Total intravenous anesthesia with dexmedetomidine and ketamine in children
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2015 Category: Anesthesiology Authors: Rakhee Goyal Tags: Correspondence Source Type: research

Implementation of Google Glass technology in patient care: evaluating its potential benefits and pitfalls
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2015 Category: Anesthesiology Authors: Oluwaseun A. Adetayo, Devin Midura Tags: Correspondence Source Type: research

Craniosynostosis reconstruction in patients with cyanotic heart defects—risk factors for venous air embolism and overview of preventative strategies
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2015 Category: Anesthesiology Authors: Oluwaseun A. Adetayo, Sameah Haider, Matthew A. Adamo, Melissa A. Ehlers Tags: Correspondence Source Type: research

Response to the letter of Dr. B Haydar
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2015 Category: Anesthesiology Authors: David A. August, Charles J. Coté Tags: Correspondence Source Type: research

Staying away from the edge – cerebral oximetry guiding blood pressure management
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2015 Category: Anesthesiology Authors: Justin Skowno, Laszlo Vutskits, Frank McGowan, Charles Dean Kurth Tags: Editorial Source Type: research

How to best induce anesthesia in infants with pyloric stenosis?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2015 Category: Anesthesiology Authors: Jue T. Wang, Thomas J. Mancuso Tags: Editorial Source Type: research

News from the pediatric anesthesia societies
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2015 Category: Anesthesiology Authors: Marinella Astuto Tags: News from the Pediatric Societies Source Type: research

In this issue July 2015
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2015 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Malignant hyperthermia in the early days of pediatric anesthesia: an interview with anesthesiology pioneer, Dr. John F. Ryan
Summary Dr. John F. Ryan (1935 ‐ ), Associate Professor of Anaesthesia at the Harvard Medical School, influenced the careers of hundreds of residents and fellows‐in‐training while instilling in them his core values of resilience, hard work, and integrity. His authoritative textbook, A Practice of Anesthesia for Infants and Children, remains as influential today as it did when first published decades ago. Although he had had many accomplishments, he identified his experiences caring for patients with malignant hyperthermia and characterizing the early discovery of this condition as his defining contribution to medicin...
Source: Pediatric Anesthesia - June 3, 2015 Category: Anesthesiology Authors: Michael R. King, Paul G. Firth, Myron Yaster, Zulfiqar Ahmed, Christine L. Mai Tags: Special Interest Article Source Type: research

Long‐term tolerability of capnography and respiratory inductance plethysmography for respiratory monitoring in pediatric patients treated with patient‐controlled analgesia
ConclusionChildren did not tolerate wearing capnography cannulae for prolonged periods of time, limiting the usefulness of this device as a continuous monitor of ventilation in children. RIP bands were better tolerated; however, they require further assessment of their utility. Until more effective, child‐friendly monitors are developed and their utility is validated, guidelines recommended for adult patients cannot be extended to children. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 1, 2015 Category: Anesthesiology Authors: Karen M. Miller, Andrew Y. Kim, Myron Yaster, Sapna R. Kudchadkar, Elizabeth White, James Fackler, Constance L. Monitto Tags: Original Article Source Type: research

Comparison of caudal bupivacaine alone with bupivacaine plus two doses of dexmedetomidine for postoperative analgesia in pediatric patients undergoing infra‐umbilical surgery: a randomized controlled double‐blinded study
Summary BackgroundData are still insufficient about the effects of different concentrations of caudal dexmedetomidine when used to prolong postoperative analgesia in children. The aim of this study was to assess the analgesic efficacy and side effects of two doses of caudal dexmedetomidine (1 and 2 μg·kg−1) co‐administered with bupivacaine in terms of postoperative pain scores and requirement of postoperative analgesia over 24 h in children undergoing infra‐umbilical surgery. MethodsNinety‐one children, aged 1–6 years, undergoing infra‐umbilical surgery were included and randoml...
Source: Pediatric Anesthesia - June 1, 2015 Category: Anesthesiology Authors: Khaled R. Al‐Zaben, Ibraheem Y. Qudaisat, Sami A. Abu‐Halaweh, Subhi M. Al‐Ghanem, Mahmoud M. Al‐Mustafa, Aboud N. Alja'bari, Hashem M. Al‐Momani Tags: Original Article Source Type: research

