Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2015
ReviewAutism spectrum disorder (ASD) and its perioperative management.
Autism spectrum disorder (ASD) is now diagnosed in more than 1 in 100 children, so it is not surprising that anesthetists are increasingly providing care for children with this diagnosis. The diagnostic classification for ASD has recently changed and our understanding of the causes and management of ASD are also changing rapidly. This review provides a timely update to increase understanding and awareness of the problems that children with ASD experience, and to minimize perioperative problems. ⋯ Remember, the parents are their child's expert and will know what agitates and settles them. Talking to them prior to the day of the procedure is ideal. The importance of staff training and having a clinical practice guideline available at every institution cannot be overstated.
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Paediatric anaesthesia · Nov 2015
Review Meta AnalysisA systematic review and meta-analysis of acute severe complications of pediatric anesthesia.
Quantification of acute severe complications of pediatric anesthesia is essential to plan clinical guidelines and educational curricula. ⋯ The data on pediatric anesthesia acute severe complications are poorly defined with large variation in the specificity of diagnostic reporting even within studies. We suggest that it is vital for future studies in this area to be based on a standardized system of diagnostic reporting (possibly with a hierarchical system of coding) with adequate description of population details to describe heterogeneity of data.