Letter to the Editor informing readers about a free patient information animation
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: Laura J. E. McClelland Tags: Correspondence Source Type: research

Routine epidurography for epidural placement in anesthetized pediatric patients
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: Humphrey Lam, Thanh T. Nguyen, Thomas M. Austin Tags: Correspondence Source Type: research

Anesthesia for noncardiac intervention in a patient with total anomalous systemic venous return
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: Sukhyanti Kerai, Kirti Nath Saxena, Lalit Sehrawat, Bharti Taneja Tags: Correspondence Source Type: research

Inadvertent insertion of central venous catheter into a Blalock‐Taussig shunt—a rare complication
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: Melody Long, Poh Sun Goh, Lian Kah Ti Tags: Correspondence Source Type: research

The addition of clonidine to bupivacaine in saphenous/sciatic nerve blocks in children
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: Mehdi Trifa, Thomas Engelhardt, Sonia Ben Khalifa Tags: Correspondence Source Type: research

A prospective, randomized, double‐blind trial of intranasal dexmedetomidine and oral chloral hydrate for sedated auditory brainstem response (ABR) testing
ConclusionIntranasal dexmedetomidine is an effective alternative to oral chloral hydrate sedation for ABR testing, with the advantages of a higher incidence of testing completion with a single dose, shorter time to desired sedation level, and with significantly more patients reported to return to baseline activity on the same day. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: Jason Reynolds, Amber Rogers, Eduardo Medellin, Jonathan A. Guzman, Mehernoor F. Watcha Tags: Original Article Source Type: research

Intranasal dexmedetomidine: an effective sedative agent for electroencephalogram and auditory brain response testing
This study examines the effectiveness and safety of IN dexmedetomidine for sedation of patients undergoing electroencephalogram (EEG) and auditory brain response (ABR) testing. Study designThis was a review of all outpatients sedated with IN dexmedetomidine for EEG or ABR between October 1, 2012 and October 1, 2014. An initial dose of 2.5–3 μg·kg−1 IN dexmedetomidine was given with a repeat dose of 1–1.5 μg·kg−1 IN if needed 30 min later. Prospectively entered patient information was extracted from a quality assurance database and additional information gathered vi...
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: Nicole M. Baier, Suzanne S. Mendez, Danielle Kimm, Amanda E. Velazquez, Alan R. Schroeder Tags: Original Article Source Type: research

The pretracheal stethoscope useful, but not a necessity
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: James Peyton, Joseph P. Cravero Tags: Pro ‐Con Debate Source Type: research

Making a case for use of the pretracheal stethoscope in pediatric procedural sedation
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: Juan P. Boriosi, Gregory A. Hollman Tags: Pro ‐Con Debate Source Type: research

Colloid fluids in adult anesthesia and ICU
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: David A. Story Tags: Editorial Source Type: research

In this issue March 2016
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 27, 2016 Category: Anesthesiology Tags: Issue Information Source Type: research

Anesthetic considerations for patients with Bardet–Biedl syndrome: a case series and review of the literature
This report illustrates that patients with BBS can safely undergo anesthesia, but a detailed and often multidisciplinary preoperative evaluation is prudent. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 25, 2016 Category: Anesthesiology Authors: Bradford B. Smith, David W. Barbara, Joseph A. Hyder, Mark M. Smith Tags: Original Article Source Type: research

Postoperative pain management in Latino families: parent beliefs about analgesics predict analgesic doses provided to children
ConclusionsPreoperative parents’ beliefs regarding analgesics for treatment of children's pain may adversely impact parent postoperative analgesic administration at home in Latino families. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 22, 2016 Category: Anesthesiology Authors: Alvina Rosales, Michelle A. Fortier, Belinda Campos, Zeev N. Kain Tags: Original Article Source Type: research

