Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2019
Gastric content assessed with gastric ultrasound in paediatric patients prescribed a light breakfast prior to general anaesthesia. A prospective observational study.
A light breakfast has been found to empty from the stomach within 4 hours in healthy volunteers. ⋯ A light breakfast 4 hours prior to induction may be considered, but there is need for further studies on safe limits for the volume ingested.
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Paediatric anaesthesia · Dec 2019
Biography Historical ArticleBuilding an International Community of Paediatric Anaesthesiologists: An interview with Dr Edward Sumner.
Dr Edward Sumner (1940) enjoyed a remarkably productive career as consultant pediatric anesthetist at the Great Ormond Street Hospital for Children. His leadership in clinical care helped his department rise to eminence. ⋯ During his long tenure as Editor-in-Chief of Pediatric Anesthesia, he led the growth of the young journal to prominence. Based on an interview and a long-standing professional and personal friendship of forty-four years, this article reviews Ted Sumner's outstanding contributions to the specialty of pediatric anesthesia and to the development of a strong international community of pediatric anesthesiologists.
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Paediatric anaesthesia · Dec 2019
Learning Curve of Ultrasound Measurement of Subglottic Diameter for Endotracheal Tube Selection in Pediatric Patients.
Endotracheal tube size can be predicted according to ultrasound measurement of subglottic airway diameter. The learning curve for this method is not yet established. The aim was to evaluate the learning curve of anesthesiology residents in ultrasound measurement of subglottic airway diameter for prediction of endotracheal tube size using cumulative sum analysis. ⋯ Learning curves constructed with cumulative sum analysis in this study showed that only 62.5% of residents were able to correctly predict cuffed endotracheal tube size with 80% success rate. Considerable variability in achieving competency necessitates objective follow-up of individual improvement.
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Paediatric anaesthesia · Nov 2019
Case ReportsIntraoperative Surfactant Administration during Neonatal Sacrococcygeal Teratoma Resection.
A very preterm infant with a prenatally diagnosed sacrococcygeal teratoma presented for urgent resection. Intraoperatively, he required massive transfusion due to hemorrhage with progressive decline in lung compliance and hypoxia. Rescue surfactant was given with immediate improvement in ventilation and oxygenation. Surgery was successfully completed without complications.