MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Paediatric Anaesthesia' source. Sat, 20 Mar 2010 13:42:38 +0100 http://www.medworm.com/index.php?rid=3338485&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20199608%26dopt%3DAbstract Conclusions: Individual child factors above and beyond pain predict maladaptive postoperative behavior change; identification of these predictors may be helpful in both preventing and ameliorating difficulties with behavioral recovery following surgery. PMID: 20199608 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3338485 Tue, 23 Feb 2010 00:00:00 +0100 3338485 http://www.medworm.com/index.php?rid=3338484&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20199609%26dopt%3DAbstract Conclusions: Identification and prevention of anxiety in children can help prevent negative outcomes following surgery. PMID: 20199609 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3338484 Tue, 23 Feb 2010 00:00:00 +0100 3338484 http://www.medworm.com/index.php?rid=3338483&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20199610%26dopt%3DAbstract Conclusion: BMB using a suprazygomatic approach seems to improve pain relief, to decrease peri-operative consumption of opioids, and to favor early feeding resumption after CP repair in infants. PMID: 20199610 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3338483 Tue, 23 Feb 2010 00:00:00 +0100 3338483 http://www.medworm.com/index.php?rid=3338482&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20199611%26dopt%3DAbstract Authors: Latham GJ, Greenberg RS Summary One of the prices paid for chemo- and radiotherapy of cancer in children is damage to the vulnerable and developing healthy tissues of the body. Such damage can exist clinically or subclinically and can become apparent during active antineoplastic treatment or during remission decades later. Furthermore, effects of the tumor itself can significantly impact the physiologic state of the child. The anesthesiologist who cares for children with cancer or for survivors of childhood cancer should understand what effects cancer and its therapy can have on various organ systems. In part two of this three-part review, we review the anesthetic issues associated with childhood cancer. Specifically, this review presents a systems-based approach to the impact... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3338482 Thu, 18 Feb 2010 00:00:00 +0100 3338482 http://www.medworm.com/index.php?rid=3288221&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20158620%26dopt%3DAbstract Conclusions: Caudal clonidine prolongs the duration of analgesia produced by caudal levobupivacaine without causing significant side effects and this is because of a spinal mode of action. PMID: 20158620 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3288221 Thu, 11 Feb 2010 00:00:00 +0100 3288221 http://www.medworm.com/index.php?rid=3197989&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20091934%26dopt%3DAbstract CONCLUSION: Epidural analgesia is beneficial to patients in terms of improving pain control and reducing side effects. The influence on respiratory depression, length of stay in the intensive care unit, or mortality is not available in the literature at this time. PMID: 20091934 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3197989 Fri, 22 Jan 2010 18:30:05 +0100 3197989 http://www.medworm.com/index.php?rid=3189651&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078809%26dopt%3DAbstract Authors: Howard RF PMID: 20078809 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189651 Wed, 20 Jan 2010 21:50:38 +0100 3189651 http://www.medworm.com/index.php?rid=3189650&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078810%26dopt%3DAbstract Conclusion: NCA with morphine is an acceptable, safe, and effective method of postoperative analgesia for a wide range of ages and types of surgery in our practice. Morphine requirements increase with age, but there was also considerable inter-individual variation within age groups. PONV, itching, sedation, and respiratory depression are expected side effects. SAE are uncommon but the incidence is greatest in neonates. PMID: 20078810 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189650 Wed, 20 Jan 2010 21:50:36 +0100 3189650 http://www.medworm.com/index.php?rid=3189649&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078811%26dopt%3DAbstract Conclusion: Thromboembolic event seems to be rare after scoliosis surgery. Prophylaxis for venous thrombosis should not be recommended in such patient. But, larger series are required to confirm such results. PMID: 20078811 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189649 Wed, 20 Jan 2010 21:50:33 +0100 3189649 http://www.medworm.com/index.php?rid=3189648&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078812%26dopt%3DAbstract Conclusions: In pediatric CFR procedures where the volume of blood loss routinely exceeds one blood volume, intraoperative administration of FFP favorably impacted postoperative laboratory coagulation parameters. PMID: 20078812 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189648 Wed, 20 Jan 2010 21:50:31 +0100 3189648 http://www.medworm.com/index.php?rid=3189647&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078813%26dopt%3DAbstract Conclusions: Our study showed no benefit of BIS-guided propofol administration on anesthetic consumption or recovery compared to standard anesthetic practice. PMID: 20078813 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189647 Wed, 20 Jan 2010 21:50:28 +0100 3189647 http://www.medworm.com/index.php?rid=3189646&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078814%26dopt%3DAbstract Conclusions: IO access represents a quick and reliable alternative for pediatric patients with prolonged difficult or failed IV access after inhalational induction of anesthesia. PMID: 20078814 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189646 Wed, 20 Jan 2010 21:50:26 +0100 3189646 http://www.medworm.com/index.php?rid=3189645&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078815%26dopt%3DAbstract Authors: Evans P, Sunderland R, Carr A PMID: 20078815 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189645 Wed, 20 Jan 2010 21:50:23 +0100 3189645 http://www.medworm.com/index.php?rid=3189644&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078816%26dopt%3DAbstract Authors: Theron AD, Eales M PMID: 20078816 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189644 Wed, 20 Jan 2010 21:50:21 +0100 3189644 http://www.medworm.com/index.php?rid=3189643&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078817%26dopt%3DAbstract Authors: Sharma R PMID: 20078817 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189643 Wed, 20 Jan 2010 21:50:19 +0100 3189643 http://www.medworm.com/index.php?rid=3189642&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078818%26dopt%3DAbstract Authors: Oberndofer U, Weintraud M, Redl G PMID: 20078818 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189642 Wed, 20 Jan 2010 21:50:16 +0100 3189642 http://www.medworm.com/index.php?rid=3189641&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078819%26dopt%3DAbstract Authors: Jagannathan N PMID: 20078819 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189641 Wed, 20 Jan 2010 21:50:14 +0100 3189641 http://www.medworm.com/index.php?rid=3189640&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078820%26dopt%3DAbstract Authors: Peiris K, Traynor M, Whyte S PMID: 20078820 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189640 Wed, 20 Jan 2010 21:50:11 +0100 3189640 http://www.medworm.com/index.php?rid=3189639&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078821%26dopt%3DAbstract Authors: Khalil S, Vinh B PMID: 20078821 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189639 Wed, 20 Jan 2010 21:50:08 +0100 3189639 http://www.medworm.com/index.php?rid=3189638&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20078822%26dopt%3DAbstract Authors: Fiadjoe JE, Stricker PA, Kovatsis P, Isserman RS, Harris B, McCloskey JJ PMID: 20078822 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3189638 Wed, 20 Jan 2010 21:50:06 +0100 3189638 http://www.medworm.com/index.php?rid=3164738&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20059721%26dopt%3DAbstract Authors: Sharma R PMID: 20059721 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3164738 Wed, 06 Jan 2010 00:00:00 +0100 3164738 http://www.medworm.com/index.php?rid=3164739&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20059720%26dopt%3DAbstract Authors: Tremlett M, Anderson BJ, Wolf A PMID: 20059720 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3164739 Tue, 05 Jan 2010 00:00:00 +0100 3164739 http://www.medworm.com/index.php?rid=3105782&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017865%26dopt%3DAbstract