Paediatric anaesthesia
-
Paediatric anaesthesia · May 2013
Randomized Controlled TrialRandomized trial of success of pediatric anesthesiologists learning to use two video laryngoscopes.
The primary purpose of this study was to establish the ability of pediatric anesthesiologists to learn to use two video laryngoscopes - the GlideScope(®) system (GS) and the Karl Storz Direct Coupled Interface, DCI(®), (KS). ⋯ Although only 65% of anesthesiologists attained the stringent study definition of 'Success', all rapidly leaned to use both video laryngoscopes.
-
Paediatric anaesthesia · May 2013
Comparative StudyA new endotracheal tube for infants--laboratory and clinical assessment: a preliminary study.
Conventional endotracheal pediatric tubes offer high resistance due to their small diameters and relatively high flow during ventilation. Any increase of the diameter of the tube lumen decreases the airway resistance and subsequently, the work of breathing (WOB). We compared ventilation mechanics using a new, cone-shaped endotracheal tube of our design to the Cole and standard tubes. ⋯ The cone tube offers lower resistance to gas flow than the standard, used nowadays in clinical practice. It can be especially beneficial to spontaneously breathing patients reducing WOB and improving gas exchange.
-
Paediatric anaesthesia · May 2013
Evaluation of distal radial artery cross-sectional internal diameter in pediatric patients using ultrasound.
In this study, we measure the radial artery internal diameter (RAID) in children up to 4 years of age before and after the induction of anesthesia. A B-mode portable color Doppler ultrasound was used to measure the RAID. ⋯ There were discrepancies between the RAID and the proposed catheter size in some individuals, which may not only render placement difficult but also have potential for arterial injury. There are good reasons to measure the RAID in small children prior to insertion of an intra-arterial catheter.
-
Paediatric anaesthesia · May 2013
Procedural pain in neonates: the state of the art in the implementation of national guidelines in Italy.
National and international guidelines have been published on pain control and prevention in the newborn, but data on compliance with these guidelines are lacking. ⋯ This survey showed that most Italian NICUs provide some form of analgesia and sedation for invasive procedures in accordance with national guidelines, but their routine adherence to best practices for pain control and monitoring is still suboptimal.
-
Paediatric anaesthesia · May 2013
Ethnicity and parental report of postoperative behavioral changes in children.
To examine the role of ethnicity and language in parent report of children's postoperative behavioral recovery. ⋯ The present study provides evidence that parent report of children's postoperative behavioral recovery may be influenced by cultural variables, such as ethnicity and language. The present results contribute to a growing body of evidence that highlights the need for culturally sensitive assessment and care of families in the medical setting. The findings may reflect differences in cultural values such as stoicism; however, future studies would benefit from examination of the factors that may account for the differences in reported behavior change after surgery (i.e., report bias, cultural values).