Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2021
Randomized Controlled TrialComparative Efficacy of C-MAC® Miller Videolaryngoscope Versus McGrath® MAC Size '1' Videolaryngoscope in Neonates and Infants Undergoing Surgical Procedures Under General Anesthesia: A Prospective Randomized Controlled Trial.
Various anatomical and physiological factors make intubation in infants challenging. C-MAC videolaryngoscope shows better results as compared to the conventional direct laryngoscopy for intubation in infants. McGrath MAC size-1 with a disposable Macintosh type blade has recently been introduced for use in infants and has not been formally evaluated in this population. ⋯ The C-MAC Miller blade showed similar intubation timings, success rates, and intubation difficulty score as compared to McGrath MAC in neonates and infants, though the former provided superior glottic views. Both the videolaryngoscopes may be safely used in infants and neonates for routine intubation scenarios.
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Paediatric anaesthesia · Oct 2021
Review Biography Historical ArticleAn interview with Dr. Anne Marie Lynn, A Pioneering Woman in Medicine.
Dr. Anne Marie Lynn (1949-present), Professor Emeritus of Anesthesiology, Pain Medicine, and Pediatrics at the University of Washington, Seattle, was one of the most influential women in pediatric anesthesiology of her generation. Dr. ⋯ A pioneer in pain medicine pharmacology, particularly morphine and ketorolac, her research transformed pediatric anesthesia, pediatric pain medicine, and pediatric intensive care medicine. Through her journal articles, book chapters, national and international lectures, mentoring of residents, fellows, and faculty, and leadership in the Society for Pediatric Anesthesia, she inspired a generation of women and men physicians by demonstrating that gender should not be a barrier to undertaking roles once only held only by men. In 2017, for her many contributions, she was awarded the Society for Pediatric Anesthesia's Myron Yaster lifetime achievement award.
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Paediatric anaesthesia · Oct 2021
Validation of the Ramsay scale for invasive procedures under deep sedation in pediatrics.
The Ramsay scale is the most widely used scale during pediatric procedures although it has not been formally validated. ⋯ The Ramsay scale is valid, reliable, and applicable to monitoring sedation for invasive procedures under deep sedation in pediatrics.
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Paediatric anaesthesia · Oct 2021
Relationship between pre-incision Pupillary Pain Index and post-incision heart rate and pupillary diameter variation in children.
The Pupillary Pain Index is a recent pupillometric index designed to assess the level of analgesia under general anesthesia in children and adults. If analgesia is inadequate, acute nociceptive stimuli such as skin incision may induce significant hemodynamic disturbances. ⋯ In children, pre-incision Pupillary Pain Index was moderately correlated with post-incision nociception. Pre-incision Pupillary Pain Index had good predictive performances for heart rate or pupillary diameter reactivity to skin incision. Pre-incision Pupillary Pain Index <3 might predict the absence of heart rate reaction to incision.
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Paediatric anaesthesia · Oct 2021
ReviewMidlatency Auditory Evoked Potentials during Anesthesia in Children: a Narrative Review.
The brain is considered as the major target organ of anesthetic agents. Despite that, a reliable means to monitor its function during anesthesia is lacking. Mid latency auditory evoked potentials are known to be sensitive to anesthetic agents and might therefore be a measure of hypnotic state in pediatric patients. This review investigates the available literature describing various aspects of mid latency auditory evoked potential monitoring in pediatric anesthesia.