A comparison of the hourly output between the Ambu® Smart‐Infuser™ Pain Pump and the On‐Q Pump® with Select‐A‐Flow™ Variable Rate Controller with standard and overfill volumes
ConclusionsThis investigation demonstrates that no change in the hourly output occurs with overfilling of these home infusion devices. However, as noted previously, the hourly output from the On‐Q device is significantly higher than the set rate during the initial 8 h of infusion which could have potential clinical implications. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 20, 2016 Category: Anesthesiology Authors: Peter Iliev, Tarun Bhalla, Joseph D. Tobias Tags: Original Article Source Type: research

Preoperative evaluation and comprehensive risk assessment for children with Down syndrome
Summary Down syndrome is a common chromosome disorder affecting all body systems. This creates unique physiologic concerns that can affect safety during anesthesia and surgery. Little consensus exists, however, on the best way to evaluate children with Down syndrome in preparation for surgery. We review a number of salient topics affecting these children in the perioperative period, including cervical spine instability, cardiovascular abnormalities, pulmonary hypertension, upper airway obstruction, hematologic disturbances, prematurity, low birth weight, and the use of supplements and alternative therapies. Recommendations...
Source: Pediatric Anesthesia - January 12, 2016 Category: Anesthesiology Authors: Amy Feldman Lewanda, Andrew Matisoff, Mary Revenis, Ashraf Harahsheh, Craig Futterman, Gustavo Nino, Jay Greenberg, John S. Myseros, Kenneth N. Rosenbaum, Marshall Summar Tags: Special Interest Article (Review) Source Type: research

Postoperative pain control with paravertebral catheters after pediatric total pancreatectomy and islet autotransplantation: a retrospective cohort study
ConclusionsBilateral paravertebral catheters may provide decreased opioid use and improved postoperative pain control after TPIAT. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 8, 2016 Category: Anesthesiology Authors: Jacob Hutchins, Chandra Castro, Qi Wang, Srinath Chinnakotla Tags: Original Article Source Type: research

Effect of 90° counterclockwise rotation of the endotracheal tube on its advancement through the larynx during nasal fiberoptic intubation in children: a randomized and blinded study
ConclusionA change in ETT tip orientation from bevel facing left to facing down by 90° CCR, leads to a significantly higher first‐attempt success rate by nasal approach in children. We believe the ETT should be rotated before insertion into the nostril to ensure that full 90° CCR of the tip has been accomplished. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 7, 2016 Category: Anesthesiology Authors: Dinesh K. Choudhry, B. Randall Brenn, Malgorzata Lutwin‐Kawalec, Karen Sacks, Susmita Nesargi, Zhaoping He Tags: Original Article Source Type: research

Usefulness of stroke volume variation to assess blood volume during blood removal for autologous blood transfusion in pediatric patients
Summary BackgroundDynamic variables based on the heart–lung interaction induced by positive pressure ventilation have not been shown to be useful in assessing cardiac preload in pediatric patients. ObjectiveTo evaluate whether stroke volume variation (SVV) obtained from the FloTrac/VigileoTM monitoring system can reflect a change in blood volume during the blood removal and fluid replacement protocol in acute normovolemic hemodilution (ANH). MethodsSixteen pediatric patients scheduled for elective cranioplasty were recruited. In the ANH protocol, 10 ml·kg−1 blood removal and fluid replacement were perfor...
Source: Pediatric Anesthesia - January 7, 2016 Category: Anesthesiology Authors: Takahiro Tadokoro, Manabu Kakinohana, Chihiro Fukumoto, Tetsuya Kawabata, Kouji Yoza Tags: Original Article Source Type: research

Tension pneumothorax during flexible bronchoscopy in a nonintubated infant
We describe the case of a tension pneumothorax occurring during flexible bronchoscopy in a nonintubated infant. The pneumothorax likely occurred secondary to wall source oxygen insufflation via the bronchoscope without sufficient gas egress. The use of wall source oxygen via the bronchoscope working channel is inherently dangerous and should be avoided. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 6, 2016 Category: Anesthesiology Authors: Ian A. Chan, Jonathan J. Gamble Tags: Case Report Source Type: research

