Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2021
Observational StudyPerioperative Anxiety in Pediatric Surgery: Induction Room vs. Operating Room.
Perioperative anxiety can have a profound and lasting effect on children and their parents, with up to 70 percent of children undergoing outpatient surgery experiencing significant physiologic and/or psychological manifestations of anxiety throughout the ambulatory surgical process. The physical healthcare environment itself can contribute to these feelings, substantially impacting the level of anxiety experienced by both the child and their parent. ⋯ The nonpharmacological strategy of using an induction room for anesthetic induction of children may be clinically effective in reducing anxiety as compared to an operating room.
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Paediatric anaesthesia · Apr 2021
Perioperative hypersensitivity reactions during childhood and outcomes of subsequent anesthesia.
Pediatric perioperative hypersensitivity reactions are rare, and possibly life-threatening. Identification of precise etiology is crucial to circumvent future re-exposures. ⋯ Data on perioperative hypersensitivity reactions during childhood are rare due to limited diagnostic procedures. Different preference of general anesthetics may change the causative agent. Meticulous evaluation is necessary to safely administer subsequent anesthesia.
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Paediatric anaesthesia · Apr 2021
Observational StudyEpidural versus general anesthesia for open pyloromyotomy in infants: a retrospective observational study.
Thoracic epidural anesthesia for open infantile hypertrophic pyloric stenosis surgery is a controversial issue in the presence of little comparative data. ⋯ In our series, maintaining spontaneous breathing with minimal airway manipulation in patients undergoing open repair of hypertrophic pyloric stenosis under single-shot epidural anesthesia resulted in fewer desaturation events ≤90% than general anesthesia. In addition, this approach seems to result in shorter turnover times in the operating room.
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Paediatric anaesthesia · Apr 2021
Case ReportsAnesthesia Management for ENT surgery in a Child with X-linked Pyruvate Kinase Deficiency.
Pyruvate dehydrogenase complex deficiency (PDCD) is a rare X-linked disorder that affects glucose metabolism. There are several case reports describing the anesthetic management of patients with PDCD. This is the first case report to describe the anesthetic management of a PDCD patient requiring spontaneous ventilation using dexmedetomidine and ketamine.