Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 1, 2016 Category: Anesthesiology Tags: Issue Information Source Type: research

Intraperitoneal ropivacaine and early postoperative pain and postsurgical outcomes after laparoscopic herniorrhaphy in toddlers: a randomized clinical trial
Summary BackgroundPostoperative pain can cause physiological distress, postoperative complications, and extended lengths of hospitalized stay. In children, management of postoperative pain is still recognized as being inadequate. ObjectiveThe aim of this trial was to investigate the effects of intraperitoneal ropivacaine on postoperative pain, and recovery of bowel function and emetic events after laparoscopic herniorrhaphy in toddlers. MethodsSeventy‐six children aged from 9 months to 3 years were recruited between August 2013 and June 2014 at Tongji Hospital and randomly assigned into two groups. One group received int...
Source: Pediatric Anesthesia - June 27, 2016 Category: Anesthesiology Authors: Xuebi Tian, Ping Yang, Tiefen Su, Jing Yu, Shiwen Zhao, Guifang Xiang, Donghai Yu, Wen Zhang, Anne Manyande, Feng Gao, Yuke Tian, Hui Yang Tags: Research Report Source Type: research

An automated real ‐time method for the detection of patients at risk for malignant hyperthermia
ConclusionsWe demonstrated a real‐time MH detection tool based on established physiologic criteria that is sensitive enough to capture cases suspicious for MH, while limiting false positives to prevent alarm fatigue. This has the potential to notify the provider of possible MH such that treatment may be rapidly initiated. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 26, 2016 Category: Anesthesiology Authors: Stephen J. Gleich, Kim Strupp, Robert T. Wilder, Daryl J. Kor, Randall Flick Tags: Research Report Source Type: research

An automated real‐time method for the detection of patients at risk for malignant hyperthermia
ConclusionsWe demonstrated a real‐time MH detection tool based on established physiologic criteria that is sensitive enough to capture cases suspicious for MH, while limiting false positives to prevent alarm fatigue. This has the potential to notify the provider of possible MH such that treatment may be rapidly initiated. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 26, 2016 Category: Anesthesiology Authors: Stephen J. Gleich, Kim Strupp, Robert T. Wilder, Daryl J. Kor, Randall Flick Tags: Research Report Source Type: research

Effects of hypotension and/or hypocapnia during sevoflurane anesthesia on perfusion and metabolites in the developing brain of piglets—a blinded randomized study
ConclusionsThe combination of HT and HC during sevoflurane anesthesia resulted in alteration of cerebral perfusion with signs of neuronal dysfunction and early neuronal ischemia. HT and HC alone also resulted in signs of metabolic disturbances despite the absence of detectable cerebral perfusion alterations. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 26, 2016 Category: Anesthesiology Authors: Simone K. Ringer, Stefanie Ohlerth, Inés Carrera, Jacqueline Mauch, Nelly Spielmann, Regula Bettschart‐Wolfensberger, Markus Weiss Tags: Research Report Source Type: research

Could acupuncture be an adequate alternative to dexamethasone in pediatric tonsillectomy?
Summary BackgroundUsage of nonpharmacological treatment contributes to an overall patient well‐being, assisting in physical and emotional healing. Acupuncture has been reported to be useful in reducing early postoperative vomiting and attenuating postoperative pain. AimThe aim of this study was to compare the effect of dexamethasone vs acupuncture at P6 bilaterally and CV13 on the incidence and severity of POV in children undergoing tonsillectomy with or without adenoidectomy. MethodOne hundred and twenty children, ASA I–III aged 2–8 years undergoing elective tonsillectomy were included in this prospective ra...
Source: Pediatric Anesthesia - June 22, 2016 Category: Anesthesiology Authors: Seham M. Moeen Tags: Research Report Source Type: research

Preoperative warming and undesired surgical and anesthesia outcomes in pediatric spinal surgery—a retrospective cohort study
ConclusionIn this study, prewarming was associated with a reduction in allogeneic packed red blood cell transfusion. However, no causal relationship between prewarming and reduced allogeneic blood transfusion should be assumed. Prewarming was not associated with reductions in estimated blood loss, length of hospitalization, or the incidence of surgical site infection. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 17, 2016 Category: Anesthesiology Authors: Matthias Görges, Nicholas C. West, Wesley Cheung, Guohai Zhou, Firoz Miyanji, Simon D. Whyte Tags: Research Report Source Type: research