Evaluation of emergency pediatric tracheal intubation by pediatric anesthesiologists on inpatient units and the emergency department
Summary Background and ObjectivesThere are limited data on pediatric emergency tracheal intubation on inpatient units and in the emergency department by anesthesiologists. This retrospective cohort study was designed to describe the frequency of difficult intubation and adverse events associated with emergency tracheal intubation performed by pediatric anesthesiologists in a large children's hospital. MethodsAll emergency tracheal intubation on inpatient units and the emergency department performed by pediatric anesthesiologists over a 7‐year period in children
Source: Pediatric Anesthesia - January 6, 2016 Category: Anesthesiology Authors: Wenyu Bai, Kristine Golmirzaie, Constance Burke, Tara Van Veen, Robert Christensen, Terri Voepel‐Lewis, Shobha Malviya Tags: Original Article Source Type: research

Monitoring pre‐ and postductal saturation – A must for neonates undergoing tracheoesophageal fistula repair
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 4, 2016 Category: Anesthesiology Authors: Raylene Dias, Nandini Dave, Gayatri Munghate, Sandesh V. Parelkar, Madhu Garasia Tags: Correspondence Source Type: research

History of anatomical studies of the pediatric larynx
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 4, 2016 Category: Anesthesiology Authors: Josef Holzki, Robert G. Carroll Tags: Correspondence Source Type: research

GlideScope for airway management in patients with Beckwith–Wiedemann syndrome: an update
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 4, 2016 Category: Anesthesiology Authors: Kendra J. Grim, Devon O. Aganga Tags: Correspondence Source Type: research

Modified pediatric Magill forceps effect on nasal intubation time
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 4, 2016 Category: Anesthesiology Authors: Farrukh N. Munshey, Jonathan J. Gamble, William P. McKay Tags: Correspondence Source Type: research

The effectiveness of nasal mask vs face mask ventilation in anesthetized, apneic pediatric subjects over 2 years of age: a randomized controlled trial
Summary BackgroundWe hypothesized that anesthetized, apneic children could be ventilated equivalently or more efficiently by nasal mask ventilation (NMV) than face mask ventilation (FMV). The aim of this randomized controlled study was to test this hypothesis by comparing the expiratory tidal volume (Vte) between NMV and FMV. MethodsAfter the induction of anesthesia, 41 subjects, 3–17 years of age without anticipated difficult mask ventilation, were randomly assigned to receive either NMV or FMV with neck extension. Both groups were ventilated with pressure control ventilation (PCV) at 20 cmH2O of peak inspirato...
Source: Pediatric Anesthesia - January 4, 2016 Category: Anesthesiology Authors: Taiga Itagaki, Tatyana A. Gubin, Puneet Sayal, Yandong Jiang, Robert M. Kacmarek, Thomas Anthony Anderson Tags: Original Article Source Type: research

Bundled analgesia interventions for day‐stay surgery
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 4, 2016 Category: Anesthesiology Authors: George A. Chalkiadis, Charles Berde Tags: Editorial Source Type: research

In this issue February 2016
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 4, 2016 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - January 4, 2016 Category: Anesthesiology Tags: Issue Information Source Type: research

Comparison of rescue techniques for failed chloral hydrate sedation for magnetic resonance imaging scans—additional chloral hydrate vs intranasal dexmedetomidine
Summary BackgroundChloral hydrate, a commonly used sedative in children during noninvasive diagnostic procedures, is associated with side effects like prolonged sedation, paradoxical excitement, delirium, and unpleasant taste. Dexmedetomidine, a highly selective α‐2 agonist, has better pharmacokinetic properties than chloral hydrate. We conducted this prospective, double‐blind, randomized controlled trial to evaluate efficacy of intranasal dexmedetomidine with that of a second oral dose of chloral hydrate for rescue sedation during magnetic resonance imaging (MRI) studies in infants. MethodsOne hundred and fifty ...
Source: Pediatric Anesthesia - December 30, 2015 Category: Anesthesiology Authors: Wenhua Zhang, Zixin Wang, Xingrong Song, Yanting Fan, Hang Tian, Bilian Li Tags: Original Article Source Type: research

