Paediatric anaesthesia
-
A wide range of fetal interventions are being performed worldwide to save the fetus's life, prevent permanent fetal organ damage, and allow a successful transition to extrauterine life. However, these are invasive procedures and can be associated with serious complications. ⋯ They include failure to preserve uteroplacental perfusion and gas exchange, failure to achieve adequate uterine relaxation prior to hysterotomy, failure to monitor the fetus and prepare for fetal/neonatal resuscitation, failure to prepare for maternal hemorrhage, and failure to promptly treat uterine atony. Practical tips for avoiding these serious complications will also be discussed.
-
Paediatric anaesthesia · Mar 2021
Case ReportsThe utility of ultrasonography in anesthesia management in 3 cases of caudal regression. Syndrome.
Caudal regression syndrome is an extremely rare clinical entity. It is a challenge to anesthesiologist due to its multisystem involvement. Regional anesthesia literature on caudal regression syndrome is scarce. We report three cases where optimal use of ultrasonography aided in providing satisfactory peri-operative pain relief. Furthermore, a cogent and a logical review of the decision-making processes for the regional blockade in children with caudal regression syndrome are presented.
-
Paediatric anaesthesia · Mar 2021
Randomized Controlled TrialComparative Evaluation of One-handed Versus Two-handed Mask Holding Techniques in Children During Inhalational Induction of Anesthesia: A Randomized Crossover Study.
We aimed to evaluate if two-handed mask airway is superior to one-handed mask airway during inhalational induction of anesthesia in children. ⋯ In children with obstructive sleep apnea due to adenotonsillar hypertrophy, two-handed airway provides superior airway patency that was not influenced by the anesthetic depth.
-
Paediatric anaesthesia · Mar 2021
Observational StudyOptimal insertion depth of subclavian vein catheterization via the right supraclavicular approach in children.
Methods to determine the optimal insertion depth of ultrasound-guided supraclavicular approach to the subclavian vein (SCV) catheterization, alternatively used for central venous access, are debatable in children. ⋯ Optimal insertion depth for an ultrasound-guided supraclavicular approach to the SCV catheterization can be calculated using modification of a surface landmark formula in children younger than 6 years and weight heavier than 5 kg.