Preoperative warming and undesired surgical and anesthesia outcomes in pediatric spinal surgery —a retrospective cohort study
ConclusionIn this study, prewarming was associated with a reduction in allogeneic packed red blood cell transfusion. However, no causal relationship between prewarming and reduced allogeneic blood transfusion should be assumed. Prewarming was not associated with reductions in estimated blood loss, length of hospitalization, or the incidence of surgical site infection. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 16, 2016 Category: Anesthesiology Authors: Matthias G örges, Nicholas C. West, Wesley Cheung, Guohai Zhou, Firoz Miyanji, Simon D. Whyte Tags: Research Report Source Type: research

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
The objective of this noninterventional clinical observational cohort study was to evaluate the effect of an optimized preoperative fasting management (OPT) on glucose concentration, ketone bodies, acid–base balance, and change in mean arterial blood pressure (MAP) during induction of anesthesia in children. MethodsChildren aged 0–36 months scheduled for elective surgery with OPT (n = 50) were compared with peers studied before optimizing preoperative fasting time (OLD) (n = 50) who were matched for weight, age, and height. ResultsIn children with OPT (n = 50), mean fasting time (6.0 ± 1.9 h vs 8.5 ± 3.5 h, P
Source: Pediatric Anesthesia - June 13, 2016 Category: Anesthesiology Authors: Nils Dennhardt, Christiane Beck, Dirk Huber, Bjoern Sander, Martin Boehne, Dietmar Boethig, Andreas Leffler, Robert Sümpelmann Tags: Research Report Source Type: research

Association of elevated preoperative blood pressure with preincision hypotension in pediatric surgical patients
This study examined the prevalence of high BP in children undergoing elective noncardiac operations. We also determined the association of preoperative high BP with preincision hypotension (PIH). MethodsThis was a retrospective cohort study that used clinical and anthropometric data on children aged 3–17 years who underwent elective, noncardiac operations from January 2006 to January 2014. Preoperative blood pressure (BP) was used to stratify children into three categories: normal BP (systolic and diastolic BP below the 90th percentile), prehypertension (systolic and/or diastolic BP ≥90th percentile but
Source: Pediatric Anesthesia - June 12, 2016 Category: Anesthesiology Authors: Margaret Stewart, Joseph Scattoloni, Golshid Tazhibi, Olubukola O. Nafiu Tags: Research Report Source Type: research

An institutional approach to the management of the ‘Can't Intubate, Can't Oxygenate’ emergency in children
Summary The ‘Can't Intubate Can't Oxygenate’ emergency is rare in children. Nevertheless, airway clinicians involved in pediatric airway management must be able to rescue the airway percutaneously through the front of the neck should this situation be encountered. Little evidence exists in children to guide rescue techniques, and extrapolation of adult evidence may be problematic due to anatomical differences. This document reviews the currently available evidence, and presents a practical approach to standardizing equipment, techniques, and training for managing the ‘Can't Intubate Can't Oxygenate’...
Source: Pediatric Anesthesia - June 9, 2016 Category: Anesthesiology Authors: Stefano C. Sabato, Elliot Long Tags: Educational Review Source Type: research

Bubble induction
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Authors: Hugo Wellesley Tags: Correspondence Source Type: research

Correspondence Letter to the Editor regarding ‘The presumed central nervous system effects of rocuronium in a neonate and its reversal with sugammadex’ by Langley, McFadzean & McCormack
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Authors: Rhashedah Ekeoduru, Michael Lin, Maria Matuszczak Tags: Correspondence Source Type: research

A call to solve the puzzle together by building an evidence base for perioperative management of children with autism spectrum disorder
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Authors: Stephanie L. Snow, Isabel M. Smith, Sally J. Bird, A. Stuart Wright, Jill Chorney Tags: Correspondence Source Type: research

Response to comment ‘Tsui, Ban; Tsui, Jenkin: ABC diaphragmatic evaluation for neonates’
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Authors: Samuel Stafrace, Thomas Engelhardt, Wendy H. Teoh, Michael S. Kristensen Tags: Correspondence Source Type: research

Reply to Ideno, Satoshi; Seki, Hiroyuki; Morisaki, Hiroshi, regarding their comment ‘Consider an additional pressure‐relief port before we abandon the use of the wall oxygen through a bronchoscope'
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Authors: Jonathan J. Gamble, Ian A. Chan Tags: Correspondence Source Type: research