Postoperative hypoalbuminemia following surgery related to craniosynostosis
Summary BackgroundAn episode of postoperative phenytoin toxicity in a patient undergoing surgery related to craniosynostosis highlighted the presence of hypoalbuminemia. We believe that hypoalbuminemia contributed to the altered pharmacokinetics of phenytoin in this case. ObjectivesTo establish the incidence of postoperative hypoalbuminemia in patients undergoing surgery related to craniosynostosis and to investigate the likely etiology. MethodsData on 114 patients undergoing surgery for craniosynostosis over a 2‐year period at Oxford Children's Hospital, between May 2011 and May 2013, were retrospectively reviewed. Twen...
Source: Pediatric Anesthesia - June 1, 2015 Category: Anesthesiology Authors: Elizabeth Allison, Russell G. Evans, Steven Wall, David Johnson, Sumit Das Tags: Original Article Source Type: research

Nares‐to‐carina distance in children: does a ‘modified Morgan formula’ give useful guidance during nasal intubation?
ConclusionThe study confirms previous reports: NC distance can be well predicted from height/length. A modified Morgan formula might decrease the risk for accidental endobronchial intubation in infants and children, but ETT position need to be confirmed by auscultation or other verification. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 31, 2015 Category: Anesthesiology Authors: Agnes I. Hunyady, Randolph K. Otto, Alexis Christensen, Christer Jonmarker Tags: Original Article Source Type: research

Are preformed endotracheal tubes appropriately designed for pediatric patients?
ConclusionThe bend‐to‐tip distance of preformed ETTs varies between brands, especially for nasal tubes. Some preformed tubes are not well suited for routine use in children. There is a high risk for accidental endobronchial intubation if a cuffed preformed ETT is positioned with its bend at the front teeth or nares in a young child. ETT tube tip position needs to be carefully controlled when a preformed ETT is used in a child. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 29, 2015 Category: Anesthesiology Authors: Agnes I. Hunyady, Christer Jonmarker Tags: Original Article Source Type: research

The development of pediatric anesthesiology and critical care medicine at the Cincinnati Children's Hospital: an interview with Dr. Theodore Striker
Summary Dr. Theodore W. ‘Ted’ Striker (1936–), Professor of Anesthesiology and Pediatrics at the University of Cincinnati, has played a pioneering role in the development of pediatric anesthesiology in the United States. As a model educator, clinician, and administrator, he shaped the careers of hundreds of physicians‐in‐training and imbued them with his core values of honesty, integrity, and responsibility. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 20, 2015 Category: Anesthesiology Authors: Zulfiqar Ahmed, Paul J. Samuels, Christine L. Mai, Samuel Rodriguez, Ahmed Raza Iftikhar, Myron Yaster Tags: Special Interest Article Source Type: research

Perioperative management of 19 infants undergoing glossopexy (tongue‐lip adhesion) procedure: a retrospective study
ConclusionsThe airway of these patients should be managed carefully not only before but also after the operation. A nasopharyngeal tube was effective in maintaining the upper airway patency during anesthesia induction and before and after operation. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 15, 2015 Category: Anesthesiology Authors: Masashi Fujii, Kazuya Tachibana, Muneyuki Takeuchi, Juntaro Nishio, Keiko Kinouchi Tags: Original Article Source Type: research

Population pharmacokinetic–pharmacodynamic modeling and dosing simulation of propofol maintenance anesthesia in severely obese adolescents
ConclusionThis is the first study to describe the PK/PD of propofol in SO adolescents. The proposed maintenance dosing regimen for propofol uses TBW in an allometric function as a dosing scalar, with an exponent of 0.75. Our results suggest no relevant effect of obesity on the propofol concentration–BIS relationship. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 13, 2015 Category: Anesthesiology Authors: Vidya Chidambaran, Raja Venkatasubramanian, Senthilkumar Sadhasivam, Hope Esslinger, Shareen Cox, Jeroen Diepstraten, Tsuyoshi Fukuda, Thomas Inge, Catherijne A.J. Knibbe, Alexander A. Vinks Tags: Original Article Source Type: research

