Professionalism and social media in pediatric anesthesia
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 7, 2017 Category: Anesthesiology Authors: David Greaney, Gregory Nolan, Suzanne Crowe Tags: CORRESPONDENCE Source Type: research

Reply to Baines, David, regarding their comment ‘Comment on Erb TO, von Ungern‐Sternberg BS, Moll J, Frei FJ. Impact of high concentrations of sevoflurane on laryngeal reflex responses’
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 7, 2017 Category: Anesthesiology Authors: Thomas O. Erb, Britta S. Ungern ‐Sternberg, Jens Moll, Franz J. Frei Tags: CORRESPONDENCE Source Type: research

Comment on Erb TO, von Ungern ‐Sternberg BS, Moll J, Frei FJ. Impact of high concentrations of sevoflurane on laryngeal reflex responses
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 7, 2017 Category: Anesthesiology Authors: David B. Baines Tags: CORRESPONDENCE Source Type: research

Preoperative fasting in children: is there room for improvement?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 7, 2017 Category: Anesthesiology Authors: Wallis T. Muhly, Paul A. Stricker Tags: EDITORIAL Source Type: research

How should training in Pediatric Cardiac Anesthetic Training be undertaken —And in what sort of centers?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 7, 2017 Category: Anesthesiology Authors: Tim Murphy, Ian A. Jenkins Tags: EDITORIAL Source Type: research

Tramadol: keep calm and carry on
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 7, 2017 Category: Anesthesiology Authors: Brian J. Anderson, Jane Thomas, Kaye Ottaway, George A. Chalkiadis Tags: EDITORIAL Source Type: research

Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 7, 2017 Category: Anesthesiology Tags: ISSUE INFORMATION Source Type: research

Impact of anesthesiologists on parental perioperative satisfaction scores
ConclusionParental recommendation of a surgical facility to friends and family depends on a number of variables with the quality of perioperative communication with the anesthesiologist being the most predictive item. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 4, 2017 Category: Anesthesiology Authors: Louis Ehwerhemuepha, William Feaster, Zeev Kain Tags: RESEARCH REPORT Source Type: research

Effects of intravenous fentanyl around the end of surgery on emergence agitation in children: Systematic review and meta ‐analysis
ConclusionsThe current analyses indicate that fentanyl around the end of surgery reduces the incidence of emergence agitation in children undergoing general anesthesia. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 4, 2017 Category: Anesthesiology Authors: Namo Kim, Jin Ha Park, Jong Seok Lee, Taeyang Choi, Min ‐Soo Kim Tags: SYSTEMATIC REVIEW Source Type: research

Using quality improvement methods to reduce clear fluid fasting times in children on a preoperative ward
ConclusionsBy using established QI methodology we reduced the mean fluid fasting time for day admissions at our hospital to 3.1 hours and increased the proportion of children fasting for less than 4 hours from 19% to 72%. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 4, 2017 Category: Anesthesiology Authors: Richard J. G. Newton, Grant M. Stuart, Daniel J. Willdridge, Mark Thomas Tags: SPECIAL INTEREST ARTICLE Source Type: research

Ultrasound assessment of gastric emptying after breakfast in healthy preschool children
Summary BackgroundIn current guidelines, 6 hours of fasting is recommended for solids to limit the risk of pulmonary aspiration during anesthesia in children. Ultrasonography has recently been introduced to evaluate gastric volumes in children in the context of preanesthetic fasting. Therefore, in this study, we firstly evaluated the precision of ultrasound assessment of gastric volume in an experimental setting and secondly studied gastric emptying times after a normal breakfast in healthy preschool children using ultrasound. MethodsIn a preliminary experiment, a pear‐shaped elastic balloon was filled and emptied in 50 ...
Source: Pediatric Anesthesia - July 1, 2017 Category: Anesthesiology Authors: Anne E. S ümpelmann, Robert Sümpelmann, Michael Lorenz, Ilona Eberwien, Nils Dennhardt, Dietmar Boethig, Sebastian G. Russo Tags: RESEARCH REPORT Source Type: research

