Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2019
Randomized Controlled Trial Clinical TrialEffect of different fraction of inspired oxygen on development of atelectasis in mechanically ventilated children: A randomized controlled trial.
The use of high fraction of inspired oxygen (FI O2 ) can cause direct pulmonary toxicity and pulmonary complications. The purpose of this study was to evaluate the effect of different FI O2 on development of intraoperative atelectasis in mechanically ventilated children using lung ultrasound. ⋯ FI O2 did not affect significant atelectasis formation in mechanically ventilated children who received ultrasound-guided recruitment maneuver and positive end-expiratory pressure.
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Paediatric anaesthesia · Oct 2019
Multicenter StudyReal fasting times and incidence of pulmonary aspiration in children: Results of a German prospective multicenter observational study.
Prolonged fasting before anesthesia is still common in children. Shortened fasting times may improve the metabolic and hemodynamic condition during induction of anesthesia and the perioperative experience for parents and children and simplify perioperative management. As a consequence, some centers in Germany have reduced fasting requirements, but the national guidelines are still unchanged. ⋯ This study shows that prolonged fasting is still common in pediatric anesthesia in Germany that pulmonary aspiration with postoperative respiratory distress is rare and that improvements to current local fasting regimens and national fasting guidelines are urgently needed.