The effects of bispectral index monitoring on hemodynamics and recovery profile in developmentally delayed pediatric patients undergoing dental surgery
Summary BackgroundGeneral anesthesia is often preferred for dental surgery or rehabilitation in developmentally delayed pediatric patients. Bispectral index monitoring is used to monitor the depth of anesthesia and to ensure early recovery. However, studies on the topic in developmentally delayed pediatric patients are limited. AimTo evaluate the effects of Bispectral Index Scale (BIS) on hemodynamics and recovery profile in developmentally delayed pediatric patients undergoing dental surgery. MethodsForty children between the ages of 6–16 years were studied in this prospective and randomized study. The children...
Source: Pediatric Anesthesia - May 13, 2015 Category: Anesthesiology Authors: Mehmet Sargin, Mehmet Selcuk Uluer, Sadık Ozmen Tags: Original Article Source Type: research

Patients with single ventricle physiology undergoing noncardiac surgery are at high risk for adverse events
This study is a retrospective chart review of all patients who underwent a palliative procedure for single ventricle physiology between January 1, 2007 and January 31, 2014. Anesthetic and surgical records were reviewed for noncardiac operations that required sedation or general anesthesia. Any noncardiac operation occurring prior to completion of a bidirectional Glenn procedure was included. Diagnostic procedures, including cardiac catheterization, insertion of permanent pacemaker, and procedures performed in the ICU, were excluded. ResultsDuring the review period, 417 patients with single ventricle physiology had initial...
Source: Pediatric Anesthesia - May 13, 2015 Category: Anesthesiology Authors: Morgan L. Brown, James A. DiNardo, Kirsten C. Odegard Tags: Original Article Source Type: research

Continuous minimally invasive cardiac output monitoring with the COstatus in a neonatal swine model: recalibration is necessary during vasoconstriction and vasodilation
ConclusionContinuous cardiac output (CO) measured with the COstatus monitor requires recalibration during vasoconstriction and vasodilation, even if changes in COTPUD or SVR are not substantial. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 9, 2015 Category: Anesthesiology Authors: Alvaro F. Cisternas, Manuel Martin‐Flores, Robin D. Gleed Tags: Original Article Source Type: research

Clinical relevance of echocardiogram in patients with cerebral palsy undergoing posterior spinal fusion
ConclusionThe results suggest that routine preoperative cardiology evaluation via echocardiogram for children with CP in the absence of clinical history or physical examination findings suggestive of cardiac disease is not necessary. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 9, 2015 Category: Anesthesiology Authors: Sabina DiCindio, Lynda Arai, Michael McCulloch, Kesavan Sadacharam, Suken A. Shah, Peter Gabos, Kirk Dabney, Mary C. Theroux Tags: Original Article Source Type: research

Revisiting a measure of child postoperative recovery: development of the Post Hospitalization Behavior Questionnaire for Ambulatory Surgery
ConclusionRevising the former subscale structure and reducing the number of items in the PHBQ to create the PHBQ‐AS may provide a means for reducing the burden of postoperative behavioral assessment through decreasing time of administration and eliminating redundancy of items and allow for more accurate measurement of child postoperative behavioral changes. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 9, 2015 Category: Anesthesiology Authors: Brooke N. Jenkins, Zeev N. Kain, Sherrie H. Kaplan, Robert S. Stevenson, Linda C. Mayes, Josue Guadarrama, Michelle A. Fortier Tags: Original Article Source Type: research

Intranasal dexmedetomidine for sedation in children undergoing transthoracic echocardiography study—a prospective observational study
Summary BackgroundIntranasal dexmedetomidine has been used for sedation in children undergoing nonpainful procedures. ObjectiveThe aim of this study was to determine the success rate of intranasal dexmedetomidine sedation for children undergoing transthoracic echocardiography examination. MethodsThis was a prospective observational study of 115 children under the age of 3 years undergoing echocardiography examination under sedation with intranasal dexmedetomidine at 3 mcg·kg−1. ResultsOf the 115 children, 100 (87%) had satisfactory sedation with intranasal dexmedetomidine. The mean onset time was 16....
Source: Pediatric Anesthesia - May 9, 2015 Category: Anesthesiology Authors: Bi L. Li, Jin Ni, Jun X. Huang, Na Zhang, Xing R. Song, Vivian M. Yuen Tags: Original Article Source Type: research