Does hypothermia impair cerebrovascular autoregulation in neonates during cardiopulmonary bypass?
Summary BackgroundAutoregulation monitoring has been proposed as a means to identify optimal arterial blood pressure goals during cardiopulmonary bypass, but it has been observed that cerebral blood flow is pressure passive during hypothermic bypass. When neonates cooled during cardiopulmonary bypass are managed with vasodilators and controlled hypotension, it is not clear whether hypothermia or hypotension were the cause of impaired autoregulation. AimWe sought to measure the effect of both arterial blood pressure and hypothermia on autoregulation in a cohort of infants cooled for bypass, hypothesizing a collinear relatio...
Source: Pediatric Anesthesia - June 27, 2017 Category: Anesthesiology Authors: Brendan Smith, Eric Vu, Kathleen Kibler, Craig Rusin, Ronald B. Easley, Dean Andropoulos, Jeffrey Heinle, Marek Czosnyka, Daniel Licht, Jennifer Lynch, Ken Brady Tags: RESEARCH REPORT Source Type: research

Impact of endotracheal tube shortening on work of breathing in neonatal and pediatric in vitro lung models
ConclusionIn this in vitro lung model, endotracheal tube shortening had minimal effects on work of breathing. Moreover, the calculated percentage reduction of the total daily energy demand after endotracheal tube shortening was minimal. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 27, 2017 Category: Anesthesiology Authors: Rebecca Mohr, J örg Thomas, Vincenzo Cannizzaro, Markus Weiss, Alexander R. Schmidt Tags: RESEARCH REPORT Source Type: research

Intraoperative acidosis and hypercapnia during thoracoscopic repair of congenital diaphragmatic hernia and esophageal atresia/tracheoesophageal fistula
Summary BackgroundIntraoperative hypercapnia and acidosis have been associated with thoracoscopic repair of both congenital diaphragmatic hernia and esophageal atresia/tracheoesophageal fistula. AimThe aim of the present study was to investigate whether thoracoscopic repair of congenital diaphragmatic hernia or esophageal atresia/tracheoesophageal fistula was associated with acidosis and hypercapnia in a large group of neonates, and to analyze the effects of acidosis and hypercapnia on early postoperative outcomes. MethodsWe reviewed the charts of neonates who underwent open or thoracoscopic congenital diaphragmatic hernia...
Source: Pediatric Anesthesia - June 20, 2017 Category: Anesthesiology Authors: Augusto Zani, Ruben Lamas ‐Pinheiro, Irene Paraboschi, Sebastian K. King, Justyna Wolinska, Elke Zani‐Ruttenstock, Simon Eaton, Agostino Pierro Tags: RESEARCH REPORT Source Type: research

Childhood preoperative anxiolysis: Is sedation and distraction better than either alone? A prospective randomized study
ConclusionBoth pharmacological premedication and video distraction are effective strategies for controlling preoperative childhood anxiety. The combination of midazolam and Digital Video‐Disk player was not better than either alone. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 16, 2017 Category: Anesthesiology Authors: Chrystelle Sola, Audrey Lefauconnier, Sophie Bringuier, Olivier Raux, Xavier Capdevila, Christophe Dadure Tags: RESEARCH REPORT Source Type: research

Benefits of an individualized perioperative plan for children with autism spectrum disorder
Summary BackgroundPerioperative care for children with autism spectrum disorder may be challenging. Previous investigators recommend development of an individualized perioperative management plan with caregiver involvement. AimThe primary goal was to determine the usefulness of an individualized plan based on the decision to provide preoperative sedation stratified by autism spectrum severity level. Secondary goals were to assess the effectiveness of the plan based on subjective assessment of patient behavior at induction of anesthesia and caregiver satisfaction. MethodsWe developed an individualized plan for each child wi...
Source: Pediatric Anesthesia - June 15, 2017 Category: Anesthesiology Authors: Jo S. Swartz, Karen E. Amos, Mirna Brindas, Linda G. Girling, M. Ruth Graham Tags: RESEARCH REPORT Source Type: research

