Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2015
Biography Historical ArticleThe development of pediatric anesthesiology and critical care medicine at the Cincinnati Children's Hospital: an interview with Dr. Theodore Striker.
Dr. Theodore W. 'Ted' Striker (1936-), Professor of Anesthesiology and Pediatrics at the University of Cincinnati, has played a pioneering role in the development of pediatric anesthesiology in the United States. As a model educator, clinician, and administrator, he shaped the careers of hundreds of physicians-in-training and imbued them with his core values of honesty, integrity, and responsibility.
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Paediatric anaesthesia · Aug 2015
Low incidence of pulmonary aspiration in children allowed intake of clear fluids until called to the operating suite.
International guidelines recommend 2 h of clear fluid fasting prior to general anesthesia. The pediatric anesthesia unit of Uppsala University Hospital has been implementing a more liberal fasting regime for more than a decade; thus, children scheduled for elective procedures are allowed to drink clear fluids until called to the operating suite. ⋯ Shortened fasting times may improve the perioperative experience for parents and children with a low risk of aspiration.
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Paediatric anaesthesia · Aug 2015
Are nocturnal hypoxemia and hypercapnia associated with desaturation immediately after adenotonsillectomy?
Children who undergo adenotonsillectomy for sleep-disordered breathing frequently have postoperative oxygen desaturations. Nocturnal hypoxia has been shown to predict postoperative respiratory complications; however, other gas exchange abnormalities detected on polysomnography (PSG) have not been evaluated. ⋯ Patients <3 years of age are most likely to have postoperative hypoxemia after adenotonsillectomy. Gas exchange abnormalities did not correlate with postoperative desaturations, although age and peak EtCO2 did strongly correlate.