Validity of sidestream endtidal carbon dioxide measurement in critically ill, mechanically ventilated children
Summary IntroductionCapnography is used to monitor the endtidal carbon dioxide tension (EtCO2) in exhaled gas. Sidestream capnography has great potential to monitor mechanically ventilated pediatric patients, given the continuous sampling from the endotracheal tube into a gas sensor. However, hemodynamic and respiratory impairments may reduce reliability and validity of sidestream capnography to monitor arterial carbon dioxide tension (PaCO2) in critically ill, mechanically ventilated children. MethodsIn 47 mechanically ventilated pediatric patients (aged 0–14 years, median age 17.2 months), a total of 341 consecutiv...
Source: Pediatric Anesthesia - December 30, 2015 Category: Anesthesiology Authors: Hylke H. A. C. M. Heijden, Gerben J. Truin, Joyce Verhaeg, Peggy Pol, Joris Lemson Tags: Original Article Source Type: research

NewB for newbies: a randomized control trial training housestaff to perform neonatal intubation with direct and videolaryngoscopy
ConclusionsBoth standard teaching and computer module teaching of neonatal intubation on a mannequin model results in improved time to successful intubation and overall improved resident confidence with intubation equipment and technique. Although intubation times were lower with direct laryngoscopy compared to videolaryngoscopy, the participating residents felt that videolaryngoscopy is an important educational tool. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 30, 2015 Category: Anesthesiology Authors: Lindsey Koele‐Schmidt, Margarita M. Vasquez Tags: Original Article Source Type: research

Impact of high doses of 6% hydroxyethyl starch 130/0.42 and 4% gelatin on renal function in a pediatric animal model
ConclusionsAfter high doses of HES or GEL in piglets, no relevant impact on renal function could be found. These results confirm that AKI after HES or GEL is very unlikely in hemodynamically stable perioperative patients with normal renal function. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 30, 2015 Category: Anesthesiology Authors: Lars Witt, Silke Glage, Ralf Lichtinghagen, Lars Pape, Dietmar Boethig, Nils Dennhardt, Sebastian Heiderich, Andreas Leffler, Robert Sümpelmann Tags: Original Article Source Type: research

Tracheal extubation in children with difficult airways: a descriptive cohort analysis
Summary BackgroundTracheal extubation in children with difficult airways may be associated with an increased risk of perioperative adverse events. AimsThe aim of this study was to describe the exubation techniques used/ success rates/ adverse events related to tracheal extubation practices in children with difficult airways. MethodsA retrospective analysis of tracheal extubation practices in the difficult airway population over a 78‐month period was performed. Difficult airway was defined as a Cormack and Lehane Grade 3 view or greater, and/or tracheal intubation requiring ≥3 attempts, and/or the need for an alternate...
Source: Pediatric Anesthesia - December 30, 2015 Category: Anesthesiology Authors: Narasimhan Jagannathan, Armin Shivazad, Michael Kolan Tags: Original Article Source Type: research

Interventions designed using quality improvement methods reduce the incidence of serious airway events and airway cardiac arrests during pediatric anesthesia
ConclusionWe utilized QI methodology to design and implement a project which led to greater standardization of clinical practice within a large pediatric anesthesia group. Based on an understanding of system issues impacting our clinical practice, we designed and tested interventions that led to a significant reduction in the incidence of serious airway events and airway cardiac arrests. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 23, 2015 Category: Anesthesiology Authors: James P. Spaeth, Renee Kreeger, Anna M. Varughese, Eric Wittkugel Tags: Original Article Source Type: research