Introduction of color ‐flow injection test to confirm intravascular location of peripherally placed intravenous catheters
Summary BackgroundThe incidence of infiltration and extravasation when using peripheral intravenous catheters is high in pediatric patients. Due to the lack of a gold standard test to confirm intravascular location of a peripherally placed intravenous catheter, we introduce a novel method, the color‐flow injection test to assess the intravascular location of these catheters. For the color‐flow injection test, 1 mL of normal saline was injected within 2 seconds in the distal intravenous catheter and changes in color‐flow via ultrasonography were observed at the proximal draining veins. The primary objective ...
Source: Pediatric Anesthesia - June 15, 2017 Category: Anesthesiology Authors: Nischal K. Gautam, Kayla R. Bober, Chunyan Cai Tags: RESEARCH REPORT Source Type: research

Interactive pediatric emergency checklists to the palm of your hand ‐ How the Pedi Crisis App traveled around the world
Summary BACKGROUNDCognitive aids help clinicians manage critical events and have been shown to improve outcomes by providing critical information at the point of care. Critical event guidelines, such as the Society of Pediatric Anesthesia's Critical Events Checklists described in this article, can be distributed globally via interactive smartphone apps. From October 1, 2013 to January 1, 2014, we performed an observational study to determine the global distribution and utilization patterns of the Pedi Crisis cognitive aid app that the Society for Pediatric Anesthesia developed. We analyzed distribution and utilization metr...
Source: Pediatric Anesthesia - June 8, 2017 Category: Anesthesiology Authors: Jorge A. G álvez, Justin L. Lockman, Laura E. Schleelein, Allan F. Simpao, Luis M. Ahumada, Bryan A. Wolf, Maully J. Shah, Eugenie Heitmiller, Mohamed Rehman Tags: RESEARCH REPORT Source Type: research

Effects of intraoperative liberal fluid therapy on postoperative nausea and vomiting in children —A randomized controlled trial
ConclusionLiberal intraoperative fluid therapy was found to be effective in reducing PONV in children undergoing lower abdominal surgery. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2017 Category: Anesthesiology Authors: Vighnesh Ashok, Indu Bala, Neerja Bharti, Divya Jain, Ram Samujh Tags: RESEARCH REPORT Source Type: research

Current evidence for the use of sugammadex in children
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2017 Category: Anesthesiology Authors: Joseph D. Tobias Tags: CORRIGENDUM Source Type: research

Managing the marginally raised aPTT —looking beyond the absolute number
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2017 Category: Anesthesiology Authors: Angela Y.J. Tan, Joselo D. Macachor, Hwan Ing Hee Tags: CORRESPONDENCE Source Type: research

Caudal analgesia, hypospadias, and urethrocutaneous fistula: Does association mean causality?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2017 Category: Anesthesiology Authors: David M. Polaner, Nicole Almenrader, Vijaya Vemulakonda Tags: EDITORIAL Source Type: research

Reducing risk in pediatric anesthesia: What are the implications from the APRICOT study?
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2017 Category: Anesthesiology Authors: Andrew Wolf Tags: EDITORIAL Source Type: research

In this issue: July 2017
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2017 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - June 6, 2017 Category: Anesthesiology Tags: Issue Information Source Type: research

Incidence and predictors of massive bleeding in children undergoing liver transplantation: A single ‐center retrospective analysis
ConclusionsPediatric liver transplantation is associated with substantial blood loss and a significant blood product transfusion burden. A 43% incidence of massive bleeding is reported. Further efforts are needed to improve bleeding management in this high‐risk population. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 30, 2017 Category: Anesthesiology Authors: Benjamin Kloesel, Pete G. Kovatsis, David Faraoni, Vanessa Young, Heung Bae Kim, Khashayar Vakili, Susan M. Goobie Tags: RESEARCH REPORT Source Type: research

Elevated intrathoracic CO2 pressure during thoracoscopic surgery decreases regional cerebral oxygen saturation in neonates and infants —A pilot study
Summary BackgroundIntraoperative hypercapnia and acidosis are risk factors during thoracoscopy in neonates and infants. MethodsIn a prospective pilot study, we evaluated the effects of thoracoscopy in neonates and infants on cerebral microcirculation, oxygen saturation, and oxygen consumption. Regional cerebral oxygen saturation and blood flow were measured noninvasively using a new device combining laser Doppler flowmetry and white light spectrometry. Additionally, cerebral fractional tissue oxygen extraction and approximated oxygen consumption were calculated.Fifteen neonates and infants undergoing thoracoscopy were stud...
Source: Pediatric Anesthesia - May 25, 2017 Category: Anesthesiology Authors: Felix Neunhoeffer, Steven W. Warmann, Michael Hofbeck, Alisa M üller, Frank Fideler, Guido Seitz, Martin U. Schuhmann, Hans‐Joachim Kirschner, Matthias Kumpf, Jörg Fuchs Tags: RESEARCH REPORT Source Type: research

