Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2023
Development and validation of a prediction model for preoperative anxiety in children aged 2-12 years old.
Children with preoperative anxiety are at risk of perioperative adverse events, such as reflux aspiration, prolonged induction time, wake agitation, and delirium. Identifying children at high risk of severe preoperative anxiety may help anesthesiologists intervene and manage them in advance. ⋯ ChiCTR2100054409 (https://www.chictr.org.cn/index.aspx).
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Paediatric anaesthesia · Feb 2023
Case ReportsUnsuspected severe tracheal stenosis and tracheomalacia after correction surgery for congenital scoliosis: A case report.
Tracheal stenosis and tracheomalacia in patients with congenital scoliosis are serious and rare conditions caused by congenital dysplasia, postintubation injury, trauma, and tracheal tumor. Anesthesia of a child with tracheal stenosis is challenging for anesthesiologists. We describe an 8-year-old female patient developed severe tracheal stenosis and tracheomalacia after growing rod implantation for congenital scoliosis. Comprehensive assessment of preoperative pulmonary function and airway morphology, which can be neglected clinically, should be performed in congenital scoliosis patients.
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Paediatric anaesthesia · Feb 2023
Randomized Controlled TrialUtilizing nasal- tragus length to estimate optimal endotracheal tube depth in neonates: A prospective randomized control study.
Determination of the optimal depth of endotracheal tube insertion in neonates is challenging. Various formulae have been proposed and are being commonly used for this purpose. There is no single formula that is ideal or can be applied across different populations. ⋯ Based on the results from the studied sample, NTL +1 cm formula is a better predictor than Weight + 6 cm formula to determine endotracheal tube insertion depth in term Indian neonates.
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Paediatric anaesthesia · Feb 2023
Meta AnalysisModeling iatrogenic intraoperative hyperthermia from external warming in children: a pooled analysis from two prospective observational studies.
Maintenance of normothermia is an important quality metric in pediatric anesthesia. While inadvertent hypothermia is effectively prevented by forced-air warming, this therapeutic approach can lead to iatrogenic hyperthermia in young children. ⋯ In children, external warming by forced-air needs to be closely monitored and adjusted in a timely manner to avoid iatrogenic hyperthermia especially during long procedures, in young age, higher surface-area-to-weight ratio, and higher baseline temperature.