Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2017
Lower airway dimensions in pediatric patients-A computed tomography study.
The aim of this study was to obtain lower airway dimensions in children by means of computed tomography (CT). ⋯ This comprehensive anatomical database of lower airway dimensions demonstrates that tracheal and bronchial diameters correlate better to age, and that tracheal and bronchial length correlate better to body length. All measured airway parameters correlated poorly to body weight.
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Paediatric anaesthesia · Oct 2017
Anatomic variations of neck vessels and the course of pediatric internal jugular veins.
Landmark-guided internal jugular vein cannulation is difficult for pediatric patients but useful, especially when ultrasound equipment is unavailable. Therefore, it is important to define the adjacent anatomic characteristics of the pediatric internal jugular vein. ⋯ The common carotid artery and internal jugular vein are farther apart as one moves down the neck, whereas the vertebral artery and internal jugular vein are getting together. Additionally, the diameter of the internal jugular vein increased.
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Paediatric anaesthesia · Sep 2017
Impact of endotracheal tube shortening on work of breathing in neonatal and pediatric in vitro lung models.
Work of breathing accounts for a significant proportion of total oxygen consumption in neonates and infants. Endotracheal tube inner diameter and length significantly affect airflow resistance and thus work of breathing. While endotracheal tube shortening reduces endotracheal tube resistance, the impact on work of breathing in mechanically ventilated neonates and infants remains unknown. ⋯ In this in vitro lung model, endotracheal tube shortening had minimal effects on work of breathing. Moreover, the calculated percentage reduction of the total daily energy demand after endotracheal tube shortening was minimal.
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Paediatric anaesthesia · Sep 2017
Impact of anesthesiologists on parental perioperative satisfaction scores.
While the focus on patient experience as an important outcome has significantly increased over the past decade, there is paucity of data on predictive factors associated with parental recommendation of a surgical facility to friends and family. ⋯ Parental recommendation of a surgical facility to friends and family depends on a number of variables with the quality of perioperative communication with the anesthesiologist being the most predictive item.