Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2021
Randomized Controlled TrialEffects of tip-manipulated stylet angle on intubation using the GlideScope® videolaryngoscope in children: a prospective randomized controlled trial.
An optimal endotracheal tube curve can be a key factor in successful intubation using the GlideScope videolaryngoscope. ⋯ Having additional angle of the endotracheal tube tip to the left could be a useful technique to facilitate directing and advancing endotracheal tube into the vocal cords.
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Paediatric anaesthesia · Jul 2021
ReviewSatisfaction measures in pediatric anesthesia and perioperative care.
Patient satisfaction is routinely used to assess the quality of care in medicine. In the field of anesthesia, research has been primarily directed toward developing satisfaction measures in adults with little attention paid to the pediatric population. Satisfaction in pediatric anesthesia and perioperative care is poorly understood. ⋯ In three studies, parental involvement in decision-making was reported to be important as a satisfaction measure of their child's perioperative care. Of the few existing satisfaction measures evaluated, there is no accepted standard in current practice. Future studies identifying the important determinants of satisfaction in pediatric perioperative care, perhaps also using a Delphi approach with parents, might allow for the development of a patient-focused standardized measure in this setting.
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Paediatric anaesthesia · Jul 2021
Observational StudyThe performance of the heart rate variability derived Newborn Infant Parasympathetic Evaluation Index as a measure of early postoperative pain and discomfort in infants - a prospective observational study.
The heart rate variability-derived Newborn Infant Parasympathetic Evaluation (NIPE™) Index is a continuous noninvasive tool for the assessment of pain and discomfort in infants. Little is known about its performance in the early postoperative setting, where assessment of pain/discomfort is usually based on discontinuous observational scoring systems or personal experience of medical staff. ⋯ The NIPE detected pain and discomfort in infants after general anesthesia with reasonable areas under the ROC curve (±0.8), whereas it was not predictive of clinically detectable pain or discomfort.
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Paediatric anaesthesia · Jul 2021
Safety of an improved pediatric epidural tunneling technique for catheter shear.
Epidural tunneling could help with prolonged catheterization and be effective in preventing infection and dislodgement. However, epidural tunneling techniques carry a risk of catheter shear or needlestick injuries. ⋯ Our improved epidural tunneling technique, which was designed for pediatric cases, could reduce the risk of catheter shear.