Hemodynamic responses and plasma phenylephrine concentrations associated with intranasal phenylephrine in children
DiscussionAdministration of intranasal phenylephrine, 0.25% and 0.50%, results in rapid but highly variable systemic absorption that is associated with mild increases of blood pressure that are clinically insignificant. Bleeding associated with nasotracheal intubation was less following administration of 0.5% intranasal phenylephrine than following intranasal saline. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 15, 2017 Category: Anesthesiology Authors: Lisa K. Christensen, Valerie E. Armstead, David P. Bilyeu, Kenneth E. Johnson, Robert H. Friesen Tags: RESEARCH REPORT Source Type: research

Racial differences in the pain management of children recovering from anesthesia
ConclusionsReceipt of analgesia for acute postoperative pain was not significantly associated with a child's race. Minority children were more likely to receive i.v. opioids for the management of mild pain. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 15, 2017 Category: Anesthesiology Authors: Olubukola O. Nafiu, Wilson T. Chimbira, Margaret Stewart, Kathleen Gibbons, L. Kareen Porter, Paul I. Reynolds Tags: RESEARCH REPORT Source Type: research

Changing the paradigm for diagnostic MRI in pediatrics: Don't hold your breath
SummaryIncreasingly complex pediatric patients and improvements in technology warrant reevaluation of the risk associated with anesthesia for diagnostic imaging. Although magnetic resonance imaging is the imaging modality of choice for children given the potentially harmful effects of computerized tomography‐associated ionizing radiation, we dare to suggest that certain patients would benefit from the liberalization of our current standard. Incorporating the use of newer computerized tomography technology may improve safety for those that are already at higher risk for adverse events. Furthermore, magnetic resonance imag...
Source: Pediatric Anesthesia - May 15, 2017 Category: Anesthesiology Authors: Melissa M. Masaracchia, Michael J. Tsapakos, Nancy J. McNulty, Michael L. Beach Tags: SPECIAL INTEREST ARTICLE Source Type: research

Breathing circuit compliance and accuracy of displayed tidal volume during pressure ‐controlled ventilation of infants: A quality improvement project
Summary IntroductionAnesthesia machines have evolved to deliver desired tidal volumes more accurately by measuring breathing circuit compliance during a preuse self‐test and then incorporating the compliance value when calculating expired tidal volume. The initial compliance value is utilized in tidal volume calculation regardless of whether the actual compliance of the breathing circuit changes during a case, as happens when corrugated circuit tubing is manually expanded after the preuse self‐test but before patient use. We noticed that the anesthesia machine preuse self‐test was usually performed on nonexpanded ped...
Source: Pediatric Anesthesia - May 15, 2017 Category: Anesthesiology Authors: Todd A. Glenski, Carrie Diehl, Rachel G. Clopton, Robert H. Friesen Tags: RESEARCH REPORT Source Type: research

Preoperative colonization in pediatric cardiac surgery and its impact on postoperative infections
ConclusionThe results of our study suggest that the impact of preoperative colonization on outcome and postoperative infections may be negligible; larger series are required to clearly define this issue. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 15, 2017 Category: Anesthesiology Authors: Simona Silvetti, Marco Ranucci, Giuseppe Isgr ò, Valentina Villa, Elena Costa Tags: RESEARCH REPORT Source Type: research

Single and multiple sevoflurane exposures during pregnancy and offspring behavior in mice
ConclusionOur study suggests that neither single nor multiple exposures of mice to sevoflurane during the fetal developmental period induces long‐term behavioral dysfunctions or affects long‐term synaptic plasticity. Additional studies focusing on early stages of neurodevelopment are necessary to confirm the effects of sevoflurane exposure during pregnancy. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 12, 2017 Category: Anesthesiology Authors: Soomin Lee, Woosuk Chung, Haram Park, Hanwool Park, Seunghwan Yoon, Sangil Park, Jiho Park, Jun Young Heo, Xianshu Ju, Seok ‐hwa Yoon, Yoon Hee Kim, Youngkwon Ko Tags: Research Report Source Type: research