ABC Diaphragmatic Evaluation for neonates
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Authors: Ban C.H. Tsui, Jenkin Tsui Tags: Correspondence Source Type: research

Symptomatic endotracheal tube obstruction in infants intubated with Microcuff® endotracheal tubes
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Authors: Humphrey Lam, Jamie Kitzman, Rebekah Matthews, Lily Young, Thomas M. Austin Tags: Correspondence Source Type: research

Anesthesia for muscle biopsy: when nothing bad happened, was no special care needed?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Authors: Barbara W. Brandom, Debra Byler Tags: Editorial Source Type: research

Pediatric anesthesia editorial—propofol and remifentanil: to mix or not to mix
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Authors: Oliver Bagshaw Tags: Editorial Source Type: research

In this issue July 2016
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 7, 2016 Category: Anesthesiology Tags: Issue Information Source Type: research

Femoral arterial cannulation performed by residents: a comparison between ultrasound ‐guided and palpation technique in infants and children undergoing cardiac surgery
ConclusionsUltrasound‐guided femoral arterial cannulation in children when performed by anesthesia residents is superior to the palpation technique based on the reduction of the time taken for attempted cannulation and the number of attempts, and improvement in first attempt success. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 31, 2016 Category: Anesthesiology Authors: Sahar M. Siddik ‐Sayyid, Marie T. Aouad, Muhammad H. Ibrahim, Samar K. Taha, Maud F. Nawfal, Youssef J. Tfaili, Roland N. Kaddoum Tags: Research Report Source Type: research

Predictors of unanticipated admission following ambulatory surgery in the pediatric population: a retrospective case–control study
ConclusionThe incidence of unanticipated admission in children following ambulatory surgery is low. Age, ASA class, duration, and time of completion of surgery are predictors common to pediatrics and adults. Interestingly, intraoperative complications, OSA, and type of surgery (ENT, orthopedic, dental) are specific to pediatrics. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 31, 2016 Category: Anesthesiology Authors: Amanda Whippey, Gregory Kostandoff, Heung K. Ma, Ji Cheng, Lehana Thabane, James Paul Tags: Research Report Source Type: research

Femoral arterial cannulation performed by residents: a comparison between ultrasound‐guided and palpation technique in infants and children undergoing cardiac surgery
ConclusionsUltrasound‐guided femoral arterial cannulation in children when performed by anesthesia residents is superior to the palpation technique based on the reduction of the time taken for attempted cannulation and the number of attempts, and improvement in first attempt success. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 31, 2016 Category: Anesthesiology Authors: Sahar M. Siddik‐Sayyid, Marie T. Aouad, Muhammad H. Ibrahim, Samar K. Taha, Maud F. Nawfal, Youssef J. Tfaili, Roland N. Kaddoum Tags: Research Report Source Type: research

Perioperative management of living‐donor liver transplantation for methylmalonic acidemia
Summary Methymalonic acidemia (MMA) is a hereditary metabolic disorder characterized by a defect of the methylmalonyl‐CoA mutase that breaks down propionate. The efficacy of liver transplantation for MMA was recently reported. However, the anesthetic management of liver transplant for MMA is not clear. The aim of this article is to describe an anesthetic management algorithm of liver transplant for MMA by reviewing our cases of liver transplant for MMA. Fourteen patients received a liver transplant; three cases showed metabolic decompensation during the transplant and two of the patients died. In the two patients who exp...
Source: Pediatric Anesthesia - May 25, 2016 Category: Anesthesiology Authors: Chiaki Baba, Mureo Kasahara, Yasuhiro Kogure, Shugo Kasuya, Sukeyuki Ito, Takako Tamura, Akinari Fukuda, Reiko Horikawa, Yasuyuki Suzuki Tags: Special Interest Article Source Type: research

The STBUR questionnaire for identifying children at risk for sleep‐disordered breathing and postoperative opioid‐related adverse events
ConclusionsChildren presenting for surgery with SDB symptoms are at increased risk for PRAE. Children undergoing airway‐related procedures also appear to be at increased risk for ORAE. Furthermore, regardless of the preoperative assessment of risk using the STBUR questionnaire, children received the same doses of opioids postoperatively. Given the increased incidence of postoperative oxygen desaturations among children with SDB symptoms, it would seem prudent to consider titration of opioid doses according to identified risk. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 24, 2016 Category: Anesthesiology Authors: Alan R. Tait, Rebecca Bickham, Louise M. O'Brien, Megan Quinlan, Terri Voepel‐Lewis Tags: Research Report Source Type: research

