Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2016
Case ReportsTension pneumothorax during flexible bronchoscopy in a nonintubated infant.
We describe the case of a tension pneumothorax occurring during flexible bronchoscopy in a nonintubated infant. The pneumothorax likely occurred secondary to wall source oxygen insufflation via the bronchoscope without sufficient gas egress. The use of wall source oxygen via the bronchoscope working channel is inherently dangerous and should be avoided.
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Paediatric anaesthesia · Apr 2016
NewB for newbies: a randomized control trial training housestaff to perform neonatal intubation with direct and videolaryngoscopy.
Competency rates in neonatal intubation among pediatric residents are low and currently not meeting ACGME/AAP standards. ⋯ Both standard teaching and computer module teaching of neonatal intubation on a mannequin model results in improved time to successful intubation and overall improved resident confidence with intubation equipment and technique. Although intubation times were lower with direct laryngoscopy compared to videolaryngoscopy, the participating residents felt that videolaryngoscopy is an important educational tool.
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Paediatric anaesthesia · Apr 2016
ReviewCreation of an integrated outcome database for pediatric anesthesia.
Outcome analysis is essential to health care quality improvement efforts. Pediatric anesthesia faces unique challenges in analyzing outcomes. Anesthesia most often involves a one-time point of care interaction where work flow precludes detailed feedback to care givers. ⋯ In this study, we describe a method to integrate these datasets into a single web-based relational database that provides researchers and clinicians with regular anesthesia outcome data that can be reviewed on a daily, weekly, or monthly basis. Because of its complexity, the project also entailed the creation of a 'dashboard,' allowing tracking of data trends and rapid feedback of measured metrics to promote and sustain improvements. We present the first use of such a database and dashboard for pediatric anesthesia professionals as well as successfully demonstrating its capabilities to perform as described above.
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Paediatric anaesthesia · Apr 2016
Erythropoietin diminishes isoflurane-induced apoptosis in rat frontal cortex.
During the brain growth spurt, anesthetic drugs can cause cellular and behavioral changes in the developing brain. The aim of this study was to determine the neuroprotective effect of erythropoietin after isoflurane anesthesia in rat pups. ⋯ A total of 1000 IU·kg(-1) IP erythropoietin diminished isoflurane-induced neuroapoptosis. Further experimental studies have to be planned to reveal the optimal dose and timing of erythropoietin before adaptation to clinical practice.