Anesthesia and organic aciduria: is the use of lactated Ringer's solution absolutely contraindicated?
Summary BackgroundOrganic acidurias (OAs) are rare inborn errors of metabolism that can present with various neurologic manifestations, propensity for acute metabolic decompensation with anion‐gap metabolic acidosis, developmental delay, poor feeding, and failure to thrive. ObjectiveIn this case series, we outline the anesthetic management and perioperative outcomes of OA patients. MethodsWe reviewed demographic characteristics, comorbidities, and perioperative course of patients with four different OAs who underwent anesthetic care at our institution between January 1, 2000, and December 31, 2013. ResultsEleven patients...
Source: Pediatric Anesthesia - May 5, 2015 Category: Anesthesiology Authors: Katerina Ruzkova, Toby N. Weingarten, Kelly J. Larson, Robert J. Friedhoff, Dimitar K. Gavrilov, Juraj Sprung Tags: Original Article Source Type: research

Low incidence of pulmonary aspiration in children allowed intake of clear fluids until called to the operating suite
ConclusionShortened fasting times may improve the perioperative experience for parents and children with a low risk of aspiration. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 4, 2015 Category: Anesthesiology Authors: Hanna Andersson, Björn Zarén, Peter Frykholm Tags: Original Article Source Type: research

Bayesian estimation on diagnostic performance of Face, Legs, Activity, Cry, and Consolability and Neonatal Infant Pain Scale for infant pain assessment in the absence of a gold standard
Summary BackgroundNonverbal pediatric patients such as infants are unable to describe their pain, which leads to the lack of a gold standard scale for their pain assessment. The aim of this study was to estimate the diagnostic performance of Face, Legs, Activity, Cry, and Consolability (FLACC) scale and Neonatal Infant Pain Scale (NIPS) for infants' pain in the absence of a gold standard. MethodsThis prospective observational study recruited 202 postoperative infants, aged
Source: Pediatric Anesthesia - May 1, 2015 Category: Anesthesiology Authors: Xiaoli Ge, Jing‐Ru Tao, Jing Wang, Shu‐Ming Pan, Ying‐Wei Wang Tags: Original Article Source Type: research

Survey research: it's just a few questions, right?
Summary While most anesthesiologists and other physician‐ or nurse‐scientists are familiar with traditional descriptive, observational, and interventional study design, survey research has typically remained the preserve of the social scientists. To that end, this article provides a basic overview of the elements of good survey design and offers some rules of thumb to help guide investigators through the survey process. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 30, 2015 Category: Anesthesiology Authors: Alan R. Tait, Terri Voepel‐Lewis Tags: Special Interest Article Source Type: research

Intraoperative changes in blood pressure associated with cerebral desaturation in infants
Summary BackgroundIntraoperative hypotension has been linked to poor postoperative neurological outcomes. However, the definition of hypotension remains controversial in children. We sought to determine arterial blood pressure threshold values associated with cerebral desaturation in infants. MethodsAfter ethics committee approval, infants younger than 3 months were included in this prospective observational study. Cerebral saturation was assessed using near‐infrared spectroscopy. The primary goal of the study was to determine percentage reductions in intraoperative systolic blood pressure (SBP) and mean blood press...
Source: Pediatric Anesthesia - April 30, 2015 Category: Anesthesiology Authors: Daphné Michelet, Ozkan Arslan, Julie Hilly, Nyamjargal Mangalsuren, Christopher Brasher, Robert Grace, Arnaud Bonnard, Serge Malbezin, Yves Nivoche, Souhayl Dahmani Tags: Original Article Source Type: research

Does a prophylactic dose of propofol reduce emergence agitation in children receiving anesthesia? A systematic review and meta‐analysis
ConclusionBased on high quality evidence, prophylactic propofol appears to be effective for reducing the incidence and severity of EA in children emerging from general anesthesia. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 28, 2015 Category: Anesthesiology Authors: Sophia L. Hoff, Elizabeth S. O'Neill, Lianna C. Cohen, Brian A. Collins Tags: Review Article Source Type: research