Arterial blood pressure in anesthetized neonates and infants: a retrospective analysis of 1091 cases
Summary BackgroundHypotension during general anesthesia in neonates and infants is considered to contribute to poor neurological outcome. AimThe aim of this retrospective analysis was to determine the incidence of hypotension after induction of anesthesia and sustained hypotension (>10 min) during the anesthesia, and to determine factors contributing to the development of (sustained) hypotension. MethodWe performed a retrospective analysis of 1091 electronic anesthesia records from children
Source: Pediatric Anesthesia - May 23, 2016 Category: Anesthesiology Authors: Frank Weber, Gijsbert H. M. Honing, Gail P. Scoones Tags: Research Report Source Type: research

Comparison of the combination of dexmedetomidine and ketamine to propofol or propofol/sevoflurane for drug‐induced sleep endoscopy in children
Summary AimExamination of dynamic airway collapse in patients with obstructive sleep apnea (OSA) during drug‐induced sleep endoscopy (DISE) can help identify the anatomic causes of airway obstruction. We hypothesized that a combination of dexmedetomidine and ketamine (Group DK) would result in fewer oxygen desaturations and a higher successful completion rate during DISE in children with OSA when compared to propofol (Group P) or sevoflurane/propofol (Group SP). MethodsIn this retrospective study, we reviewed the records of 59 children who presented for DISE between October 2013 and March 2015. Data analyzed included dem...
Source: Pediatric Anesthesia - May 23, 2016 Category: Anesthesiology Authors: Ali Kandil, Rajeev Subramanyam, Mohamed Monir Hossain, Stacey Ishman, Sally Shott, Anurag Tewari, Mohamed Mahmoud Tags: Research Report Source Type: research

Pediatric perioperative adverse events requiring rapid response: a retrospective case–control study
Summary BackgroundPerioperative pediatric adverse events have been challenging to study within and across institutions due to varying definitions, low event rates, and incomplete capture. AimThe aim of this study was to determine perioperative adverse event prevalence and to evaluate associated case characteristics and potential contributing factors at an academic pediatric quaternary‐care center. MethodsAt the Children's Hospital of Philadelphia (CHOP), perioperative adverse events requiring rapid response assistance are termed Anesthesia Now (AN!) events. They have been accurately captured and entered into a quality im...
Source: Pediatric Anesthesia - May 20, 2016 Category: Anesthesiology Authors: Laura E. Schleelein, Ariel M. Vincent, Abbas F. Jawad, Eric Y. Pruitt, Genna D. Kreher, Mohamed A. Rehman, Theodora K. Goebel, David E. Cohen, Scott D. Cook‐Sather Tags: Research Report Source Type: research

Comparison of anesthetic agents on otoacoustic emissions in children: propofol vs ketamine
ConclusionDPOAE measurements were reduced similarly by propofol and ketamine anesthesia. Lower false outcome ratio in TEOAE measurements made propofol a better option than ketamine. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 18, 2016 Category: Anesthesiology Authors: Gurcan Gungor, Pervin Sutas Bozkurt, Haydar M. Yener, Yetkin Z. Yilmaz, Elif Sarı, Ahmet Atas, Selma Yilar, Duygu Hayir Tags: Research Report Source Type: research

The effect of continuous wound infusion of ropivacaine on postoperative pain after median sternotomy and mediastinal drain in children
ConclusionsContrary to our hypothesis, continuous ropivacaine wound infusion did not reduce morphine consumption, pain score values, or nausea and vomiting in children who underwent ASD closure with median sternotomy and mediastinal drain. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 17, 2016 Category: Anesthesiology Authors: Ilkka Mattila, Tommi Pätilä, Paula Rautiainen, Reijo Korpela, Satu Nikander, Juha Puntila, Jukka Salminen, Pertti K. Suominen, Paula Tynkkynen, Arja Hiller Tags: Research Report Source Type: research

