Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2022
Meta AnalysisThe effects of intraoperative magnesium sulfate administration on emergence agitation and delirium in pediatric patients: A systematic review and meta-analysis of randomized controlled trials.
The role of intraoperative magnesium for the prevention of emergence agitation or delirium is unclear as there have been conflicting results reported by several randomized controlled trials. ⋯ The administration of magnesium sulfate reduced the incidence and severity of emergence agitation or emergence delirium in pediatric patients after the use of general anesthesia during surgery.
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Paediatric anaesthesia · Apr 2022
ReviewThe new European Resuscitation Council guidelines on newborn resuscitation and support of the transition of infants at birth: an educational article.
In this educational article, we summarize the changes in the new European Resuscitation Council guidelines on Newborn Resuscitation and Support of the Transition of Infants at Birth, emphasizing important aspects for the pediatric anesthesiologist including umbilical cord management, airway management, inflation pressure, and oxygen in relation with gestational age and situation. Using a fictitious case to illustrate the main points, we give a summary of the changes and the evidence behind them.
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Paediatric anaesthesia · Apr 2022
Observational StudyCentral venous catheter-related thrombosis in pediatric surgical patients: A prospective observational study.
Perioperative central venous catheters are required but may be associated with various complications. ⋯ Internal jugular vein thrombosis was frequently detected by ultrasound following central venous catheterization in pediatric surgical patients. Multiple insertion attempts may be associated with the incidence of thrombosis. The clinical relevance of thrombi detected via ultrasound surveillance has not been determined.
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Paediatric anaesthesia · Apr 2022
Attitudes and perceptions of caregivers regarding their presence at induction of anesthesia.
Caregiver presence at their children's induction of anesthesia is practiced daily around the world. Research exploring the attitudes and perceptions of caregivers regarding this practice is limited within the African context. ⋯ A caregiver's perception of the induction process is influenced by multiple factors. A finding specific to our cohort is the interplay between complex multifaceted cultural beliefs and anesthesia of their children. By acknowledging and addressing these beliefs, a caregiver's presence can be tailored to ensure a positive experience for all involved at induction.
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Paediatric anaesthesia · Apr 2022
Association between implementation of a coordinated care pathway in idiopathic scoliosis patients and a reduction in perioperative outcome disparities.
There are well-documented racial and ethnic disparities in treatment and perioperative outcomes for patients with adolescent idiopathic scoliosis. ⋯ Our study supports the hypothesis that use of a coordinated care pathway is associated with a reduction in racial and ethnic disparities in length of stay and pain scores in pediatric patients undergoing posterior spinal fusion.