Bilateral Erector Spinae Blocks Decrease Perioperative Opioid Use After Pediatric Cardiac Surgery

Summary: Prospective cohort (pilot) study of 10 patients aged 5-17 years having elective primary cardiac surgery, with 20 controls matched for age, sex and diagnosis. Bilateral ESPB catheters performed at completion of surgery. Time to perform block measured (median time 16min), and oral equivalent morphine dose calculated for 1st 48 hours (10% reduction in ESPB […]

Morbidity and mortality after anaesthesia in early life: results of the European prospective multicentre observational study, neonate and children audit of anaesthesia practice in Europe (NECTARINE).

This review also includes: Habre W, Disma N. A decade later, there are still major issues to be addressed in paediatric anaesthesia. Curr Opin Anaesthesiol. 2021;34(3):271-275. doi:10.1097/ACO.0000000000000990 de Graaff JC, Johansen MF, Hensgens M, Engelhardt T. Best practice & research clinical anesthesiology: Safety and quality in perioperative anesthesia care. Update on safety in pediatric anesthesia. Best Pract […]

Burnout Rate and Risk Factors among Anesthesiologists in the United States

Study Type & Method: An email survey was completed by nearly 4000 members of the American Society of Anaesthesiologists (pre-pandemic). Burnout was assessed using the Maslach Burnout Inventory Human Services Survey, which assesses emotional exhaustion, depersonalization and feelings of personal accomplishment. Additional questions explored occupational and personal risk factors for burnout. Findings: The findings demonstrated […]

Adult congenital heart disease, Anaesthesia & Intensive Care Medicine

90% of children born with congenital heart disease survive to adulthood (previously up to 80% died in childhood). This article proposes a classification of adult congenital heart disease (ACHD) based on complexity of lesion as follows. Simple ACHD are those cardiac lesions that confer no functional limitation. It includes patients who have undergone curative surgery. […]

Unique challenges in pediatric anesthesia created by COVID-19

This review article focusing on the lessons learned from 20 paediatric patients worldwide was produced following a MEDLINE literature search for paediatric patients with COVID-19 who underwent anaesthesia. A total of 8 publications met inclusion criteria and were described. Delays in surgery can and do lead to increased morbidity and mortality from complications associating with […]

Coronavirus disease 2019 and pediatric anesthesia

This review article looks back at the lessons learned since the start of the coronavirus pandemic for providing safe and effective care to paediatric patients with known and suspected COVID-19 infections as well as identifying continuing gaps in our knowledge with regard to children. Key points focus on the much lower likelihood of typical symptomatology […]

Factors Associated With Postadenotonsillectomy Unexpected Admissions in Children

Study Type: Single centre prospective cohort observational study conducted at Cincinnati Children’s Hospital analysing factors associated with post-adenotonsillectomy unexpected admissions in children. Method: Excluded patients having multiple procedures or ASA 4/5 patients. The primary endpoint was unexpected admissions up to 3 weeks postoperatively and the secondary endpoint was unexpected admissions up to 3 days postoperatively. […]

‘Desire for more analgesic treatment’: pain and patient-reported outcome after paediatric tonsillectomy and appendectomy

Study Type: Cohort study analysing pain and pain-related adverse outcomes in children 24 hours after tonsillectomy or appendectomy. Method: Data was obtained from the PAIN OUT infant registry, which prospectively consents for, enrols and records pain-related outcomes in children over 4 years old in the post-operative period. Exclusion criteria were parent refusal, cognitive impairment, communication […]

PROSPECT guideline for tonsillectomy: systematic review and procedure-specific postoperative pain management recommendations

Study Type & Method: This is a systematic review on the management of pain after tonsillectomy in adults and children. It was reviewed by the procedure-specific postoperative pain management (PROSPECT) working group, a collaboration of surgeons and anaesthetists that formulate procedure-specific pain management recommendations after operations. They used the PROSPECT methodology to perform a literature […]

The virtual pediatric perioperative home, experience at a major metropolitan safety net hospital

Article type: Retrospective observational study. Summary: This work takes a look back at the implementation of a pediatric perioperative surgical home model with two features distinct from other publications in the area: the hospital is not a tertiary paediatric hospital, and the model relies mostly on a virtual model rather than visits to a clinic […]