The cost effectiveness of transesophageal echocardiography for pediatric cardiac surgery: a systematic review
ConclusionITEE for pediatric cardiac surgery is effective and cost‐saving. This is a validation of the current practice patterns. These finding may influence the expansion of the use of this technology. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 14, 2016 Category: Anesthesiology Authors: David N. Levin, Jillian Taras, Katherine Taylor Tags: Systematic Review Source Type: research

Analgesic management after thoracotomy for decortication in children: a retrospective audit of 83 children managed with a paravertebral infusion‐based regime
ConclusionAnalgesic outcomes with this regimen appear to be very satisfactory. It compares favorably with an epidural‐based regimen. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 5, 2016 Category: Anesthesiology Authors: Tim Murphy, Alan McCheyne, Jacob Karlsson Tags: Research Report Source Type: research

Remifentanil and propofol undergo separation and layering when mixed in the same syringe for total intravenous anesthesia
ConclusionOur data indicate that remifentanil solution and propofol emulsion are immiscible: remifentanil separates from propofol and rises to the top. Thus, concentrations of remifentanil and propofol delivered to patients from the same syringe during TIVA are not those expected and cannot be reliable. Remifentanil and propofol should be administered in separate syringes when used in combination for TIVA. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 4, 2016 Category: Anesthesiology Authors: Sean O'Connor, Yan Ling Zhang, Uwe Christians, John E. Morrison, Robert H. Friesen Tags: Research Report Source Type: research

Reply to Schmitz et al. regarding ‘Ultrasound assessment of gastric volume in the fasted pediatric patient undergoing upper gastrointestinal endoscopy: development of a predictive model using endoscopically suctioned volumes’
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 26, 2016 Category: Anesthesiology Authors: Adam O. Spencer, Andrew M. Walker, David R. Lardner, Anahi Perlas Tags: Correspondence Source Type: research

Consider an additional pressure‐relief port before we abandon the use of the wall oxygen through a bronchoscope
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 26, 2016 Category: Anesthesiology Authors: Satoshi Ideno, Hiroyuki Seki, Hiroshi Morisaki Tags: Correspondence Source Type: research

Modification of the swivel adapter for intraoperative use of pediatric fiberoptic bronchoscopes
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 26, 2016 Category: Anesthesiology Authors: Christian Seefelder Tags: Correspondence Source Type: research

Reply to Xue, Fu‐Shan; Liu, Gao‐Pu; Sun, Chao, regarding their comment ‘Use of a 90‐degree anticlockwise tube rotation to facilitate nasotracheal tube passage over the fiberscope into the trachea in pediatric patients'
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 26, 2016 Category: Anesthesiology Authors: Dinesh K. Choudhry, Bruce Randall Brenn, Malgorzata Lutwin‐Kawalec, Karen Sacks, Susmita Nesargi, Zhaoping He Tags: Correspondence Source Type: research

Regional anesthesia for anterior cruciate ligament reconstruction in adolescents
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 26, 2016 Category: Anesthesiology Authors: Benjamin J. Walker, Gregory A. Schmale, Felicia McCreary, J. Grant McFadyen, Viviana Bompadre, Sean H. Flack, Adrian T. Bosenberg Tags: Correspondence Source Type: research

A ‘Wake up’ call for our specialty—time to examine the impact of production pressure on patient safety
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 26, 2016 Category: Anesthesiology Authors: J. Matthew Kynes, Scott C. Watkins Tags: Correspondence Source Type: research

Pediatric preoperative risk factors to predict postoperative ICU admission and death from a multicenter retrospective study
ConclusionsOur study revealed that age, ASA physical status, SpO2, prematurity, and unfasted status are risk factors to predict postoperative ICU admission and death in pediatric patients. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 26, 2016 Category: Anesthesiology Authors: Chunwei Lian, Zuokai Xie, Zhao Wang, Congcong Huang, Mazhong Zhang, Mao Ye, Xiying Zhang, Jianmin Zhang, Kaizhi Lu, Liwei Li, Bo Zhu, Daqing Ma, Jun Li, Qingquan Lian, Wangning Shang Guan Tags: Research Report Source Type: research

In this issue June 2016
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 26, 2016 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 26, 2016 Category: Anesthesiology Tags: Issue Information Source Type: research