Conclusion: Dexmedetomidine sedation elicited an EEG pattern similar to that of Stage II sleep with modest increases in theta, alpha, and beta activity. Dexmedetomidine does not hinder interpretation of the EEG, suggesting that it may be a uniquely useful agent for EEG sedation in children. PMID: 20017865 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105782 Tue, 01 Dec 2009 00:00:00 +0100 3105782 http://www.medworm.com/index.php?rid=3105781&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017866%26dopt%3DAbstract Conclusions: Compared to fentanyl, placement of a presurgical caudal block in boys scheduled for orchidopexy was associated with a lower incidence of postextubation adverse upper airway respiratory events and/or early postoperative hypoxemia. PMID: 20017866 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105781 Tue, 01 Dec 2009 00:00:00 +0100 3105781 http://www.medworm.com/index.php?rid=3105780&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017867%26dopt%3DAbstract Authors: PMID: 20017867 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105780 Tue, 01 Dec 2009 00:00:00 +0100 3105780 http://www.medworm.com/index.php?rid=3105779&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017868%26dopt%3DAbstract Authors: Suresh S, Sarwark JP, Bhalla T, Janicki J PMID: 20017868 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105779 Tue, 01 Dec 2009 00:00:00 +0100 3105779 http://www.medworm.com/index.php?rid=3105778&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017869%26dopt%3DAbstract Authors: De-Armendi A, Shukry M, Mayhew JF PMID: 20017869 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105778 Tue, 01 Dec 2009 00:00:00 +0100 3105778 http://www.medworm.com/index.php?rid=3105777&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017870%26dopt%3DAbstract Authors: Seshachar A, El Amm C, Mayhew JF PMID: 20017870 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105777 Tue, 01 Dec 2009 00:00:00 +0100 3105777 http://www.medworm.com/index.php?rid=3105776&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017871%26dopt%3DAbstract Authors: Shah S, Shah S PMID: 20017871 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105776 Tue, 01 Dec 2009 00:00:00 +0100 3105776 http://www.medworm.com/index.php?rid=3105775&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017872%26dopt%3DAbstract Authors: Danekas M, Valley R PMID: 20017872 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105775 Tue, 01 Dec 2009 00:00:00 +0100 3105775 http://www.medworm.com/index.php?rid=3105774&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017873%26dopt%3DAbstract Authors: Raviraj R, Nandhakumar A, Korula G, James JN PMID: 20017873 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105774 Tue, 01 Dec 2009 00:00:00 +0100 3105774 http://www.medworm.com/index.php?rid=3105773&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017874%26dopt%3DAbstract Authors: Shukry M, Mayhew J PMID: 20017874 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105773 Tue, 01 Dec 2009 00:00:00 +0100 3105773 http://www.medworm.com/index.php?rid=3105772&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017875%26dopt%3DAbstract Authors: Cortellazzi P, Caldiroli D, Lamperti M, Bricchi M, Valentini L PMID: 20017875 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105772 Tue, 01 Dec 2009 00:00:00 +0100 3105772 http://www.medworm.com/index.php?rid=3105771&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20017876%26dopt%3DAbstract Authors: PMID: 20017876 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3105771 Tue, 01 Dec 2009 00:00:00 +0100 3105771 http://www.medworm.com/index.php?rid=3044982&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19943912%26dopt%3DAbstract Authors: Laschat M, Kaufmann J, Wappler F PMID: 19943912 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3044982 Thu, 26 Nov 2009 00:00:00 +0100 3044982 http://www.medworm.com/index.php?rid=3044983&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19943911%26dopt%3DAbstract Authors: Asai T PMID: 19943911 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3044983 Fri, 20 Nov 2009 00:00:00 +0100 3044983 http://www.medworm.com/index.php?rid=3034403&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19930110%26dopt%3DAbstract Authors: Zanette G, Favero L, Manani G, Facco E PMID: 19930110 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3034403 Wed, 18 Nov 2009 00:00:00 +0100 3034403 http://www.medworm.com/index.php?rid=3034402&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19930111%26dopt%3DAbstract Authors: Ahmed I, Russell W PMID: 19930111 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3034402 Wed, 18 Nov 2009 00:00:00 +0100 3034402 http://www.medworm.com/index.php?rid=3012599&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19922428%26dopt%3DAbstract Conclusion: These data indicate that i.v. placement is more difficult in obese children than their lean peers and that the most likely site for successful placement in obese children after a failed attempt on the dorsum of the hand is the volar surface of the hand. Knowledge of potential sites for successful i.v. access could help to improve the success rate for i.v. placement. PMID: 19922428 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3012599 Tue, 17 Nov 2009 00:00:00 +0100 3012599 http://www.medworm.com/index.php?rid=3012601&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19919623%26dopt%3DAbstract Authors: Patil V PMID: 19919623 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3012601 Mon, 16 Nov 2009 00:00:00 +0100 3012601 http://www.medworm.com/index.php?rid=3012600&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19919624%26dopt%3DAbstract Conclusions: Based on this model, PVS decreases inflammatory injury both systemically and in the lung tissue with no adverse effect on oxygenation, ventilation, or lung function. PMID: 19919624 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=3012600 Mon, 16 Nov 2009 00:00:00 +0100 3012600 http://www.medworm.com/index.php?rid=2993019&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19906092%26dopt%3DAbstract Authors: Tirotta CF PMID: 19906092 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2993019 Mon, 09 Nov 2009 00:00:00 +0100 2993019 http://www.medworm.com/index.php?rid=2972545&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19889193%26dopt%3DAbstract Conclusions: The overall incidence of 1 : 10 000 of serious harm with opioid infusion techniques in children is comparable to the risks with pediatric epidural infusions and central blocks identified by two recent UK national audits (1,2). Avoidable factors were identified including prescription and pump programming errors, use of concurrent sedatives or opioids by different routes and overgenerous dosing in infants. Early respiratory depression in patients with specific risk factors, such as young age, neurodevelopmental, respiratory, or cardiac comorbidities, who are receiving nurse-controlled analgesia or continuous opioid infusion suggests that closer monitoring for at least 2 h is needed for these cases. As a result of this audit, we can provide parents with better information on rela... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2972545 Tue, 03 Nov 2009 00:00:00 +0100 2972545 http://www.medworm.com/index.php?rid=2872806&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807884%26dopt%3DAbstract Authors: Wilton NC PMID: 19807884 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872806 Thu, 08 Oct 2009 23:46:34 +0100 2872806 http://www.medworm.com/index.php?rid=2872805&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807885%26dopt%3DAbstract CONCLUSIONS: Implementing serial Cl(eff) assessment could improve postoperative management by disclosing or excluding hyperchloremia as a cause of acidosis undetectable from SBE alone. Calculating the chloride-driven acidifying side effect of NS infusion using Cl(eff) improves the interpretation of SBE values and can optimize fluid management in postoperative metabolic acidosis. PMID: 19807885 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872805 Thu, 08 Oct 2009 23:46:31 +0100 2872805 http://www.medworm.com/index.php?rid=2872804&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807886%26dopt%3DAbstract CONCLUSIONS: Parent-assisted or nurse-assisted epidural analgesia can be safely administered to children undergoing surgery who are physically or cognitively unable or unwilling to self-activate a demand dose. Additional studies are needed to compare the efficacy of PNEA with other modalities for postoperative pain control in children. PMID: 19807886 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872804 Thu, 08 Oct 2009 23:46:28 +0100 2872804 