Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2020
Observational StudyThe use of LungUltrasoundcompared to Chest X-raytodiagnose Pneumothorax following the NussProcedure for Pectus Excavatum Repair in Children.
Pectus Excavatum is the most common deformation of the skeletal chest wall, and the Nuss procedure is used to correct this deformation. Residual pneumothorax is a frequent postoperative complication after thoracoscopy. Primary aim of this prospective observational study was to compare the level of agreement among readers using lung ultrasound and chest X-ray. ⋯ Our results support the use of lung ultrasound to diagnose pneumothorax after Nuss procedure. We found that the inter-reader accuracy was better with ultrasound compared to X-ray at our institution.
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Paediatric anaesthesia · Nov 2020
Preventing inadvertent Endobronchial intubation: Upper incisor to manubriosternal joint length as a predictor of airway length in children.
Malpositioning of the endotracheal tube within the airway can lead to serious complications. The estimated insertion depth of the endotracheal tube should be accurate and reliable. ⋯ The upper incisor-carina length shows a positive correlation with the patient's upper incisor-manubriosternal joint length and the patient's standing height, while the degree of maximum head extension has no significant bearing on this relationship. The upper incisor-manubriosternal joint length can be used as a predictor of airway length and the depth of insertion of endotracheal tube in children.
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Paediatric anaesthesia · Nov 2020
The evolution of pediatric sedation and anesthesia patient safety: An interview with Dr Charles J. "Charlie" Coté.
The career of Dr Charles J. Coté covered a period of major advances in pediatric anesthesia patient safety. ⋯ Based on a series of interviews with Dr Coté, this article reviews the career of this Robert M. Smith Award winner through the lens of improvements in pediatric sedation and anesthesia patient safety.