Utility of screening questionnaire, obesity, neck circumference, and sleep polysomnography to predict sleep‐disordered breathing in children and adolescents
Summary BackgroundPolysomnography (PSG) remains the gold standard for diagnosing obstructive sleep apnea (OSA) and sleep‐disordered breathing in children. Yet, simple screening tools are needed as it is not feasible to perform PSG in all patients with possible OSA. AimThe study adapted questions from the Pediatric Sleep Questionnaire‐Sleep‐Related Breathing Disorder (SRBD) Questionnaire to develop a predictive scale for OSA identified on PSG. We also tested whether adding anthropometric measurements (body mass index and neck circumference) improved prediction of OSA. MethodsAfter IRB approval, OSA questionnaires and ...
Source: Pediatric Anesthesia - April 25, 2016 Category: Anesthesiology Authors: Vidya T. Raman, Mark Splaingard, Dmitry Tumin, Julie Rice, Kris R. Jatana, Joseph D. Tobias Tags: Research Report Source Type: research

Evaluation of the Explorer Endoscopy Mask© for esogastroduodenoscopy in children: a retrospective study of 173 cases
This study was a retrospective observational study. The study was undertaken at the pediatric digestive endoscopy suite in the Cliniques universitaires Saint‐Luc, Brussels, Belgium. We retrospectively analyzed the occurrence of minor and major airway‐related adverse effects during pediatric EGD procedures performed under GA with the EM between June 2014 and March 2015. ResultsDuring the study period, 173 patients underwent EGD. Their mean age was 8.4 years (median: 9.1 years, range 4 months to 16 years). Mean duration of endoscopy (from insertion to removal of the endoscope) was 12.6 min (median: 12 min, range 3–...
Source: Pediatric Anesthesia - April 24, 2016 Category: Anesthesiology Authors: Arnaud Potié, Caroline Prégardien, Thierry Pirotte, Xavier Stephenne, Isabelle Scheers, Catherine Wanty, Françoise Smets, Etienne Sokal, Francis Veyckemans Tags: Research Report Source Type: research

Anesthetic management of 877 pediatric patients undergoing muscle biopsy for neuromuscular disorders: a 20‐year review
ConclusionsIn this retrospective study, no patient exhibited signs or symptoms of hyperkalemia or MH probably because the incidence is very low and becomes even less likely due to the selection of the various anesthetic agents and strategies administered. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 24, 2016 Category: Anesthesiology Authors: Frederic Shapiro, Umeshkumar Athiraman, David J. Clendenin, Monica Hoagland, Navil F. Sethna Tags: Research Report Source Type: research

Incidence and risk factors for postoperative vomiting following atrial septal defect repair in children
ConclusionsThe incidence of POV in children undergoing surgical ASD repair was 37.5%. Age ≥4 years and CPB time ≥51 min were identified as independent predictors. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 19, 2016 Category: Anesthesiology Authors: Joshua Lee, David Faraoni, Sandra Lee, Morgan Brown, Kirsten Odegard, Adrienne Randolph, James A. DiNardo, Koichi Yuki Tags: Research Report Source Type: research

Chloroprocaine: local anesthetic systemic toxicity in a 9‐month infant with paravertebral catheter
We present a case of local anesthetic systemic toxicity following the administration of 3% 2‐chloroprocaine through a paravertebral catheter in an infant. The episode lasted 40 s followed by complete recovery. The infrequent reporting of local anesthetic systemic toxicity and limited duration of symptoms supports the continued use of 2‐chloroprocaine in infants. Volume should be restricted to the smallest amount providing analgesia. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 18, 2016 Category: Anesthesiology Authors: Maria A. Hernandez, Karen Boretsky Tags: Case Report Source Type: research

Dextrose‐containing intraoperative fluid in neonates: a randomized controlled trial
ConclusionsAll three solutions, when infused at 10 ml·kg−1·h−1, are equally effective in maintaining glucose homeostasis, but 1% dextrose‐containing fluid promotes catabolism, insulin resistance, rebound hyperglycemia, and acidosis. Therefore, 2–4% dextrose‐containing fluids is more suitable compared to 1% dextrose‐containing fluids for use during major neonatal surgeries requiring average fluid infusion rate of 10 ml·kg−1·h−1. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 16, 2016 Category: Anesthesiology Authors: Priyankar K. Datta, Dilip K. Pawar, Dalim K. Baidya, Souvik Maitra, Ajisha Aravindan, Maddur Srinivas, Ramakrishnan Lakshmy, Nandita Gupta, Minu Bajpai, Veereshwar Bhatnagar, Sandeep Agarwala Tags: Research Report Source Type: research