Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2012
Case ReportsAwake GlideScope intubation in a critically ill pediatric patient.
We report a challenging case of a 10-year-old boy with history of biventricular heart failure, pulmonary hypertension, severe asthma, and obesity with a BMI of 37. He presented to our hospital in acute decompensated heart failure. Our anesthesia team was consulted by the pediatric intensivist for urgent airway management in this rapidly deteriorating, premorbid patient. We describe here the use of the GlideScope(®) in an awake pediatric patient of ASA 4E status with a potentially difficult airway who required to remain in the seated position and thus necessitating a face-to-face approach.
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Paediatric anaesthesia · Apr 2012
Population pharmacokinetics of intravenous bolus etomidate in children over 6 months of age.
Information has been very limited on the population pharmacokinetics (PK) of etomidate in pediatric patients. The purpose of this study was to characterize the PK of etomidate in children. ⋯ Owing to enhanced clearance and increased central compartment volume of etomidate, smaller (younger) children will require higher etomidate bolus dose than larger (older) children to achieve equivalent plasma concentrations. The dependence of Cl(1) and V(1) on age does not support weight-based etomidate dosing in smaller children.
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We present a review of smartphone applications (apps) available for pediatric anesthesia.
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Paediatric anaesthesia · Apr 2012
Displacement of the common carotid artery after laryngeal mask airway placement in infants and children.
In adults, placement of the laryngeal mask airway causes increased overlapping of the internal jugular vein (IJV) and common carotid artery (CCA). However, few studies in children have been reported. The aim of this study was to describe the degree of overlap of the IJV and the CCA before and after laryngeal mask airway placement in infants and children. ⋯ There was no remarkable change in the overlap index before and after laryngeal mask airway placement in children.
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Paediatric anaesthesia · Apr 2012
Historical ArticleThe early development of pediatric intensive care.
The polio epidemic in Copenhagen in 1952 was a significant stimulus to the development of Intensive Care. Eighty-five percent of the patients with respiratory involvement died despite the use of Cuirass negative pressure ventilators. After some controversy Ibsen, an anesthetist, was consulted. ⋯ Owing to the lack of positive pressure ventilators, this was undertaken by students who contributed 167,000 h of hand ventilation. The mortality decreased to 25%. Anesthetists, having special experience with ventilation, became the leaders in the field as Intensive Care developed.