Perioperative outcomes and management in midface advancement surgery: a multicentre observational descriptive study from the paediatric Craniofacial Collaborative Group.

This multicentre observational descriptive study looked at 4 year data from the Paediatric Craniofacial Surgery Perioperative Registry in 72 cases of children undergoing midface advancement involving distractor application. Data reviewed included patient demographics, perioperative management, complications, fluid and transfusion volumes and length of stay. There are 2 main procedures performed for midface hypoplasia: the Lefort […]

Caudal and intravenous dexmedetomidine similarly prolong the duration of caudal analgesia in children: A randomized controlled trial.

A randomised, double-blinded, placebo-controlled trial of 90 children. All children were ASA 1 and aged between 2 and 5 years. The results show that both caudal and IV dexmedetomidine (1ug/kg) approximately, doubled the duration of analgesia produced by standard doses of caudal levobupivacaine. There was a decreased incidence of emergence agitation in the dexmedetomidine groups […]

Work of breathing for cuffed and uncuffed paediatric endotracheal tubes in an in vitro Lung model setting.

Over the last decade, there has been an increasing use of cuffed endotracheal tubes in paediatric anaesthetic practice and in paediatric intensive care. The potential for the smaller internal diameters of the cuffed endotracheal tubes to cause higher airway resistance, requiring higher inspiratory pressures to ventilate, has been debated. This research report looks at the […]

Anesthesia and the developing brain: A way forward for laboratory and clinical research

In 2017 a group of international experts met for the second international conference on paediatric anaesthesia and neurotoxicity titled: International Conference on Pediatric Anesthesia and Neurotoxicity: From the GAS Study to future collaborative trials. This paper summarises the discussions and conclusions reached by that group. After acknowledging that expert opinion divided over the applicability of […]

Dorsal penile nerve block for circumcision in pediatric patients: A prospective, observer-blinded, randomized controlled clinical trial for the comparison of ultrasound-guided vs landmark technique.

Ultrasound-guided dorsal penile nerve block (USS DPNB) may be superior to landmark DPNB by reducing post-operative pain scores (Faraoni et al 2010, 40 patients) and reducing the requirement for post-operative opiates (O’Sullivan et al 2011, 66 patients). This observer blinded, randomised controlled trial examined 310 prepubertal patients (ASA 1-2, 52 weeks post conception to 11 […]

Delivery of sevoflurane using a neonatal ventilator

Burstal and Threlfo have adapted and bench tested a neonatal ventilator to deliver sevoflurane for neonatal anaesthesia. They did this to deliver low minute volumes with precision in neonates with uncuffed endotracheal tubes. Most neonatal intensive care (NICU) ventilators achieve this by measuring and controlling expiratory tidal volume in contrast to most anaesthetic machines that […]