Nitrous oxide for procedural analgesia at home in a child with epidermolysis bullosa
Summary Epidermolysis bullosa comprises a range of conditions characterized by fragile skin with painful blistering induced by minor trauma and friction. The Dowling‐Meara variant is a severe form characterized by disseminated painful blistering requiring lifelong skin and wound care. The natural history of the disease is characterized by a chronic course that tends to improve with advancing age. Various multimodal analgesic strategies have been proposed for painful procedures in children with epidermolysis bullosa. In this case report, we describe the use of nitrous oxide for pain control at home of blister treatments i...
Source: Pediatric Anesthesia - May 11, 2017 Category: Anesthesiology Authors: Pablo Ingelmo, Andrew Wei, Gonzalo Rivera Tags: Case Report Source Type: research

Safety of antifibrinolytics in cranial vault reconstructive surgery: a report from the pediatric craniofacial collaborative group
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 5, 2017 Category: Anesthesiology Tags: Corrigendum Source Type: research

Bedside Entertainment and Relaxation Theater: size and novelty does matter when using video distraction for perioperative pediatric anxiety
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 5, 2017 Category: Anesthesiology Authors: Samuel Rodriguez, Thomas Caruso, Ban Tsui Tags: Correspondence Source Type: research

Costs and inconvenience to parents of children requiring minor ear surgery
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 5, 2017 Category: Anesthesiology Authors: Victoria I. Smith, Faith Forlenza, Ronald S. Litman Tags: Correspondence Source Type: research

Use of anesthetics in young children Consensus statement of the European Society of Anaesthesiology (ESA), the European Society for Paediatric Anaesthesiology (ESPA), the European Association of Cardiothoracic Anaesthesiology (EACTA), and the European Safe Tots Anaesthesia Research Initiative (EuroSTAR)
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 5, 2017 Category: Anesthesiology Authors: Tom G. Hansen Tags: Editorial Source Type: research

In this issue: June 2017
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 5, 2017 Category: Anesthesiology Authors: Andrew Davidson Tags: In this issue Source Type: research

Issue Information
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - May 5, 2017 Category: Anesthesiology Tags: Issue Information Source Type: research

An evaluation of the mixed pediatric unit for blood loss replacement in pediatric craniofacial surgery
Summary BackgroundSurgical correction for craniosynostosis is often associated with significant perioperative hemorrhage. We implemented a transfusion strategy with a strict protocol including transfusion triggers, frequent assessment of coagulation tests, and the use of a novel transfusion unit, the mixed pediatric unit. AimThe aim of the study was to evaluate if the applied transfusion strategy could reduce total blood loss and number of blood donors. MethodsChildren
Source: Pediatric Anesthesia - April 24, 2017 Category: Anesthesiology Authors: Stefan Mogensen, Norbert Lubenow, Pelle Nilsson, Henrik Engquist, Folke Knutsson, Per Enblad, Daniel Nowinski, Peter Frykholm Tags: Research Report Source Type: research

The provision of pediatric cardiac anesthesia services in Germany: current status of structural and personnel organization
ConclusionThe present study represents the current structural situation for anesthesia at German pediatric cardiac surgery centers. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 17, 2017 Category: Anesthesiology Authors: Torsten Baehner, Oliver Dewald, Ingo Heinze, Matthias Mueller, Ehrenfried Schindler, Uwe Schirmer, Georg Baumgarten, Andreas Hoeft, Richard K Ellerkmann Tags: Research Report Source Type: research

Assessing the survival impact of perioperative opioid consumption in children and adolescents undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy
This study investigated the impact of opioid consumption on the survival of children and adolescents undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy. MethodsA retrospective study of patients
Source: Pediatric Anesthesia - April 17, 2017 Category: Anesthesiology Authors: Pascal Owusu ‐Agyemang, Andrea Hayes‐Jordan, Antoinette Van Meter, Uduak U. Williams, Acsa M. Zavala, Ravish Kapoor, Shannon M. Popovich, Elizabeth Rebello, Lei Feng, Juan P. Cata Tags: Research Report Source Type: research

