Paediatric anaesthesia
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Paediatric anaesthesia · Jun 2024
ReviewPatient positioning and its impact on perioperative outcomes in children: A narrative review.
Patient positioning interacts with a number of body systems and can impact clinically important perioperative outcomes. In this educational review, we present the available evidence on the impact that patient positioning can have in the pediatric perioperative setting. ⋯ We encountered considerable heterogeneity in research in this area. There may be a role for lateral positioning to reduce respiratory adverse outcomes, head elevation for intubation and improved oxygenation, and upright positioning to reduce peri-procedural anxiety.
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Paediatric anaesthesia · Jun 2024
Observational StudyDoes anesthesia duration or number of cases per patient predict safety events?
The need for dental rehabilitation under general anesthesia is increasing, with varying needs between patients. Mortality has been found to be a rare event in these patients; however other perioperative events can and do occur. Previous studies have established increased incidence of perioperative events with younger, sicker children, and longer anesthetics, however, no studies to date have evaluated if the incidence of perioperative events is more closely associated with one long anesthetic or multiple anesthetics per patient. ⋯ Limiting dental care under general anesthesia to multiple short cases may decrease the risk of perioperative events when compared to completing all treatment in one long operative session.
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Paediatric anaesthesia · Jun 2024
Editorial Comment LetterPediatric anesthesia skills: Black and white or shades of gray?