Diagnosis and perioperative management in pediatric sleep‐ disordered breathing.
This article is a review of the recent literature on the perioperative management of children with Sleep Disordered Breathing (SDB). Areas covered are the diagnosis of obstructive sleep apnoea (OSA), the importance of individualised anaesthetic and analgesic plans and post-operative monitoring Clinical Polysomnography is the gold standard test for OSA. It ideally should be used […]
Acetaminophen, ibuprofen, and tramadol analgesic interactions after adenotonsillectomy.
An interesting paper exploring optimal dosing of multimodal analgesia, specifically the effectiveness of combined ibuprofen and paracetamol, with or without tramadol, post adenotonsillectomy. The study included 251 children between 2 and 12 years, weighing greater than 10kg. The children where given a loading dose approximately 30 minutes before the start of surgery and dosing was […]
Clinical and echocardiographic risk factors for extubation failure in infants with congenital diaphragmatic hernia.
Infants are at a high risk for extubation failure after surgical correction of Congenital diaphragmatic hernia. This study looks at some of the contributing factors. 34 infants with Congenital diaphragmatic hernia who had an echocardiogram within 48 hrs before first intubation and if reintubated, at the final extubation attempt, were included in the study.They were […]
Ultrasound assessment of the prevalence of increased gastric contents and volume in elective pediatric patients: A prospective cohort study
This single centre study, conducted at a university hospital in France, aimed to assess the prevalence of an “at risk stomach” in children undergoing elective surgery. This was defined as solid content in the antrum and/or a gastric volume >1.25ml/kg. Two hundred consecutive paediatric patients (1-16 years) undergoing elective surgery had a preoperative gastric ultrasound […]
Laryngeal Mask Airway Versus Other Airway Devices for Anesthesia in Children With an Upper Respiratory Tract Infection: A Systematic Review and Meta- analysis of Respiratory Complications.
This study is a systematic review and meta-analysis on the association between perioperative respiratory adverse events and airway devices. The study only includes randomized controlled trials for analysis. Only four trials were able to be included in the final analysis, which highlights the lack of good studies on this topic. Due to the paucity of […]
Complications in Pediatric Regional Anesthesia : An Analysis of More than 100,000 Blocks from the Pediatric Regional Anesthesia Network
This is a prospective, observational multi-centre study involving over 20 paediatric centres in the USA participating in the Pediatric Regional Anesthesia Network. The aim of the study is to analyse and measure the incidence of major complications from paediatric regional blocks performed by anaesthetists Data from over 100,000 paeditric regional blocks was analysed. Data was […]
Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children. Honorine Delivet
According to the authors, the psychological and situational factors that contribute to pre-operative anxiety have not been studied. The ability to identify factors associated with anxiety would allow targeted prev entive strategies. This prospective observational study aims to identify factors that predict anxiety at induction of anaesthesia in children. Children between the ages of 8 […]
A simple care bundle to reduce unplanned admission rate for day case pediatric circumcision
This is a prospective audit of analgesic and antiemetic use for day case circumcisions at a quaternary paediatric hospital in the UK. Previous evidence has suggested that 30-40% of unplanned readmissions were secondary to pain or nausea. The authors hypothesised that improvement in these parameters could reduce readmission rates. Four interventions were selected including the […]