vitro phase, 10 cuffed ETT of size 4.0, 4.5, and 5 mm internal diameter (ID) each were randomly placed inside a 1.0 cm ID plastic tube (mimick...
Source: Pediatric Anesthesia - January 31, 2017 Category: Anesthesiology Authors: Senthil G. Krishna, Mumin Hakim, Roby Sebastian, Heather L. Dellinger, Dmitry Tumin, Joseph D. Tobias Tags: Research Report Source Type: research

Impact of high concentrations of sevoflurane on laryngeal reflex responses
ConclusionAgainst our hypothesis, laryngospasm could still be observed in 18% of children under the higher concentration of sevoflurane (4.7%, ED95Intubation). (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 31, 2017 Category: Anesthesiology Authors: Thomas O. Erb, Britta S. Ungern ‐Sternberg, Jens Moll, Franz J. Frei Tags: Research Report Source Type: research

Imidazoline 1 receptor activation preserves respiratory drive in spontaneously breathing newborn rats during dexmedetomidine administration
Summary BackgroundDexmedetomidine is an alpha‐2 (α2) adrenoceptor and imidazoline 1 (I1) receptor agonist that provides sedation without loss of respiratory drive. AimsThe aim of this study was to elucidate the involvement of α2‐adrenoceptor and I1 receptor in the cardiorespiratory changes induced by dexmedetomidine in spontaneously breathing newborn rats. MethodsAn abdominal catheter to administer drugs and three subcutaneous electrodes to record electrocardiographic data were inserted into 2‐ to 5‐day‐old Wistar rats under isoflurane anesthesia. In individual chambers, each rat was intraperitoneally...
Source: Pediatric Anesthesia - January 31, 2017 Category: Anesthesiology Authors: Nana Sato, Chikako Saiki, Junko Tamiya, Toshio Imai, Katsuhisa Sunada Tags: Research Report Source Type: research

Antiepileptic drugs and anesthesia
Summary Anesthetists commonly encounter epileptic patients when undergoing surgery. This review article discusses the drugs used to treat epilepsy and their relevant effects on anesthesia. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 31, 2017 Category: Anesthesiology Authors: Melanie Bloor, Reema Nandi, Mark Thomas Tags: Focused Review Source Type: research

The use of methadone to facilitate opioid weaning in pediatric critical care patients: a systematic review of the literature and meta ‐analysis
ConclusionWe did not identify sufficient evidence to recommend any particular methadone weaning strategy, or to recommend methadone over other medications or prescribed infusion weaning, for successful weaning of continuous opioid infusions in the pediatric intensive care setting. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 21, 2017 Category: Anesthesiology Authors: Leslie A. Dervan, Beryl Yaghmai, Robert Scott Watson, Fredric M. Wolf Tags: Systematic Review Source Type: research

Could acupuncture be an adequate alternative to dexamethasone in pediatric tonsillectomy?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: Seham M. Moeen Tags: Corrigendum Source Type: research

Distribution of sciatic nerve division in children: a prospective observational study using an ultrasound device
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: Satoshi Ideno, Noriko Miyazawa, Atsushi Shinto, Rie Minoshima, Rie Wakamiya, Shinichi Yamamoto, Hiroyuki Seki, Hiroshi Morisaki Tags: Correspondence Source Type: research

Are children with Cornelia de Lange syndrome at risk for malignant hyperthermia?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: Brian Emerson, Thanh Nguyen Tags: Correspondence Source Type: research

Reply to Monteleone, Matthew; Teng, Howard, regarding their comment ‘Dexmedetomidine as an adjuvant to the infant spinal anesthestic’
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: Choon L. Bong, Josephine S.K. Tan Tags: Correspondence Source Type: research

Hyperthermia during a laparoscopic procedure
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: M élanie Duque, Marta Guerra Tags: Correspondence Source Type: research

Reply to Xin, Juan; Zhang, Yabing; Zhou, Xiaoshuang; Liu, Bin, regarding their comment ‘Acupuncture may be an effective supplement treatment for dexamethasone in pediatric tonsillectomy’
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: Seham M. Moeen Tags: Correspondence Source Type: research

Novel approach to supine positioning for infants with spinal neural tube defects
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: Charles E. Holland, Sobia Mansoor, Amir L. Butt, Alberto J. Armendi Tags: Correspondence Source Type: research