Perioperative use of cerebral and renal near‐infrared spectroscopy in neonates: a 24‐h observational study
ConclusionNear‐infrared spectroscopy is an easily applicable technique that appears effective at detecting hypoxic events and postoperative apneas in neonates. The high incidences of regional hypoxia reported by NIRS in this study imply that there is a need for a more specific regional cerebral and renal monitoring. Despite some practical and economical limitations, NIRS may be considered a useful supplement to perinatal perioperative intensive care. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 21, 2015 Category: Anesthesiology Authors: Henrik W. Koch, Tom G. Hansen Tags: Original Article Source Type: research

Essential ultrasound techniques of the pediatric airway
Summary Ultrasound of the airways is a technique which has been described in a number of recent articles and reviews highlighting the diagnostic possibilities and simple methodology. However, there is a paucity of information focusing specifically on such methods in children where equipment, technique, and challenges are different. This review article gives a general overview of the equipment considerations, scanning protocols, and clinical applications in children. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 18, 2015 Category: Anesthesiology Authors: Samuel Stafrace, Thomas Engelhardt, Wendy H. Teoh, Michael S. Kristensen Tags: Review Article Source Type: research

Agreement between lower esophageal and nasopharyngeal temperatures in children ventilated with an endotracheal tube with leak
ConclusionsNasopharyngeal temperature accurately reflects lower esophageal temperature when there is minimal or no ETT leak. When a larger ETT leak is present, nasopharyngeal temperature is on average 0.1°C cooler than lower esophageal temperature. As the nasopharyngeal temperature probe site confers the advantage of simplicity of accurate placement compared to its esophageal counterpart, our findings support the use of nasopharyngeal temperature probes in children ventilated with both cuffed and uncuffed ETTs. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 16, 2015 Category: Anesthesiology Authors: Aarjan P. Snoek, Emily Saffer Tags: Original Article Source Type: research

Alpha‐2 adrenoceptor agonists as adjuncts to peripheral nerve blocks in children: a meta‐analysis
ConclusionThis meta‐analysis provides evidence‐based support for the use of adjunct alpha‐2 adrenoceptor agonists when performing peripheral nerve blocks in children. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 16, 2015 Category: Anesthesiology Authors: Märit Lundblad, Mehdi Trifa, Olfa Kaabachi, Sonia Ben Khalifa, Amjed Fekih Hassen, Thomas Engelhardt, Staffan Eksborg, Per‐Arne Lönnqvist Tags: Systematic Review Source Type: research

Wagering, anesthetic technique, and infants for pyloromyotomy
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Michale Sofer, Alan J. Schwartz, Scott D. Cook‐Sather Tags: Correspondence Source Type: research

What lessons for clinical practice can be learned from systematic reviews of animal studies? The case of anesthetic neurotoxicity
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Andreas W. Loepke, Laszlo Vutskits Tags: Editorial Source Type: research

In this issue January 2016
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 8, 2015 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - December 8, 2015 Category: Anesthesiology Tags: Issue Information Source Type: research

Cerebral oxygen saturation and tissue hemoglobin concentration as predictive markers of early postoperative outcomes after pediatric cardiac surgery
Summary BackgroundNear‐infrared spectroscopy (NIRS) provides an assessment of cerebral oxygenation and tissue hemoglobin concentration. AimThe aim of this study was to investigate whether the cerebral oxygenation and hemoglobin concentration measured with NIRS could predict outcomes after pediatric cardiac surgery. MethodWe conducted a retrospective observational study in 399 patients who underwent pediatric cardiac surgery. Associations were determined between postoperative outcome and preoperative and postoperative cerebral tissue oxygenation index (TOI), postoperative normalized tissue hemoglobin index (nTHI), concent...
Source: Pediatric Anesthesia - December 1, 2015 Category: Anesthesiology Authors: Tomohiko Suemori, Justin Skowno, Steve Horton, Stephen Bottrell, Warwick Butt, Andrew J. Davidson Tags: Original Article Source Type: research

