Pediatric anesthesiology in Brazil, Chile, and Mexico
CONCLUSIONS: Brazil an upper middle-income country, population 203 million, has a public system insufficiently resourced and a private system, resulting in inequitable safety and accessibility. Surgical complications constitute the third leading cause of mortality. Anesthesiology residency is 3 years, with required rotations in pediatric anesthesia; five hospitals offer pediatric anesthesia fellowships. Anesthesiology is a physician-only practice. A Pediatric Anesthesia Committee within the Brazilian Society of Anesthesiology offers education through seasonal courses and workshops including pediatric advanced life support....
Source: Paediatric Anaesthesia - April 15, 2024 Category: Anesthesiology Authors: Vin ícius Caldeira Quintão Mario Concha Lina Andrea Sarmiento Arg üello Silvana Cavallieri Luis I Cortinez Gabriel Soares de Sousa Marcella Marino Malavazzi Clemente Ricardo Vieira Carlos Juan Manuel Rodr íguez Karla Guti érrez Denis H Jablonka Anner Source Type: research
Halothane: Why we still use it
Paediatr Anaesth. 2024 Apr 15. doi: 10.1111/pan.14900. Online ahead of print.NO ABSTRACTPMID:38619502 | DOI:10.1111/pan.14900 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 15, 2024 Category: Anesthesiology Authors: Raymond Ndikontar Kwinji Source Type: research
Brain drain in pediatric anesthesiology: The geographic and demographic distribution of national origin among pediatric anesthesiologists in the United States
CONCLUSIONS: International medical graduates, disproportionately from low- and middle-income countries, compose a large proportion of the US Pediatric Anesthesiology workforce. While these clinicians play a vital role in providing care for American children, the potential impacts of skilled physician loss on their nations of origin must also be considered.PMID:38610114 | DOI:10.1111/pan.14901 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 13, 2024 Category: Anesthesiology Authors: Liam K Sullivan Guillermo Salda ña Cody W Williams Yuli Lim Richard M Hubbard Source Type: research
Brain drain in pediatric anesthesiology: The geographic and demographic distribution of national origin among pediatric anesthesiologists in the United States
CONCLUSIONS: International medical graduates, disproportionately from low- and middle-income countries, compose a large proportion of the US Pediatric Anesthesiology workforce. While these clinicians play a vital role in providing care for American children, the potential impacts of skilled physician loss on their nations of origin must also be considered.PMID:38610114 | DOI:10.1111/pan.14901 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 13, 2024 Category: Anesthesiology Authors: Liam K Sullivan Guillermo Salda ña Cody W Williams Yuli Lim Richard M Hubbard Source Type: research
In this issue June 2024
Paediatr Anaesth. 2024 Apr 12. doi: 10.1111/pan.14903. Online ahead of print.NO ABSTRACTPMID:38607369 | DOI:10.1111/pan.14903 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 12, 2024 Category: Anesthesiology Source Type: research
Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research
Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research
Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research
Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research
Coffin-Siris syndrome and delayed emergence-Is this an unusual or unknown anesthetic complication?
Paediatr Anaesth. 2024 Apr 8. doi: 10.1111/pan.14892. Online ahead of print.NO ABSTRACTPMID:38586918 | DOI:10.1111/pan.14892 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 8, 2024 Category: Anesthesiology Authors: Prasadkanna Prabhakar Samuel David Chandran Shalaka Ashok Tembhurne Amit Mathew Ekta Rai Source Type: research
Case series of peripherally inserted central catheter insertion in young children: A new approach to the axillary vein
CONCLUSION: We conclude that the novel approach to the axillary vein for PICC insertion is feasible and appears to be safe when performed by an experienced operator.PMID:38587025 | DOI:10.1111/pan.14897 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 8, 2024 Category: Anesthesiology Authors: Peter Frykholm Ali-Reza Modiri Robert Frithiof Source Type: research
Improving perioperative acetaminophen administration for safer and cost-effective multimodal analgesia in pediatric surgery: A QI initiative
CONCLUSION: We successfully achieved and sustained our goals of improving acetaminophen use for our surgical patients without worsening pain scores or worsening use of intravenous opioids. Future directions include further refining our strategies and exploring additional opportunities to optimize pain management in pediatric perioperative settings.PMID:38578161 | DOI:10.1111/pan.14893 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 5, 2024 Category: Anesthesiology Authors: Richard M Mahon Prabi Rajbhandari Todd A Brown Laurie J Engler Tarun Bhalla Source Type: research
A survey of practice in the anesthetic management of adolescent idiopathic scoliosis spine fusion by the North American Pediatric Spine Anesthesiologists Collaborative
CONCLUSION: Most anesthesiologists (87.1%; 95% CI 80.6-99.9) report the use of some form of an anesthesia-based protocol for AIS fusions, but our survey results show there is considerable variation in all aspects of perioperative care. Areas of agreement on management comprise the typical vascular access required, utilization of tranexamic acid, immediate extubation, and disposition to a floor bed. By recognizing the diversity of anesthetic care, we can develop areas of research and improve the perioperative management of AIS.PMID:38578166 | DOI:10.1111/pan.14895 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 5, 2024 Category: Anesthesiology Authors: Laura E Gilbertson Wallis T Muhly Michael C Montana Vidya Chidambaran Sabina DiCindio Kesavan Sadacharam Robert T Wilder Simon D Whyte Alan Hifko Paul D Sponseller David D Frankville North American Pediatric Spine Anesthesiologists Investigators Source Type: research
Improving perioperative acetaminophen administration for safer and cost-effective multimodal analgesia in pediatric surgery: A QI initiative
CONCLUSION: We successfully achieved and sustained our goals of improving acetaminophen use for our surgical patients without worsening pain scores or worsening use of intravenous opioids. Future directions include further refining our strategies and exploring additional opportunities to optimize pain management in pediatric perioperative settings.PMID:38578161 | DOI:10.1111/pan.14893 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 5, 2024 Category: Anesthesiology Authors: Richard M Mahon Prabi Rajbhandari Todd A Brown Laurie J Engler Tarun Bhalla Source Type: research
A survey of practice in the anesthetic management of adolescent idiopathic scoliosis spine fusion by the North American Pediatric Spine Anesthesiologists Collaborative
CONCLUSION: Most anesthesiologists (87.1%; 95% CI 80.6-99.9) report the use of some form of an anesthesia-based protocol for AIS fusions, but our survey results show there is considerable variation in all aspects of perioperative care. Areas of agreement on management comprise the typical vascular access required, utilization of tranexamic acid, immediate extubation, and disposition to a floor bed. By recognizing the diversity of anesthetic care, we can develop areas of research and improve the perioperative management of AIS.PMID:38578166 | DOI:10.1111/pan.14895 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 5, 2024 Category: Anesthesiology Authors: Laura E Gilbertson Wallis T Muhly Michael C Montana Vidya Chidambaran Sabina DiCindio Kesavan Sadacharam Robert T Wilder Simon D Whyte Alan Hifko Paul D Sponseller David D Frankville North American Pediatric Spine Anesthesiologists Investigators Source Type: research