Comparison of sedation by intranasal dexmedetomidine and oral chloral hydrate for pediatric ophthalmic examination
ConclusionsIntranasal dexmedetomidine provides more successful sedation and better quality of ophthalmic examinations than oral chloral hydrate for small children. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 17, 2017 Category: Anesthesiology Authors: Qianzhong Cao, Yiquan Lin, Zhubin Xie, Weihua Shen, Ying Chen, Xiaoliang Gan, Yizhi Liu Tags: Research Report Source Type: research

Acute masseter dystonia in a pediatric patient receiving aripiprazole and methylphenidate following induction of general anesthesia
Summary An 11‐year‐old male receiving aripiprazole, methylphenidate, and clonidine developed acute masseter dystonia inhibiting tracheal intubation after induction of general anesthesia with propofol and rocuronium. Following emergence, he had trismus and jaw discomfort. Psychiatry consultation suspected an acute dystonic reaction, so diphenhydramine was administered intravenously which resolved symptoms. We suspect chronic aripiprazole and methylphenidate usage combined with propofol administration in the short‐term absence of methylphenidate made this patient susceptible to dystonic reactions. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 17, 2017 Category: Anesthesiology Authors: Michelle LeRiger, Jasper Williams, Greta Duncan ‐Wiebe, Mohanad Shukry Tags: Case Report Source Type: research

Differences in intraoperative hemodynamics between spinal and general anesthesia in infants undergoing pyloromyotomy
DiscussionOur findings show that spinal anesthesia performed in healthy infants undergoing pyloromyotomy results in reduced intraoperative blood pressure changes from baseline, significantly higher blood pressure readings, and no increased bradycardia compared to general anesthesia. Further research is needed to assess whether any clinical impact of these hemodynamic differences between spinal and general anesthesia exists. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 17, 2017 Category: Anesthesiology Authors: Caleb Ing, Lena S. Sun, Alexander F. Friend, Minjae Kim, Mitchell F. Berman, William Paganelli, Guohua Li, Robert K. Williams Tags: Research Report Source Type: research

Interactive web ‐based format vs conventional brochure material for information transfer to children and parents: a randomized controlled trial regarding preoperative information
ConclusionsChildren in the age range 3–12 years of age as well as their parents do better attain preoperative information from an interactive web‐based platform compared to conventional brochure material. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 11, 2017 Category: Anesthesiology Authors: Gunilla L ööf, Cecilia Liljeberg, Staffan Eksborg, Per‐Arne Lönnqvist Tags: Research Report Source Type: research

Nasal high ‐flow oxygen delivery in children with abnormal airways
ConclusionNasal high flow can be used in spontaneously breathing children with abnormal airways for maintenance of oxygenation during anesthesia for tubeless airway procedures. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 10, 2017 Category: Anesthesiology Authors: Susan Humphreys, Derek Rosen, Tessa Housden, Julia Taylor, Andreas Schibler Tags: Research Report Source Type: research

Current use of factor concentrates in pediatric cardiac anesthesia
Summary Excessive bleeding following pediatric cardiopulmonary bypass is associated with increased morbidity and mortality, both from the effects of hemorrhage and the therapies employed to achieve hemostasis. Neonates and infants are especially at risk because their coagulation systems are immature, surgeries are often complex, and cardiopulmonary bypass technologies are inappropriately matched to patient size and physiology. Consequently, these young children receive substantial amounts of adult‐derived blood products to restore adequate hemostasis. Adult and pediatric data demonstrate associations between blood produc...
Source: Pediatric Anesthesia - April 10, 2017 Category: Anesthesiology Authors: Nina A. Guzzetta, Glyn D. Williams Tags: Systematic Review Source Type: research

Reply to Withington, Davinia, regarding their comment ‘Comment on: Z‐Z Peng “The agreement between ocillometric and intra‐arterial technique for blood pressure monitoring in the lower extremities of infants undergoing aortic coarctation repair”
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - April 6, 2017 Category: Anesthesiology Authors: Ying Sun, Jun ‐Zheng Wu, Zhe‐Zhe Peng, Ma‐Zhong Zhang, Pei‐Pei Liu Tags: Correspondence Source Type: research