Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2017
A quality improvement initiative to optimize dosing of surgical antimicrobial prophylaxis.
The risk of surgical site infections is reduced with appropriate timing and dosing of preoperative antimicrobials. Based on evolving national guidelines, we increased the preoperative dose of cefazolin from 25 to 30 mg·kg-1. This quality improvement project describes an improvement initiative to develop standard work processes to ensure appropriate dosing. ⋯ This comprehensive quality improvement project improved practitioner compliance with evidence-based preoperative antimicrobial dosing recommendations to reduce the risk of surgical site infections.
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Paediatric anaesthesia · Jul 2017
Case ReportsNitrous oxide for procedural analgesia at home in a child with epidermolysis bullosa.
Epidermolysis bullosa comprises a range of conditions characterized by fragile skin with painful blistering induced by minor trauma and friction. The Dowling-Meara variant is a severe form characterized by disseminated painful blistering requiring lifelong skin and wound care. ⋯ Various multimodal analgesic strategies have been proposed for painful procedures in children with epidermolysis bullosa. In this case report, we describe the use of nitrous oxide for pain control at home of blister treatments in a 4-year-old child with the Dowling-Meara variant.