Paediatric anaesthesia
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Paediatric anaesthesia · Sep 2023
Pediatric anesthetic for tracheobronchial foreign body extraction: A survey of practice in France.
Tracheobronchial foreign body aspiration is a classic pediatric emergency, and its associated morbidity particularly depends on the anesthetic management, which differs according to the center and the practitioner. ⋯ Our study confirms the diversity of practices concerning anesthetic for tracheobronchial foreign body extraction and found reveal differences in practice according to physician experience.
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Paediatric anaesthesia · Sep 2023
Outcomes for 41 260 pediatric surgical patients with opioid-free anesthesia: One center's experience.
Opioid use is common and associated with side effects and risks. Consequently, analgesic strategies to reduce opioid utilization have been developed. Regional anesthesia and multimodal strategies are central tenets of enhanced recovery pathways and facilitate reduced perioperative opioid use. Opioid-free anesthesia (OFA) protocols eliminate all intraoperative opioids, reserving opioids for postoperative rescue treatment. Systematic reviews show variable results for OFA. ⋯ These QI projects demonstrated that most pediatric ambulatory and select inpatient surgeries are amenable to OFA techniques which may reduce PONV without worsening pain.
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Paediatric anaesthesia · Sep 2023
Modified technique for endobronchial blocker placement in pediatric patients undergoing thoracic surgery.
One lung ventilation (OLV) in small children can be achieved using an Arndt endobronchial blocker (AEBB), but it presents challenges. OLV during thoracic procedures provides better surgical conditions and postoperative outcomes. ⋯ The described technique allows for fast, safe, and reliable OLV while maintaining the ability to reposition the AEBB.