Comparison of dexmedetomidine and chloral hydrate sedation for transthoracic echocardiography in infants and toddlers: a randomized clinical trial
ConclusionIntranasal dexmedetomidine 2 and 3 μg·kg−1 were found to be as effective for TTE sedation as oral chloral hydrate with similar sedation onset and recovery time and heart rate changes in this study population. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 30, 2015 Category: Anesthesiology Authors: Jeff Miller, Bin Xue, Md Hossain, Ma‐Zhong Zhang, Andreas Loepke, Dean Kurth Tags: Original Article Source Type: research

μ‐Opioid agonists for preventing emergence agitation under sevoflurane anesthesia in children: a meta‐analysis of randomized controlled trials
ConclusionsThis meta‐analysis suggested that prophylactic μ‐opioid agonists fentanyl, remifentanil, sufentanil, and alfentanil could significantly decrease the incidence of EA under sevoflurane anesthesia in children compared to placebo. Considering the limitations of the included studies, more clinical studies are required. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 29, 2015 Category: Anesthesiology Authors: Yuan Tan, Yisa Shi, Hui Ding, Xiangbin Kong, Haijiao Zhou, Jinhui Tian Tags: Systematic Review Source Type: research

Outcomes of dexmedetomidine treatment in pediatric patients undergoing congenital heart disease surgery: a meta‐analysis
ConclusionsCurrent evidence indicates that dexmedetomidine improves outcomes in children undergoing CHD surgery. However, this finding largely relies on data from observational studies; high‐quality RCTs are warranted because of the potential for subject selection bias. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 27, 2015 Category: Anesthesiology Authors: Wanying Pan, Yueting Wang, Lin Lin, Ge Zhou, Xiaoxiao Hua, Liqiu Mo Tags: Systematic Review Source Type: research

Outpatient outcomes and satisfaction in pediatric population: data from the postoperative phone call
ConclusionA postoperative phone survey is cost‐effective and appreciated by patients. We found that satisfaction with our perioperative services was not related to the rates of reported complications. Although reducing complications is of utmost importance, improvements in wait times and other operational issues would yield greater improvements in satisfaction. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 27, 2015 Category: Anesthesiology Authors: B. Randall Brenn, Dinesh K. Choudhry, Karen Sacks Tags: Original Article Source Type: research

Risk factors for intraoperative allogeneic blood transfusion during craniotomy for brain tumor removal in children
Summary BackgroundSeveral clinical and surgical factors can influence the occurrence of allogeneic blood transfusion (ABT) during oncologic neurosurgery. ObjectivesTo identify the potential predictive factors of ABT during craniotomy for the removal of brain tumors in children and the potential impact of intraoperative ABT on early postoperative outcome. MethodsA retrospective study was performed in all pediatric patients younger than 18 years who underwent craniotomy for brain tumor removal from December 2009 to December 2012 in our institution. Pre‐, intra‐, and postoperative data were collected from medical and stor...
Source: Pediatric Anesthesia - November 18, 2015 Category: Anesthesiology Authors: Olivia Vassal, François‐Pierrick Desgranges, Sylvain Tosetti, Stéphanie Burgal, Frédéric Dailler, Etienne Javouhey, Carmine Mottolese, Dominique Chassard Tags: Original Article Source Type: research

A quality improvement project to reduce the intraoperative use of single‐dose fentanyl vials across multiple patients in a pediatric institution
ConclusionsAppropriately sized fentanyl syringes prepared by pharmacy, education on correct use of single‐dose vials, and reminders in the OR, reduced the percentage of patients receiving a dose of fentanyl from a vial previously accessed for another patient in a high‐volume otolaryngology room. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 14, 2015 Category: Anesthesiology Authors: David Buck, Rajeev Subramanyam, Anna Varughese Tags: Original Article Source Type: research