http://www.medworm.com/index.php?rid=2872803&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807887%26dopt%3DAbstract CONCLUSION: An increase in T-wave amplitude can easily be detected by carefully observing the ECG monitor or an ECG printout within a minute following the accidental i.v. administration of 0.1 ml x kg(-1) of 1% lidocaine-epinephrine (0.5 microg x kg(-1)) regional anesthetic test dose in children under sevoflurane anesthesia. PMID: 19807887 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872803 Thu, 08 Oct 2009 23:46:26 +0100 2872803 http://www.medworm.com/index.php?rid=2872802&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807888%26dopt%3DAbstract Authors: Fell D PMID: 19807888 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872802 Thu, 08 Oct 2009 23:46:23 +0100 2872802 http://www.medworm.com/index.php?rid=2872801&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807889%26dopt%3DAbstract Authors: Mayhew J PMID: 19807889 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872801 Thu, 08 Oct 2009 23:46:21 +0100 2872801 http://www.medworm.com/index.php?rid=2872800&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807890%26dopt%3DAbstract Authors: Khan RM, Sharma PK, Kaul N PMID: 19807890 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872800 Thu, 08 Oct 2009 23:46:17 +0100 2872800 http://www.medworm.com/index.php?rid=2872799&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807891%26dopt%3DAbstract Authors: Xue FS, Liu JH, Zhang YM, Liao X PMID: 19807891 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872799 Thu, 08 Oct 2009 23:46:14 +0100 2872799 http://www.medworm.com/index.php?rid=2872798&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807892%26dopt%3DAbstract Authors: Gooden CK PMID: 19807892 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872798 Thu, 08 Oct 2009 23:46:12 +0100 2872798 http://www.medworm.com/index.php?rid=2872797&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807893%26dopt%3DAbstract Authors: Xue FS, Xu YC, Liao X, Zhang YM PMID: 19807893 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872797 Thu, 08 Oct 2009 23:46:10 +0100 2872797 http://www.medworm.com/index.php?rid=2872796&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807894%26dopt%3DAbstract Authors: Veyckemans F, Scholtes JL PMID: 19807894 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872796 Thu, 08 Oct 2009 23:46:07 +0100 2872796 http://www.medworm.com/index.php?rid=2872795&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19807895%26dopt%3DAbstract Authors: Ellinas H, Sethna NF PMID: 19807895 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2872795 Thu, 08 Oct 2009 23:46:05 +0100 2872795 http://www.medworm.com/index.php?rid=2856294&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19796350%26dopt%3DAbstract Conclusions: There is great variability in the BP parameters used and the threshold used for defining and treating IOH among pediatric anesthesiologists. The majority of respondents considered a 20-30% reduction from baseline in SBP as indicative of significant hypotension. Lack of a consensus definition for a common clinical condition like IOH could have implications for patient care as well as future clinical research. PMID: 19796350 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2856294 Wed, 30 Sep 2009 23:00:00 +0100 2856294 http://www.medworm.com/index.php?rid=2856293&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19796351%26dopt%3DAbstract Conclusions: Although no children had clinically significant symptoms, the small numbers and failure to follow-up all children limit any conclusions with respect to true incidence of posttraumatic stress disorder in children who have had an awareness event. PMID: 19796351 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2856293 Wed, 30 Sep 2009 23:00:00 +0100 2856293 http://www.medworm.com/index.php?rid=2807277&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754484%26dopt%3DAbstract Authors: Anderson BJ PMID: 19754484 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807277 Fri, 18 Sep 2009 17:54:40 +0100 2807277 http://www.medworm.com/index.php?rid=2807276&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754485%26dopt%3DAbstract Authors: Hivey S, Pace N, Garside JP, Wolf AR In this debate, we explore the dilemmas between the law, the ethical issues, the good clinical practice, and the wishes of the family. In the scenario chosen, the issues center around not only the senior family members but also of an older child with some rights to self-determination. There are no absolute rights or wrongs to this case, which is based on a synthesis of other actual clinical scenarios. The maze of considerations are not easy to negotiate, and in the final analysis, the surgeon and the anesthetist must also be comfortable with the decisions as they are the active elements that have to practically manage a clinical crisis should it occur. The participants in this debate are all UK based, and as such the legal standpoint reflec... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807276 Fri, 18 Sep 2009 17:54:36 +0100 2807276 http://www.medworm.com/index.php?rid=2807275&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754486%26dopt%3DAbstract Authors: Mancuso T, Burns J The debate about the management of pain in the neonate has continued to evolve over the past 30 years. This controversy can be understood as evolving through now three eras of thought about the effect of pain and its management in newborns and infants. The first generation was characterized by a widespread belief that newborns lacked the complete development of the neuroanatomical and neuroendocrine components necessary to perceive pain. During this period, newborns often received inadequate anesthesia and analgesia for painful procedures, if not no treatment at all. The second generation was heralded by research that demonstrated that newborns did demonstrate similar or even exaggerated physiological and hormonal responses to pain compared with those observ... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807275 Fri, 18 Sep 2009 17:54:33 +0100 2807275 http://www.medworm.com/index.php?rid=2807274&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754487%26dopt%3DAbstract This article discusses some of the complex ethical and legal issues surrounding withholding and withdrawing life-sustaining treatment in children, including the concepts of futility, best interests and intolerability. We advocate the use of a structured framework to help guide decision-making, particularly in the more difficult situations. The lack of a morally or legally significant difference between withholding and withdrawing treatment is discussed, as is the role of the doctrine of double effect (particularly in relation to the use of neuromuscular blocking agents during withdrawal of ventilatory support). PMID: 19754487 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807274 Fri, 18 Sep 2009 17:54:31 +0100 2807274 http://www.medworm.com/index.php?rid=2807273&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754488%26dopt%3DAbstract This article seeks to briefly define maltreatment and provide statistics that outline the scale of the problem, and includes discussion of risk factors and recognition. We have focused on physical abuse and have provided a separate section on abusive head trauma, which is of particular importance to anesthetists. We also discuss the process of management, with some detail around Child Death Review procedures. PMID: 19754488 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807273 Fri, 18 Sep 2009 17:54:29 +0100 2807273 http://www.medworm.com/index.php?rid=2807271&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754489%26dopt%3DAbstract Authors: Hearst D PMID: 19754489 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807271 Fri, 18 Sep 2009 17:54:27 +0100 2807271 http://www.medworm.com/index.php?rid=2807270&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754490%26dopt%3DAbstract Authors: Rampersad SE, Rowell JC, Chang BM PMID: 19754490 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807270 Fri, 18 Sep 2009 17:54:24 +0100 2807270 http://www.medworm.com/index.php?rid=2807269&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754491%26dopt%3DAbstract Authors: August DA PMID: 19754491 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807269 Fri, 18 Sep 2009 17:54:22 +0100 2807269 http://www.medworm.com/index.php?rid=2807267&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754492%26dopt%3DAbstract Authors: Parotto M, Micaglio M, Armellin G, Ori C PMID: 19754492 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807267 Fri, 18 Sep 2009 17:54:16 +0100 2807267 http://www.medworm.com/index.php?rid=2807266&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754494%26dopt%3DAbstract