Paediatric anaesthesia
-
Paediatric anaesthesia · Aug 2016
ReviewAn institutional approach to the management of the 'Can't Intubate, Can't Oxygenate' emergency in children.
The 'Can't Intubate Can't Oxygenate' emergency is rare in children. Nevertheless, airway clinicians involved in pediatric airway management must be able to rescue the airway percutaneously through the front of the neck should this situation be encountered. Little evidence exists in children to guide rescue techniques, and extrapolation of adult evidence may be problematic due to anatomical differences. This document reviews the currently available evidence, and presents a practical approach to standardizing equipment, techniques, and training for managing the 'Can't Intubate Can't Oxygenate' emergency in children.
-
Paediatric anaesthesia · Aug 2016
Observational StudyOptimized preoperative fasting times decrease ketone body concentration and stabilize mean arterial blood pressure during induction of anesthesia in children younger than 36 months: a prospective observational cohort study.
In pediatric anesthesia, preoperative fasting guidelines are still often exceeded. ⋯ Optimized fasting times improve the metabolic and hemodynamic condition during induction of anesthesia in children younger than 36 months of age.