Paediatric anaesthesia
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Paediatric anaesthesia · Jun 2017
Historical ArticleFifty years of the American Academy of Pediatrics Section on Anesthesiology: a history of our specialty.
The American Academy of Pediatrics Section on Anesthesiology and Pain Medicine celebrated its 50th Anniversary in 2015. The Section was one of the first and only subspecialty organizations in anesthesiology at the time. This special article will focus on the contributions of the Section to the practice of pediatric anesthesiology in the areas of advocacy, education and member contributions. ⋯ It is named after one of the Section founders, an influential educator, inventor, and researcher in our field. We will focus the latter part of the article on the Robert M. Smith award winners to illustrate the contributions of the Section and its members to the development of the field of pediatric anesthesiology.
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Paediatric anaesthesia · Jun 2017
Randomized Controlled Trial Comparative StudyInteractive web-based format vs conventional brochure material for information transfer to children and parents: a randomized controlled trial regarding preoperative information.
Information transfer to patients is an integral part of modern medicine. Internet-based alternatives represent a new and attractive way for information transfer. ⋯ Children in the age range 3-12 years of age as well as their parents do better attain preoperative information from an interactive web-based platform compared to conventional brochure material.
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Paediatric anaesthesia · Jun 2017
ReviewChloroprocaine for epidural anesthesia in infants and children.
Continuous epidural infusions are an effective and safe method of providing anesthesia and postoperative analgesia in infants and children with multiple advantages over systemic medications, including earlier tracheal extubation, decreased perioperative stress response, earlier return of bowel function, and decreased exposure to volatile anesthetic agents with uncertain long-term neurocognitive effects. Despite these benefits, local anesthetic toxicity remains a concern in neonates and infants because of their decreased metabolic capacity for amide local anesthetics. ⋯ The current manuscript reviews the literature pertaining to the use of 2-chloroprocaine for regional anesthesia in infants and children. Dosing regimens are presented and the applications of 2-chloroprocaine in this population are discussed.