Working to define professionalism in pediatric anesthesiology: a qualitative study of domains of the expert pediatric anesthesiologist as valued by interdisciplinary stakeholders
ConclusionA composite of these 11 domains may give a more complete image of what surgical and nursing colleagues, patient families, and anesthesiologist partners expect of the pediatric anesthesiologist. Despite some overlap and interdependence between domains, this research may contribute to the creation of future educational curricula and provides domains for evaluation of professionalism in pediatric anesthesiology. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: Justin L. Lockman, Alan Jay Schwartz, Peter F. Cronholm Tags: Research Report Source Type: research

Etiquette, competence, and professionalism: the profile of the ‘ideal pediatric anesthesiologist’
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: Karin Becke, Martin J öhr Tags: Editorial Source Type: research

A reflection on professionalism
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: Peter W. Howe Tags: Editorial Source Type: research

In this issue: February 2017
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 18, 2017 Category: Anesthesiology Tags: Issue Information Source Type: research

Dermatomal spread following posterior transversus abdominis plane block in pediatric patients: our initial experience
ConclusionIn this small series of patients, we demonstrate a high technical success rate of achieving cutaneous analgesia to the abdominal wall. These results should encourage clinical studies of the efficacy of this block for abdominal surgery in pediatric patients. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 17, 2017 Category: Anesthesiology Authors: Maria A. Hernandez, Tricia Vecchione, Karen Boretsky Tags: Research Report Source Type: research

Natural history of nonimmune ‐mediated thrombocytopenia and acute kidney injury in pediatric open‐heart surgery
This study was performed at a single institution over a 5‐year period. Patients: We included patients
Source: Pediatric Anesthesia - January 17, 2017 Category: Anesthesiology Authors: Shannon Tew, Manuel L. Fontes, Nathaniel H. Greene, Miklos D. Kertai, George Ofori ‐Amanfo, Robert D. B. Jaquiss, Andrew J. Lodge, Warwick A. Ames, Hercilia Mayumi Homi, Kelly A. Machovec, Edmund H. Jooste Tags: Research Report Source Type: research

Delivery of anesthesia for children with Mucopolysaccharidosis Type III (Sanfilippo syndrome): a review of 86 anesthetics
ConclusionWe demonstrate a difficult airway is unlikely when anesthetizing an MPS III patient although a risk does remain. A significant proportion of MPS III have cardiac involvement although no perioperative complications were described. With associated coagulation issues, bleeding tendency, while uncommon, can occur in this group. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 31, 2016 Category: Anesthesiology Authors: Marc A. Cohen, Grant M. Stuart Tags: Research Report Source Type: research

Reply to Engelhardt, Thomas; Schmidt, Alexander; Machotta, Andreas, regarding their comment ‘Prevent the Need for Front of Neck Access’
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 20, 2016 Category: Anesthesiology Authors: Stefano C. Sabato, Elliot Long Tags: Correspondence Source Type: research

Prevent the need for front of neck access
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 20, 2016 Category: Anesthesiology Authors: Thomas Engelhardt, Alexander R. Schmidt, Andreas Machotta Tags: Correspondence Source Type: research

Comment on ‘Optimized preoperative fasting times decrease ketone body concentration and stabilize mean arterial blood pressure during induction of anesthesia in children younger than 36 months: a prospective observational cohort study’
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 20, 2016 Category: Anesthesiology Authors: Alan Michael Greenstein, Neil Morton, Vinodkumar Patil Tags: Correspondence Source Type: research

A false comfort with codeine
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 20, 2016 Category: Anesthesiology Authors: Kenneth R. Goldschneider Tags: Editorial Source Type: research

Codeine: an old drug with new precautions
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 20, 2016 Category: Anesthesiology Authors: Patrick K. Birmingham Tags: Editorial Source Type: research

Perioperative fluid administration in children: is there consensus?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 20, 2016 Category: Anesthesiology Authors: Ting Xu, Jianmin Zhang Tags: Editorial Source Type: research

In this issue: January 2017
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 20, 2016 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 20, 2016 Category: Anesthesiology Tags: Issue Information Source Type: research

Pediatric anaphylaxis in the operating room for anesthesia residents: a simulation study
ConclusionsImportant performance deficits were seen in senior anesthesia residents during a simulated case of pediatric intraoperative anaphylaxis. Although CA3 performed better, deficits still existed. Anesthesia residents and training programs should partner in developing additional training recognizing anaphylaxis, pulseless electrical activity, and indication for chest compressions in a child. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 30, 2016 Category: Anesthesiology Authors: Emily B. Johnston, Collin King, Peter A. Sloane, Jerral W. Cox, Amber Q. Youngblood, Jerry Lynn Zinkan, Nancy M. Tofil Tags: Research Report Source Type: research