Authors: Al-Alami AA, Strricker L, Ahmed Z, Rajan S, Jwaida B, Zestos M PMID: 19754494 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807266 Fri, 18 Sep 2009 17:54:11 +0100 2807266 http://www.medworm.com/index.php?rid=2807265&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19754495%26dopt%3DAbstract We present three cases of Treacher Collins syndrome whose tracheas were successfully intubated with the aid of the FLS. These cases suggest that the FLS may be a useful alternative in the case of difficult pediatric intubation. PMID: 19754495 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2807265 Fri, 18 Sep 2009 17:54:05 +0100 2807265 http://www.medworm.com/index.php?rid=2721100&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691689%26dopt%3DAbstract Authors: Rosenbaum A, Kain ZN, Larsson P, Lönnqvist PA, Wolf AR Behind the multiple arguments for and against the use of premedication, sedative drugs in children is a noble principle that of minimizing psychological trauma related to anesthesia and surgery. However, several confounding factors make it very difficult to reach didactic evidence-based conclusions. One of the key confounding issues is that the nature of expectations and responses for both parent and child vary greatly in different environments around the world. Studies applicable to one culture and to one hospital system (albeit multicultural) may not apply elsewhere. Moreover, the study of hospital-related distress begins at the start of the patient's journey and ends long after hospital discharge; it cannot be focu... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721100 Sat, 22 Aug 2009 04:44:56 +0100 2721100 http://www.medworm.com/index.php?rid=2721099&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691690%26dopt%3DAbstract CONCLUSIONS: This survey provides a snapshot of current practice and acts a useful reference for the development of enhanced techniques and new equipment in the future. PMID: 19691690 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721099 Sat, 22 Aug 2009 04:44:54 +0100 2721099 http://www.medworm.com/index.php?rid=2721098&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691691%26dopt%3DAbstract CONCLUSIONS: This study demonstrates that LMAs, particularly when using small-sized LMAs or LMAs with a more rigid PVC surface, need to be deflated following insertion of the device rather than inflated to avoid cuff hyperinflation. Hence, cuff pressures should be measured routinely using a manometer to minimize potential pressure-related airway complications. PMID: 19691691 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721098 Sat, 22 Aug 2009 04:44:49 +0100 2721098 http://www.medworm.com/index.php?rid=2721097&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691692%26dopt%3DAbstract CONCLUSION: We conclude that the rotation of the head increases the magnitude of an overlapping of the IJV to the CA in infants and children. PMID: 19691692 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721097 Sat, 22 Aug 2009 04:44:47 +0100 2721097 http://www.medworm.com/index.php?rid=2721096&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691693%26dopt%3DAbstract CONCLUSIONS: Non-fresh or reconstituted whole blood as a component of a small volume CPB prime in neonates and infants induces clinically significant dilutional thrombocytopenia in conjunction with less significant reductions in fibrinogen, FII, FV, FVII, FVIII, FIX, FX, plasminogen, and AT-III. PMID: 19691693 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721096 Sat, 22 Aug 2009 04:44:44 +0100 2721096 http://www.medworm.com/index.php?rid=2721095&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691694%26dopt%3DAbstract CONCLUSIONS: It will be necessary to increase the duration of modular training with the implementation of EWTD. Modular training in pediatric anesthesia should be provided as a dedicated and protected module. Training opportunities in DGHs are limited. There is also a need for new guidelines, as current guidelines regarding pediatric anesthesia training will be outdated with the implementation of EWTD. PMID: 19691694 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721095 Sat, 22 Aug 2009 04:44:41 +0100 2721095 http://www.medworm.com/index.php?rid=2721094&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691695%26dopt%3DAbstract CONCLUSION: Continuous infusion of 0.2% ropivacaïne through an IC catheter is an optimal and safe technique of regional postoperative analgesia after bone graft harvest in children. PMID: 19691695 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721094 Sat, 22 Aug 2009 04:44:39 +0100 2721094 http://www.medworm.com/index.php?rid=2721093&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691696%26dopt%3DAbstract Authors: Gandhi M, Prosser D PMID: 19691696 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721093 Sat, 22 Aug 2009 04:44:37 +0100 2721093 http://www.medworm.com/index.php?rid=2721092&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691697%26dopt%3DAbstract Authors: Schmidt J, Hunsicker A, Irouschek A, Köhler H, Knorr C, Birkholz T PMID: 19691697 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721092 Sat, 22 Aug 2009 04:44:34 +0100 2721092 http://www.medworm.com/index.php?rid=2721091&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691698%26dopt%3DAbstract Authors: Galante D PMID: 19691698 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721091 Sat, 22 Aug 2009 04:44:32 +0100 2721091 http://www.medworm.com/index.php?rid=2721090&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691699%26dopt%3DAbstract Authors: Splinter WM, Eipe N PMID: 19691699 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721090 Sat, 22 Aug 2009 04:44:30 +0100 2721090 http://www.medworm.com/index.php?rid=2721089&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691700%26dopt%3DAbstract Authors: Pappas L, Seefelder C PMID: 19691700 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721089 Sat, 22 Aug 2009 04:44:27 +0100 2721089 http://www.medworm.com/index.php?rid=2721088&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691701%26dopt%3DAbstract Authors: Arora S, Rattan V, Bala I PMID: 19691701 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721088 Sat, 22 Aug 2009 04:44:25 +0100 2721088 http://www.medworm.com/index.php?rid=2721087&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691702%26dopt%3DAbstract Authors: Hirabayashi Y, Shimada N, Nagashima S PMID: 19691702 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721087 Sat, 22 Aug 2009 04:44:23 +0100 2721087 http://www.medworm.com/index.php?rid=2721086&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691703%26dopt%3DAbstract Authors: Xue FS, He N, Liu JH, Liao X, Xu XZ, Zhang YM PMID: 19691703 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721086 Sat, 22 Aug 2009 04:44:21 +0100 2721086 http://www.medworm.com/index.php?rid=2721085&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691704%26dopt%3DAbstract Authors: Xue FS, Liu HP, Liu JH, Liao X, Zhang YM PMID: 19691704 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721085 Sat, 22 Aug 2009 04:44:19 +0100 2721085 http://www.medworm.com/index.php?rid=2721084&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691705%26dopt%3DAbstract Authors: Smallman B, Ball R, Tatum S PMID: 19691705 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721084 Sat, 22 Aug 2009 04:44:16 +0100 2721084 http://www.medworm.com/index.php?rid=2721083&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691706%26dopt%3DAbstract Authors: Zou W, Hu H, Guo Q, Liu Y, Ren F, Yan J PMID: 19691706 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721083 Sat, 22 Aug 2009 04:44:14 +0100 2721083 http://www.medworm.com/index.php?rid=2721082&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691707%26dopt%3DAbstract Authors: Ihra GC PMID: 19691707 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721082 Sat, 22 Aug 2009 04:44:12 +0100 2721082 http://www.medworm.com/index.php?rid=2721081&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691708%26dopt%3DAbstract Authors: Moran AP, Heard AM PMID: 19691708 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721081 Sat, 22 Aug 2009 04:44:09 +0100 2721081 http://www.medworm.com/index.php?rid=2721080&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691710%26dopt%3DAbstract Authors: Astuto M, Arena G, Ferla L, Murabito P, Gullo A PMID: 19691710 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721080 Sat, 22 Aug 2009 04:44:07 +0100 2721080 http://www.medworm.com/index.php?rid=2721079&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19691711%26dopt%3DAbstract Authors: Ghaffaripour S, Ghahramaninejad F, Shahbazi Sh PMID: 19691711 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2721079 Sat, 22 Aug 2009 04:44:05 +0100 2721079 