Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2011
An analysis of critical incidents relevant to pediatric anesthesia reported to the UK National Reporting and Learning System, 2006-2008.
We aimed to identify and analyze critical incidents relating to pediatric anesthesia from the National Reporting and Learning System (NRLS) in England and Wales. ⋯ We make a number of recommendations for practice. In addition, anesthetists should be encouraged to take ownership and contribute high-quality descriptions of incidents to national systems.
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Paediatric anaesthesia · Aug 2011
Intraoperative glycemic control without insulin infusion during pediatric cardiac surgery for congenital heart disease.
Many studies are reporting that the occurrence of hyperglycemia in the postoperative period is associated with increased morbidity and mortality rates in children after cardiac surgery for congenital heart disease. This study sought to determine blood glucose levels in standard pediatric cardiac anesthesiological management without insulin infusions. ⋯ A conventional (no insulin, no glucose) anesthetic management seems sufficient in the vast majority of patients (96.5%). Special attention should be paid to small neonates with complex congenital heart surgery, in whom insulin treatment may be contemplated.
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Paediatric anaesthesia · Aug 2011
Probability of survival based on etiology of cardiopulmonary arrest in pediatric patients.
To aggregate data across institutions to identify, characterize, and differentiate potential survivors from nonsurvivors based on etiology of event. ⋯ Probability of survival curves based on duration of CPR was statistically significantly different for CICA patients compared to RICA patients.