Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2024
Randomized Controlled TrialUltrasound-guided selective supraclavicular nerve block for postoperative pain control in children receiving Hickman catheter or chemoport insertion: A randomized controlled trial.
Optimal pain management after insertion of a central venous catheter in children remains unclear. ⋯ Ultrasound-guided SSCNB is an effective method for managing postoperative pain in children undergoing Hickman catheter or chemoport insertion, reducing the need for analgesics within 24 h after surgery.
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Paediatric anaesthesia · Jan 2024
An analysis of a new rapid difficult airway response team in a vertically built children's hospital.
Intrahospital transport is associated with adverse events. This challenge is amplified during airway management. Although difficult airway response teams have been described, little attention has been paid to patient transport during difficult airway management versus the alternative of managing patient airways without moving the patient. This is especially needed in a 22-floor vertical hospital. ⋯ A rapid difficult airway response team allows a large majority of patients' airways to be managed and secured in the patient's primary hospital location. Future directions include reducing time to airway securement and identifying factors associated with cardiac arrest.