http://www.medworm.com/index.php?rid=2640637&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624359%26dopt%3DAbstract CONCLUSIONS: Previous studies have demonstrated the effectiveness of nitrous oxide sedation alone for minimizing pain and distress during invasive procedures. We have found that delivering nitrous oxide sedation via a system combined with an interactive video component is also effective. Further studies should determine which factors are dominant and determine the specific failure rate for this delivery system in comparison with other systems. PMID: 19624359 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640637 Mon, 27 Jul 2009 09:03:28 +0100 2640637 http://www.medworm.com/index.php?rid=2640636&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624360%26dopt%3DAbstract CONCLUSIONS: Pediatric reported AE incidence was comparable for NORA and ORA locations. Younger age or higher ASA status are associated with increased risk of AE. PMID: 19624360 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640636 Mon, 27 Jul 2009 09:03:25 +0100 2640636 http://www.medworm.com/index.php?rid=2640635&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624361%26dopt%3DAbstract CONCLUSIONS: The MIRS is a statistically significant and clinically useful tool for predicting high perioperative risk. Patients with a high MIRS grade should therefore be considered for postoperative intensive care. The use of muscle relaxant without reversal was also shown to be a significant risk factor. Patients who require morphine infusions postoperatively might also be most safely managed in a high dependency unit. PMID: 19624361 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640635 Mon, 27 Jul 2009 09:03:22 +0100 2640635 http://www.medworm.com/index.php?rid=2640634&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624362%26dopt%3DAbstract CONCLUSIONS: This survey demonstrates that the practice patterns of pediatric anesthesiologists from around the world with respect to the administration of NSAIDs for the management of postoperative pain after pediatric spinal fusion reflects the conflicting evidence in the literature and the lack of high-quality studies in humans. PMID: 19624362 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640634 Mon, 27 Jul 2009 09:03:20 +0100 2640634 http://www.medworm.com/index.php?rid=2640633&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624363%26dopt%3DAbstract CONCLUSIONS: Timing the preoperative anesthesiologist's evaluation avoided 88% of hospital visits, usually to the Pre-Admission Clinic, and thus, it was cost effective, reducing direct and indirect costs of healthcare providers. PMID: 19624363 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640633 Mon, 27 Jul 2009 09:03:09 +0100 2640633 http://www.medworm.com/index.php?rid=2640632&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624364%26dopt%3DAbstract CONCLUSIONS: In this piglet model, both cerebral oxygenation and microdialysis findings suggested a depletion of cerebral energy stores during circulatory arrest in the DHCA18 group, compared to selective cerebral perfusion combined with circulatory arrest in the ASCP27 group. PMID: 19624364 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640632 Mon, 27 Jul 2009 09:03:00 +0100 2640632 http://www.medworm.com/index.php?rid=2640631&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624365%26dopt%3DAbstract CONCLUSION: Humidification during HFOV is affected by circuit design and ventilatory settings. PMID: 19624365 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640631 Mon, 27 Jul 2009 09:02:58 +0100 2640631 http://www.medworm.com/index.php?rid=2640630&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624366%26dopt%3DAbstract CONCLUSIONS: In the setting of the developing country, intravenous sedation for pediatric GIE by trained anesthetic personnel with appropriate monitoring was safe and effective. Serious adverse events were rare in our population. PMID: 19624366 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640630 Mon, 27 Jul 2009 09:02:55 +0100 2640630 http://www.medworm.com/index.php?rid=2640629&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624367%26dopt%3DAbstract We describe a 3-year-old child who became over-sedated after receiving intranasal (IN) midazolam (0.53 mg.kg(-1)) and IN sufentanil (1 mcg.kg(-1)) for dental restorations in the dental office. Desaturation was attributed to laryngospasm, which was managed with positive pressure ventilation and oxygen. The sedation was reversed with a combination of IN flumazenil and naloxone. PMID: 19624367 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640629 Mon, 27 Jul 2009 09:02:53 +0100 2640629 http://www.medworm.com/index.php?rid=2640628&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624370%26dopt%3DAbstract Authors: Kumar S, Walker R PMID: 19624370 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640628 Mon, 27 Jul 2009 09:02:51 +0100 2640628 http://www.medworm.com/index.php?rid=2640627&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624371%26dopt%3DAbstract Authors: Rosskamp R PMID: 19624371 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640627 Mon, 27 Jul 2009 09:02:48 +0100 2640627 http://www.medworm.com/index.php?rid=2640626&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624372%26dopt%3DAbstract Authors: Hirabayashi Y, Otsuka Y PMID: 19624372 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640626 Mon, 27 Jul 2009 09:02:46 +0100 2640626 http://www.medworm.com/index.php?rid=2640625&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624373%26dopt%3DAbstract Authors: Hung KC PMID: 19624373 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640625 Mon, 27 Jul 2009 09:02:43 +0100 2640625 http://www.medworm.com/index.php?rid=2640624&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624374%26dopt%3DAbstract Authors: Papoff P, Caresta E, Versacci P, Grossi R, Midulla F, Moretti C PMID: 19624374 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640624 Mon, 27 Jul 2009 09:02:38 +0100 2640624 http://www.medworm.com/index.php?rid=2640623&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624375%26dopt%3DAbstract Authors: Stricker PA, Petersen C, Fiadjoe JE, McCloskey JJ PMID: 19624375 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640623 Mon, 27 Jul 2009 09:02:33 +0100 2640623 http://www.medworm.com/index.php?rid=2640622&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624376%26dopt%3DAbstract Authors: Desmond F, Crowe S PMID: 19624376 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640622 Mon, 27 Jul 2009 09:02:30 +0100 2640622 http://www.medworm.com/index.php?rid=2640621&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624377%26dopt%3DAbstract Authors: Schwartz D, King A PMID: 19624377 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640621 Mon, 27 Jul 2009 09:02:27 +0100 2640621 http://www.medworm.com/index.php?rid=2640620&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624378%26dopt%3DAbstract Authors: Fitzgerald M, McGinley J PMID: 19624378 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640620 Mon, 27 Jul 2009 09:02:24 +0100 2640620 http://www.medworm.com/index.php?rid=2640619&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624379%26dopt%3DAbstract Authors: Sedeek KA, Liu J PMID: 19624379 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640619 Mon, 27 Jul 2009 09:02:21 +0100 2640619 http://www.medworm.com/index.php?rid=2640618&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624380%26dopt%3DAbstract Authors: Hopman G, Waaijer A, Van Tuijl I PMID: 19624380 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640618 Mon, 27 Jul 2009 09:02:17 +0100 2640618 http://www.medworm.com/index.php?rid=2640617&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624381%26dopt%3DAbstract Authors: Sims C PMID: 19624381 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640617 Mon, 27 Jul 2009 09:02:15 +0100 2640617 http://www.medworm.com/index.php?rid=2640616&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19624382%26dopt%3DAbstract Authors: Jaganathan R, Roberts S PMID: 19624382 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640616 Mon, 27 Jul 2009 09:02:12 +0100 2640616 http://www.medworm.com/index.php?rid=2640615&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19627530%26dopt%3DAbstract Authors: Anderson BJ Summary Target-controlled infusion (TCI) pumps currently do not satisfactorily cater for the pediatric population, particularly for those under 5 years. Growth and development are two major aspects of children not readily apparent in adults, and these two aspects influence clearance (CL) and volume of distribution (V). In simple terms, V determines initial dose, and CL determines infusion rate at steady state. Three major covariates (size, age, and organ function) contribute to parameter variability in children. Size can be standardized for clearance in a 70-kg person using the allometric (3/4) power model. Remifentanil, a drug cleared by hydrolysis, can be modeled in all age groups by simple application of this model using a standardized clearance of 2790 ml.min(-... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640615 Sun, 12 Jul 2009 23:00:00 +0100 2640615 http://www.medworm.com/index.php?rid=2640614&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19627531%26dopt%3DAbstract Conclusion: The duration of anesthesia, the sitting position of the patient, and the presence of comorbidities significantly increase the risk of anesthesia complications in pediatric neurosurgery. PMID: 19627531 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640614 Sun, 12 Jul 2009 23:00:00 +0100 2640614 http://www.medworm.com/index.php?rid=2640613&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19627533%26dopt%3DAbstract Authors: Sury MR, William Broadhead M PMID: 19627533 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2640613 Sun, 12 Jul 2009 23:00:00 +0100 2640613 http://www.medworm.com/index.php?rid=2630688&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19619186%26dopt%3DAbstract Authors: Miles F, Dare T Summary In this exchange, a clinician (the first author) presents a case scenario for comment by an ethicist (the second author). The case concerns a 15-year-old boy with Duchenne's muscular dystrophy requested palliative surgical correction of a 60 degree thoraco-lumbar scoliosis. The surgical team were initially reluctant to offer surgery given their assessment of the perioperative and postoperative risks (anesthetic review suggested an 80% chance of surviving the surgery and 50% likelihood of returning home), but the operation proceeded. The case raises issues of the rights of patients to insist on nonfutile but high risk surgery, risk perception, resource allocation, autonomy, and the integrity of clinicians. PMID: 19619186 [PubMed - as supplied by publ... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2630688 Sun, 12 Jul 2009 23:00:00 +0100 2630688 http://www.medworm.com/index.php?rid=2630687&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19619187%26dopt%3DAbstract Authors: Stack CG, Perring J Summary Do not attempt resuscitation (DNAR) orders are a formal expression of the intention to refrain from resuscitation. Since their inception in 1974, such orders have become widely accepted within the hospital setting. However, their acceptance in theatres where anesthesia may cause cardiovascular instability, outcomes from cardiac arrest are improved and when there is a cross-over of techniques between anesthetic practice and resuscitation, has been more problematic. In order to ascertain the opinions on DNAR orders in the perioperative period, a questionnaire was sent to all consultant members of the Association of Paediatric Anaesthetists of Great Britain and Ireland, which asked about DNAR orders, resuscitation under anesthesia and included a number... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2630687 Sun, 12 Jul 2009 23:00:00 +0100 2630687 http://www.medworm.com/index.php?rid=2630686&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19619188%26dopt%3DAbstract Conclusion: The level of sedation achieved in children with midazolam 0.2 mg.kg(-1) is adequate for imaging with minimal side effects, no airway complications, and fast recovery. It can be recommended as the sole agent for sedation in pediatric patients for CT imaging. PMID: 19619188 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2630686 Sun, 12 Jul 2009 23:00:00 +0100 2630686 http://www.medworm.com/index.php?rid=2630685&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19619189%26dopt%3DAbstract Authors: Morton NS Summary The editor of any medical journal has to be aware of the ethical and legal framework within which medical research is conducted. When research and publications relate to children, then particularly high standards are required in the design, conduct, and reporting of research in order to protect the rights of children and their families. Authors have a number of duties and responsibilities that are mirrored by those of editors and publishers. Of particular importance are the principles of transparency and integrity. Authors should be explicit about who carried out the work and who funded the study. They should declare whether the work has been published before and is not being considered for publication elsewhere. The authors must protect the rights of researc... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2630685 Sun, 12 Jul 2009 23:00:00 +0100 2630685 http://www.medworm.com/index.php?rid=2630684&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19619190%26dopt%3DAbstract Conclusion: Exhaled CO measured by this device is not a useful preoperative screening tool for ETS exposure in children. Because exhaled CO has been used successfully to monitor ETS exposure in adolescents, we believe that its failure in our population is as a result of the limited ability of small children to perform vital capacity maneuvers in order to provide an adequate endtidal sample. PMID: 19619190 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2630684 Sun, 12 Jul 2009 23:00:00 +0100 2630684 http://www.medworm.com/index.php?rid=2603296&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19143954%26dopt%3DAbstract Authors: Fidkowski CW, Fuzaylov G, Sheridan RL, Coté CJ With advances in burn care, many children are surviving severe burn injuries. Inhalation injury remains a predictor of morbidity and mortality in burn injury. Inhalation of smoke and toxic gases leads to pulmonary complications, including airway obstruction from bronchial casts, pulmonary edema, decreased pulmonary compliance, and ventilation-perfusion mismatch, as well as systemic toxicity from carbon monoxide poisoning and cyanide toxicity. The diagnosis of inhalation injury is suggested by the history and physical exam and can be confirmed by bronchoscopy. Management consists of supportive measures, pulmonary toilet, treatment of pulmonary infection and ventilatory support as needed. This review details the pathophysiology... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2603296 Tue, 30 Jun 2009 23:00:00 +0100 2603296 http://www.medworm.com/index.php?rid=2603295&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572838%26dopt%3DAbstract Authors: Morton NS, Hammer GB PMID: 19572838 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2603295 Tue, 30 Jun 2009 23:00:00 +0100 2603295 http://www.medworm.com/index.php?rid=2603294&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572852%26dopt%3DAbstract Authors: Holzki J, Laschat M, Puder C Iatrogenic damage to the pediatric airway occurs rather often. Most injuries will heal without any sequelae because larynx and trachea of children tolerate considerable trauma. However, sometimes the injury is penetrating the mucosa and scar formation can lead to an obstruction of the airway which is followed by a tracheostomy and long term surgery. A great problem is the early detection of trauma since noisy breathing develops often late when scar formation has occluded more than 50% of the airway. A selection of photo documents of airway endoscopy out of more than 5000 photos from the years 1987-2007 were used to explain the development of injuries from minor lesions to large areas of necrosis of the mucosa of larynx and trachea of infants and ch... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2603294 Tue, 30 Jun 2009 23:00:00 +0100 2603294 http://www.medworm.com/index.php?rid=2573735&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572838%26dopt%3DAbstract Authors: Morton NS, Hammer GB PMID: 19572838 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573735 Tue, 30 Jun 2009 23:00:00 +0100 2573735 http://www.medworm.com/index.php?rid=2573734&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572839%26dopt%3DAbstract Authors: Adewale L Airway and respiratory complications are the most common causes of morbidity during general anesthesia in children. The airway changes in size, shape and position throughout its development from the neonate to the adult (1). Knowledge of the functional anatomy of the airway in children forms the basis of understanding the pathological conditions that may occur. This in turn allows a comprehensive assessment of the pediatric airway to take place, including a detailed medical history, clinical examination and specific investigative procedures. PMID: 19572839 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573734 Tue, 30 Jun 2009 23:00:00 +0100 2573734 http://www.medworm.com/index.php?rid=2573733&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572840%26dopt%3DAbstract Authors: Eslamy HK, Newman B Airway compromise can be fixed, dynamic (with varying degrees of collapse during the respiratory cycle), or exhibit both components. The location of the abnormality can be classified as extrinsic (located outside but exerting mass effect on the airway) or intrinsic (intramural and/or intraluminal). The etiologies of airway compromise are categorized as: congenital, infectious, inflammatory, traumatic, vascular, or neoplastic (1). The role of imaging of the airway is to determine the presence, nature and anatomic level of airway compromise, categorize it as intrinsic or extrinsic, provide a differential diagnosis, and guide further imaging or management (1). The differential diagnosis of a lesion takes into account the patient's age and gender, location of t... