Paediatric anaesthesia
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Paediatric anaesthesia · Sep 2014
Transthoracic echocardiographic guidance for obtaining an optimal insertion length of internal jugular venous catheters in infants.
There are multiple methods of determining the optimal position of central venous catheter (CVC) tips. The purpose of this study was to assess the feasibility of transthoracic echocardiography (TTE), and compare TTE and height-based method for correct positioning of CVCs in infants undergoing cardiac surgery. ⋯ Transthoracic echocardiography is a practical method for the correct placement of the CVC tip with less variability compared to the height-based method.
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Paediatric anaesthesia · Sep 2014
An in vitro and in vivo validation of a novel monitor for intracuff pressure in cuffed endotracheal tubes.
The clinical practice of pediatric anesthesiology has changed with increasing use of cuffed endotracheal tubes (cETTs) in infants and children. To limit the risk of tracheal mucosal damage, regular monitoring of intracuff pressure (CP) is necessary. This study evaluates the efficacy and accuracy of a novel syringe device that provides a digital readout of the CP. ⋯ The study has demonstrated clinically acceptable correlation between the CPs obtained from the standard manometer and the syringe device both in vitro and in vivo. This device is a simple, reliable, portable, and affordable method to monitor CP.
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Paediatric anaesthesia · Sep 2014
Biography Historical ArticleThe development of a specialty: an interview with Dr. Mark C. Rogers, a pioneering pediatric intensivist.
Dr. Mark C. Rogers (1942-), Professor of Anesthesiology, Critical Care Medicine, and Pediatrics at the Johns Hopkins University, was recruited by the Department of Pediatrics at Johns Hopkins Hospital in 1977 to become the first director of its pediatric intensive care unit. ⋯ He established a training programme that has produced a plethora of leaders, helped develop the pediatric critical care board examination, and initiated the first World Congress of Pediatric Intensive Care. Based on a series of interviews with Dr. Rogers, this article reviews his influential career and the impact he made on developing pediatric critical care as a specialty.