The effect of prophylactic methylprednisolone need more evidences on postoperative outcomes
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: Yibo Li, Yabing Zhang, Yin Zhou, Yuan Li Tags: Correspondence Source Type: research

New pediatric airway devices, friends or foes?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: John E. Fiadjoe, Narasimhan Jagannathan, Patrick Olomu, Pete Kovatsis Tags: Correspondence Source Type: research

Reply to Faraoni D, Fenger‐Eriksen C, Gillard S et al. Evaluation of dynamic parameters of thrombus formation measured on whole blood using rotational thromboelastometry in children undergoing cardiac surgery: a descriptive study
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: Oliver Grottke, Hugo ten Cate Tags: Correspondence Source Type: research

Blood loss assessment in pediatric surgery: visual versus gravimetric methods: an experimental study
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: Lisieux E. Jesus, Bernardo A. Ramos, Maíra Rangel, Marcos V. Silveira, Mariana G. Tauffer Tags: Correspondence Source Type: research

Ventilation of severe bronchiolitis in interhospital transport: a place for high frequency oscillatory ventilation?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: Carine Chassery, Jean‐Christophe Bouchut, Benjamin J. Blaise, Sonia Courtil‐Teyssedre, Pierre‐Yves Gueugniaud Tags: Correspondence Source Type: research

An effective and reproducible approach for improving face mask ventilation in individuals with craniofacial clefts
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: Oluwaseun A. Adetayo Tags: Correspondence Source Type: research

Does it matter how you get from D (drug dose) to E (clinical effect)?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: Douglas J. Eleveld, Anthony R. Absalom Tags: Editorial Source Type: research

News from the pediatric anesthesia societies: the association of paediatric anaesthetists of Great Britain and Ireland (APAGBI)
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: Bob Bingham Tags: News from the Pediatric Societies Source Type: research

In this issue June 2015
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Comparison of air‐Q and Ambu Aura‐i for controlled ventilation in infants: a randomized controlled trial
Summary BackgroundThe air‐Q is a new supraglottic airway device (SAD) and has been increasingly used as a primary airway device and as a conduit for tracheal intubation in children as well as in adults. This device has either performed equally or better than other SADs in children. The Ambu Aura‐i is a commonly used SAD in children undergoing various short surgical procedures. However, limited literature is available evaluating the safety and efficacy of the air‐Q and the Ambu Aura‐i in small children. We, therefore, conducted this study to compare the clinical performance of these two airway devices in infants wei...
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: Vanlal Darlong, Ghansham Biyani, Dalim K. Baidya, Ravindra Pandey, Chandralekha, Jyotsna Punj, Ashish D. Upadhyay Tags: Original Article Source Type: research

A randomized multi‐institutional crossover comparison of the GlideScope® Cobalt Video laryngoscope to the flexible fiberoptic bronchoscope in a Pierre Robin manikin
ConclusionsThere was no difference in first‐attempt success of tracheal intubation using VL vs fiberoptic bronchoscopy when performed by attending anesthesiologists at two large pediatric centers. However, institutional differences exist in success rates with VL across the two centers. Results from single‐center device evaluations should be verified by multi‐center evaluations. A significant proportion of attending anesthesiologists lack experience with advanced airway devices; targeted education may enhance intubation success and patient safety. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 27, 2015 Category: Anesthesiology Authors: John E. Fiadjoe, Matthew Hirschfeld, Stephan Wu, James Markley, Harshad Gurnaney, Abbas F. Jawad, Paul Stricker, Todd Kilbaugh, Patrick Ross, Pete Kovatsis Tags: Original Article Source Type: research