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573733 Tue, 30 Jun 2009 23:00:00 +0100 2573733 http://www.medworm.com/index.php?rid=2573732&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572841%26dopt%3DAbstract This study explores the development and success of this ubiquitous instrument. PMID: 19572841 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573732 Tue, 30 Jun 2009 23:00:00 +0100 2573732 http://www.medworm.com/index.php?rid=2573731&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572842%26dopt%3DAbstract Authors: Doherty JS, Froom SR, Gildersleve CD This review summarizes the evolution of the pediatric laryngoscope using some of the established landmarks in the history of anesthesia. Children were rarely intubated before 1940 though the subsequent 30 years saw a proliferation of pediatric laryngoscopes in part driven by the developments in pediatric anesthesia and surgery, manufacturing techniques and materials and a change in airway management philosophy exemplified by Jackson Rees's argument against the notion that intubation was to be avoided in children. A perspective on the present day describes the modifications to popular straight and curved blade laryngoscopes and the development of new devices that enhance direct visualization of the larynx. There are an ever-increasing number... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573731 Tue, 30 Jun 2009 23:00:00 +0100 2573731 http://www.medworm.com/index.php?rid=2573730&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572843%26dopt%3DAbstract Authors: Leong L, Black AE Differences in the anatomy and physiology of the young child necessitate specialist equipment and anesthetic equipment is constantly evolving. We will review the factors influencing the design of pediatric tubes and highlight those areas of special interest. There have been pleas for more standardization of tube markings, as this would help with positioning of tubes, especially in small babies, and there are recent advances in this area. Anesthetists need to be aware that there are important differences between tubes so that they take this into account when choosing an appropriate tube. In addition, developments in the design of cuffed tubes are increasingly being used both for routine care and specialist surgery. PMID: 19572843 [PubMed - as supplied by p... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573730 Tue, 30 Jun 2009 23:00:00 +0100 2573730 http://www.medworm.com/index.php?rid=2573729&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572844%26dopt%3DAbstract Authors: Weber T, Salvi N, Orliaguet G, Wolf A PMID: 19572844 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573729 Tue, 30 Jun 2009 23:00:00 +0100 2573729 http://www.medworm.com/index.php?rid=2573728&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572845%26dopt%3DAbstract Authors: White MC, Cook TM, Stoddart PA In 1988, when the Laryngeal Mask Airway-Classic (Intavent Orthofix, Maidenhead, UK), was introduced there were only two choices of airway management: tracheal tube or facemask. The supraglottic airway, as we now understand the term, did not exist. Yet, 20 years later, we are faced with an ever increasing choice of supraglottic airway devices (SAD). For many SADs, with the exception of the LMA-Classic(TM) and LMA-Proseal(TM) (Intavent Orthofix, Maidenhead, UK), there is a lack of high quality data of efficacy. The best evidence requires a randomized controlled trial comparing a new device against an established alternative, properly powered to detect clinically relevant differences in clinically important outcomes. Such studies in children are ver... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573728 Tue, 30 Jun 2009 23:00:00 +0100 2573728 http://www.medworm.com/index.php?rid=2573727&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572846%26dopt%3DAbstract Authors: Coté CJ, Hartnick CJ Cricothyrotomy or insertion of a transtracheal device is a life-saving maneuver that may be performed on an emergent or semi-elective basis as a means of bypassing an obstructed upper airway. A surgeon is trained to perform this life-saving procedure whereas most anesthesiologists are not facile with the scalpel. It is for this reason that many percutaneous devices have been developed for use by surgeons and nonsurgeons alike. Unfortunately, the majority of such devices are designed for use in adults and/or teenagers but are not appropriate for neonates and infants. The unique anatomy of the infant larynx, the small size of the cricothyroid membrane, and the technical difficulty of locating the correct anatomical structures make the use of most of the... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573727 Tue, 30 Jun 2009 23:00:00 +0100 2573727 http://www.medworm.com/index.php?rid=2573726&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572847%26dopt%3DAbstract This article looks at the current techniques and equipment recommended for the management of the difficult intubation scenario in pediatric practice. We discuss the general considerations including preoperative preparation, the preferred anesthetic technique and the use of both rigid laryngoscopic and fiberoptic techniques for intubation. The unanticipated scenario is also discussed. PMID: 19572847 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573726 Tue, 30 Jun 2009 23:00:00 +0100 2573726 http://www.medworm.com/index.php?rid=2573725&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572848%26dopt%3DAbstract Authors: Bruce IA, Rothera MP PMID: 19572848 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573725 Tue, 30 Jun 2009 23:00:00 +0100 2573725 http://www.medworm.com/index.php?rid=2573724&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572849%26dopt%3DAbstract Authors: Lerman J Sleep-disordered breathing (SDB) is a continuum of breathing abnormalities that affects children and adults. This disorder has been continuously evolving, particularly in children, with new insights in its pathogenesis, clinical manifestations, diagnosis, treatments, and outcomes. The purpose of this review is to provide a current framework for pediatric anesthesiologists to address the perioperative needs of these children to ensure their safe conduct through anesthesia. PMID: 19572849 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573724 Tue, 30 Jun 2009 23:00:00 +0100 2573724 http://www.medworm.com/index.php?rid=2573723&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572850%26dopt%3DAbstract Authors: Zur KB, Litman RS Airway foreign body aspiration most commonly occurs in young children and is associated with a high rate of airway distress, morbidity, and mortality. The presenting symptoms of foreign body aspiration range from none to severe airway obstruction, and may often be innocuous and nonspecific. In the absence of a choking or aspiration event, the diagnosis may be delayed for weeks to months and contribute to worsening lung disease. Radiography and high resolution CT scan may contribute to the eventual diagnosis. Bronchoscopy is used to confirm the diagnosis and retrieve the object. The safest method of removing an airway foreign body is by utilizing general anesthesia. Communication between anesthesiologist and surgeon is essential for optimal outcome. The choice... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573723 Tue, 30 Jun 2009 23:00:00 +0100 2573723 http://www.medworm.com/index.php?rid=2573722&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572851%26dopt%3DAbstract This article describes those infections of the airway that are most likely to present to the anesthetist, their attendant complications and recommendations for treatment. PMID: 19572851 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573722 Tue, 30 Jun 2009 23:00:00 +0100 2573722 http://www.medworm.com/index.php?rid=2573721&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572852%26dopt%3DAbstract Authors: Holzki J, Laschat M, Puder C Iatrogenic damage to the pediatric airway occurs rather often. Most injuries will heal without any sequelae because larynx and trachea of children tolerate considerable trauma. However, sometimes the injury is penetrating the mucosa and scar formation can lead to an obstruction of the airway which is followed by a tracheostomy and long term surgery. A great problem is the early detection of trauma since noisy breathing develops often late when scar formation has occluded more than 50% of the airway. A selection of photo documents of airway endoscopy out of more than 5000 photos from the years 1987-2007 were used to explain the development of injuries from minor lesions to large areas of necrosis of the mucosa of larynx and trachea of infants and ch... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573721 Tue, 30 Jun 2009 23:00:00 +0100 2573721 http://www.medworm.com/index.php?rid=2573720&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572853%26dopt%3DAbstract Authors: Best C Anesthesia for laser surgery in children carries a number of particular challenges and pitfalls. The anesthetist must be aware not only of the problems of anesthetizing a patient with a potentially compromised airway but also of how to maintain homeostasis when surgery is taking place, as procedures may make a bad situation temporarily worse. Personnel must also be very aware of the benefits and dangers of medical lasers, and what safety precautions must be taken to ensure their proper use. This section will deal with the properties of lasers, how and why they are used, and a description of how these procedures are carried out in our own institution. PMID: 19572853 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573720 Tue, 30 Jun 2009 23:00:00 +0100 2573720 http://www.medworm.com/index.php?rid=2573719&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572854%26dopt%3DAbstract Authors: Hammer GB Background: Children undergoing laryngotracheal reconstruction (LTR) may remain electively intubated in the pediatric intensive care unit (PICU) for several days following surgery to facilitate wound healing. These patients require sedation and analgesia with or without neuromuscular blockade inorder to prevent excessive head and neck movement with resultant tension on the tracheal anastomosis. Achieving this level of immobility features in caring for these children. Aim: The aims of this article are to describe a variety of commonly used sedation and analgesic agents and to provide guidance as to their optimal use following LTR. PMID: 19572854 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573719 Tue, 30 Jun 2009 23:00:00 +0100 2573719 http://www.medworm.com/index.php?rid=2573718&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19572855%26dopt%3DAbstract Authors: Holzki J, Laschat M, Puder C Since about a decade cuffed intubation is becoming more popular in pediatric anesthesia. Studies supporting cuffed intubation compared cuffed and uncuffed intubation by using stridor as main outcome measure after extubation. No differentiations were made between benign (oedema) and severe (ulceration of mucosa) lesions. Stridor was considered to represent all relevant injuries. Far reaching conclusions for daily practice were drawn from these studies. Pediatric endoscopists and - ENT-surgeons with extensive experience in this field have warned against this opinion because significant injury of the airway is not always accompanied by stridor! The symptom of stridor might develop weeks and months after injury when silent ulcerations of the mucosa ret... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2573718 Tue, 30 Jun 2009 23:00:00 +0100 2573718 http://www.medworm.com/index.php?rid=2557176&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19558614%26dopt%3DAbstract We report the successful management of the airway of a neonate with type IV laryngotracheo-esophageal cleft for the gastric division surgery by dividing the esophagogastric continuity between the esophageal orifice and the stomach using the balloon catheter and remaining spontaneous breathing through the large cuffed tracheal tube inserted into the esophageal orifice. PMID: 19558614 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2557176 Wed, 24 Jun 2009 23:00:00 +0100 2557176 http://www.medworm.com/index.php?rid=2557175&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19558615%26dopt%3DAbstract Authors: Anderson BJ, Merry AF Pooling data from different pediatric studies can provide a single robust pharmacokinetic analysis that allows covariate analysis and hypothesis testing. Data sharing should be driven by the altruistic purpose of improving drug understanding to the clinical benefit of children. Electronic communications have rendered the sharing of data relatively easy, and data sharing within the wider scientific community has become commonplace. Data sharing allows verification of results, save costs and time, allows new interpretation of old data, and can fulfill teaching benefits. It may stimulate cooperative competition between researchers and allow individual researchers to concentrate on unique aspects of the scientific puzzle. However, there is occasionally a relu... Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2557175 Wed, 24 Jun 2009 23:00:00 +0100 2557175 http://www.medworm.com/index.php?rid=2557174&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19558616%26dopt%3DAbstract This article discusses the issues surrounding consent for this procedure, sets out four essential elements of the consent process, and proposes that, of the specialists involved, the referring clinician is best placed to discuss the options with parents and obtain written consent. PMID: 19558616 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2557174 Wed, 24 Jun 2009 23:00:00 +0100 2557174 http://www.medworm.com/index.php?rid=2557173&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19558636%26dopt%3DAbstract Conclusions: Perioperative care can be provided for children with SMA safely and effectively with total intravenous or inhaled anesthetics along with the judicious use of opioids to improve patient comfort without increased morbidity. Further prospective studies of standardized anesthetic and perioperative respiratory medical management in this population are required to minimize the decompensation of tenuous preoperative respiratory function. PMID: 19558636 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2557173 Wed, 24 Jun 2009 23:00:00 +0100 2557173 http://www.medworm.com/index.php?rid=2529089&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19538532%26dopt%3DAbstract Conclusions: A propofol-based anesthetic technique did not lead to a lower incidence of emergence delirium after dental surgery in children but did result in significantly less PONV and fewer postoperative nursing interventions. PMID: 19538532 [PubMed - as supplied by publisher] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2529089 Sun, 14 Jun 2009 23:00:00 +0100 2529089 http://www.medworm.com/index.php?rid=2529126&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19453577%26dopt%3DAbstract Authors: Bolton P PMID: 19453577 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2529126 Thu, 30 Apr 2009 23:00:00 +0100 2529126 http://www.medworm.com/index.php?rid=2529124&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19453578%26dopt%3DAbstract CONCLUSIONS: A large, probably multi-centred trial is needed to answer with sufficient power the question of whether opioid analgesia impairs diagnostic accuracy in children with undifferentiated acute abdominal pain. PMID: 19453578 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2529124 Thu, 30 Apr 2009 23:00:00 +0100 2529124 http://www.medworm.com/index.php?rid=2529122&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19453579%26dopt%3DAbstract CONCLUSIONS: Despite significant improvements to the pediatric circle system and its practical advantages, the T-Piece remains the commonest breathing system used in smaller children by UK members of the APA. PMID: 19453579 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2529122 Thu, 30 Apr 2009 23:00:00 +0100 2529122 http://www.medworm.com/index.php?rid=2529120&cid=s_36853_5_f&fid=36853&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19453580%26dopt%3DAbstract CONCLUSIONS: Compared with traditional para-carotid approach, the new landmark-guided approach for access of the IJV during teaching central catheterization significantly reduced carotid arterial puncture, provided a higher success rate and minimized procedure time in infants aged 3-12 months. PMID: 19453580 [PubMed - in process] (Source: Paediatric Anaesthesia) Paediatric Anaesthesia journals http://www.medworm.com/rss/comments.php?id=2529120 Thu, 30 Apr 2009 23:00:00 +0100 2529120