Kaolin ‐activated thromboelastography and standard coagulation assays in cyanotic and acyanotic infants undergoing complex cardiac surgery: a prospective cohort study
Summary Background and AimsSeveral studies report the use of thromboelatography (TEG) to monitor coagulation in pediatric cardiac surgery. The aim of this study was to compare baseline and intraoperative TEG, TEG‐functional fibrinogen, and standard coagulation assays in children with cyanotic and acyanotic congenital heart disease (CHD) undergoing cardiac surgery. MethodsThis is a prospective observational study of 63 children aged
Source: Pediatric Anesthesia - November 30, 2016 Category: Anesthesiology Authors: Alessandra Rizza, Zaccaria Ricci, Chiara Pezzella, Isabella Favia, Giovina Di Felice, Marco Ranucci, Paola Cogo Tags: Research Report Source Type: research

Perioperative hypothermia in neonatal intensive care unit patients: effectiveness of a thermoregulation intervention and associated risk factors
Summary BackgroundHypothermia in neonatal intensive care unit patients is associated with morbidity. Perioperative normothermia is the standard of care. AimsWe hypothesized that a quality improvement intervention (transport protocol, transport education, ongoing monitoring) would decrease the incidence of perioperative hypothermia. Secondarily, we hypothesized that patients undergoing surgery at a postmenstrual age of
Source: Pediatric Anesthesia - November 30, 2016 Category: Anesthesiology Authors: Branden M. Engorn, Stephanie L. Kahntroff, Karen M. Frank, Sarabdeep Singh, Helen A. Harvey, Charles T. Barkulis, Annika M. Barnett, Olamide O. Olambiwonnu, Eugenie S. Heitmiller, Robert S. Greenberg Tags: Research Report Source Type: research

Postanesthesia evaluation of emotional and psychological satisfaction in a Hispanic population
ConclusionThis questionnaire proved to be simple and easy to understand within the literate Spanish‐speaking population. It had adequate content validity and high reliability, acceptability, reproducibility, and construct validity. We believe that this Spanish questionnaire can be used with success among Hispanic populations resulting in improved care for those undergoing anesthesia, and therefore, patient satisfaction. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 30, 2016 Category: Anesthesiology Authors: Angela Zauner, Alvaro Pinilla, Daniel Benitez, Alejandra Tellez, David Romero, Ana Suarez, Vanessa L ópez, Eduardo Hermida Tags: Research Report Source Type: research

Performance of functional fibrinogen thromboelastography in children undergoing congenital heart surgery
In this study, we evaluate the correlation between FFTEG parameters and standard laboratory tests for fibrinogen and platelet counts before and after cardiopulmonary bypass in children undergoing repair for congenital heart disease. MethodsIn this prospective observational study, whole blood samples were obtained from children less than 5 years of age undergoing congenital heart surgery with cardiopulmonary bypass before surgical incision and immediately after administration of protamine. Blood samples were analyzed for Thromboelastography, Functional Fibrinogen level measured by FFTEG (FLEV), complete blood counts with pl...
Source: Pediatric Anesthesia - November 30, 2016 Category: Anesthesiology Authors: Nischal K. Gautam, Chunyan Cai, Olga Pawelek, Muhammad B. Rafique, Davide Cattano, Evan G. Pivalizza Tags: Research Report Source Type: research

Anesthesia maintenance with ‘induction dose only’ sevoflurane during pediatric ophthalmic examination: comparison with standard low‐flow technique through a randomized controlled trial
Summary BackgroundSevoflurane is preferred for pediatric day care procedures. However, financial and environmental costs remain major limitations. Induction dose of sevoflurane could itself be sufficient for maintaining anesthesia with low fresh gas flow during short noninvasive procedures. MethodsFifty children, aged 1–5 years, scheduled for ophthalmic examination under anesthesia, were randomized into two groups. All children were induced with 8% sevoflurane in O2 : N2O (40 : 60). In the Group S, anesthesia was maintained with 2% sevoflurane at 1 l·min−1 fresh gas flow [O2 : N2O = 50 : 50]. In Group L,...
Source: Pediatric Anesthesia - November 29, 2016 Category: Anesthesiology Authors: Priyankar K. Datta, Renu Sinha, Bikash Ranjan Ray, Venkateswaran Jambunathan, Riddhi Kundu Tags: Research Report Source Type: research