Fentanyl with ropivacaine infusion for postoperative pain relief in infants and children. Kinetics of epidural fentanyl
Summary ObjectivesThe aim of the study was to evaluate pharmacokinetics of fentanyl administered as continuous epidural infusion with 0.2% ropivacaine for postoperative pain relief in infants and toddlers, and older children undergoing major abdominal and urological procedures. MethodsThirteen infants and toddlers (median age 14 [range 3–36] months, 11 [5–17] kg, Group I) and 11 children (68 [45–131] months, 21 [16–52] kg, Group II) participated in the study. Epidural catheter was placed under general anesthesia in the L1–L2, L2–L3, or L3–L4 epidural space and thread...
Source: Pediatric Anesthesia - April 22, 2015 Category: Anesthesiology Authors: Magdalena Karas‐Trzeciak, Tomasz Grabowski, Bogumila Woloszczuk‐Gebicka, Beata Borucka Tags: Original Article Source Type: research

Propofol concentration to induce general anesthesia in children aged 3–11 years with the Kataria effect‐site model
Summary BackgroundThe propofol pharmacokinetic model derived by Kataria et al. was recently modified to perform effect‐site target‐controlled infusion (TCI). Effect‐site concentration (Ce) targets to induce general anesthesia with this model in children have not been described. The aim of this study was to identify propofol Ce targets associated with success rates of 50% (Ce50) and 95% (Ce95) among children 3–11 years of age. MethodsForty‐two children were assigned to one of seven groups of six patients each according to propofol target Ce. After fentanyl administration propofol TCI was started with...
Source: Pediatric Anesthesia - April 17, 2015 Category: Anesthesiology Authors: Ricardo Fuentes, Ignacio Cortínez, Mauricio Ibacache, Mario Concha, Hernán Muñoz Tags: Original Article Source Type: research

The association of hypotension with the insertion of an abdominal retractor during lower abdominal surgery in pediatric patients: a retrospective observational study
ConclusionsPatient age and use of a wound retractor with an inner‐ring are independent risk factors associated with hypotension during insertion of the abdominal retractor in lower abdominal surgery. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 16, 2015 Category: Anesthesiology Authors: Rika Nakayama, Takahiro Mihara, Yoshihisa Miyamoto, Koui Ka Tags: Original Article Source Type: research

Are nocturnal hypoxemia and hypercapnia associated with desaturation immediately after adenotonsillectomy?
Summary BackgroundChildren who undergo adenotonsillectomy for sleep‐disordered breathing frequently have postoperative oxygen desaturations. Nocturnal hypoxia has been shown to predict postoperative respiratory complications; however, other gas exchange abnormalities detected on polysomnography (PSG) have not been evaluated. AimWe sought to determine whether hypercapnia seen on preoperative nocturnal PSG can predict postoperative hypoxemia. MethodsWe conducted a retrospective review of 319 children who underwent polysomnography before adenotonsillectomy. Saturation levels were recorded for at least 2 h postoperative...
Source: Pediatric Anesthesia - April 10, 2015 Category: Anesthesiology Authors: Nicholas M. Dalesio, Douglas H. McMichael, James R. Benke, Sean Owens, Kathryn A. Carson, Deborah A. Schwengel, Alan R. Schwartz, Stacey L. Ishman Tags: Original Article Source Type: research

Carbon monoxide has antinociceptive effects in rodent models of pain
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 7, 2015 Category: Anesthesiology Authors: Kohei Godai Tags: Correspondence Source Type: research

Fluid resuscitation for toddlers and young children
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 7, 2015 Category: Anesthesiology Authors: Greg Harvey, Evan T. Cole, Gary Foster, Melissa J. Parker Tags: Correspondence Source Type: research

Reply to Dr. Haydar regarding his comment: caudal clonidine and apnea risk
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 7, 2015 Category: Anesthesiology Authors: Per‐Arne Lönnqvist Tags: Correspondence Source Type: research

What is the condition of education in Pediatric Anesthesiology?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 7, 2015 Category: Anesthesiology Authors: Paul J. Samuels, Smokey J. Clay Tags: Editorial Source Type: research

Editorial comment on paper by Naguib, et al. ‘A single‐center strategy to minimize blood transfusion in neonates and children undergoing cardiac surgery’
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 7, 2015 Category: Anesthesiology Authors: Glyn D. Williams, Chandra Ramamoorthy Tags: Editorial Source Type: research

News from the pediatric anesthesia societies
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 7, 2015 Category: Anesthesiology Authors: Neil S. Morton Tags: News Source Type: research