Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2019
Professionalism in pediatric anesthesiology: Affirmation of a definition based on results of a nationally administered survey of pediatric anesthesiologists.
Previously published work established the need for a specialty-specific definition of professionalism in pediatric anesthesiology. That work established a composite definition consisting of 11 domains and their component "defining themes" for professionalism in pediatric anesthesiology. As a next step toward assessing generalizability of our single-center findings, we sought to gain input from a national sample of pediatric anesthesiologists. ⋯ This national survey of pediatric anesthesiologists serves to confirm the construct validity of our prior working definition of professionalism in pediatric anesthesiology, and has uncovered several opportunities for further study. This definition can be used for both curriculum and policy development within the specialty.
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Paediatric anaesthesia · Apr 2019
Observational StudyThe angle range of leg abduction with external hip rotation which can minimize femoral artery and vein overlap in pediatric patients.
Since the femoral artery frequently overlaps the femoral vein, femoral central venous catheterization carries the risk of arterial puncture in pediatric patients. ⋯ Positioning patients in a range of 48° and 58° leg abduction with external hip rotation can minimize the overlap between the femoral artery and vein. However, the clinical usefulness of this positioning for femoral venous catheterization remains to be seen.
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Paediatric anaesthesia · Apr 2019
Randomized Controlled TrialManual versus pressure-controlled facemask ventilation during the induction of general anaesthesia in children: a prospective randomised controlled study.
Pressure-controlled face mask ventilation during paediatric induction reduces gastric insufflation compared with manual ventilation.
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Paediatric anaesthesia · Apr 2019
Randomized Controlled TrialComparison of low-fresh gas flow technique to standard technique of sevoflurane induction in children-A randomized controlled trial.
Although sevoflurane is preferred for inhalational induction in children, financial and environmental costs remain major limitations. The aim of this study was to determine if the use of low-fresh gas flow during inhalational induction with sevoflurane could significantly reduce agent consumption, without adversely affecting induction conditions. ⋯ Induction of anesthesia with sevoflurane using low-fresh gas flow is effective in reducing sevoflurane consumption, without compromising induction time and conditions.