Pediatric anesthesia in Mongolia and Thailand
CONCLUSION: As a Low- and Middle-Income Country (LMIC) with low population density and extreme weather, the challenges include insufficient equipment, supplies, and clinician numbers, matching few clinicians to many varied patient locations, and covering surgical emergencies over distance and weather. In Thailand, education and training in pediatric anesthesia remain a focus: Pediatric anesthesia is an official subspecialty, the fellowship is accredited, using a competency-based curriculum with milestones of Direct Observation of Procedural Skills and Entrusted Professional Activities. The Bangkok Anesthesia Regional Train...
Source: Paediatric Anaesthesia - April 17, 2024 Category: Anesthesiology Authors: Pornarun Charoenraj Zolzaya Chinzorig Dolgorsuren Adiya Naiyana Aroonpruksakul Khuanysh Ayatkhan Oyun Bayarsaikhan Odgerel Boldbaatar Duenpen Horatanaruang Urantuya Khorolsaikhan Pornswan Ngamprasertwong Tumenjargal Purev-Oidov Solongo Tumur Justin Skowno Source Type: research

Pediatric anesthesiology in Brazil, Chile, and Mexico
CONCLUSIONS: Brazil an upper middle-income country, population 203 million, has a public system insufficiently resourced and a private system, resulting in inequitable safety and accessibility. Surgical complications constitute the third leading cause of mortality. Anesthesiology residency is 3 years, with required rotations in pediatric anesthesia; five hospitals offer pediatric anesthesia fellowships. Anesthesiology is a physician-only practice. A Pediatric Anesthesia Committee within the Brazilian Society of Anesthesiology offers education through seasonal courses and workshops including pediatric advanced life support....
Source: Paediatric Anaesthesia - April 15, 2024 Category: Anesthesiology Authors: Vin ícius Caldeira Quintão Mario Concha Lina Andrea Sarmiento Arg üello Silvana Cavallieri Luis I Cortinez Gabriel Soares de Sousa Marcella Marino Malavazzi Clemente Ricardo Vieira Carlos Juan Manuel Rodr íguez Karla Guti érrez Denis H Jablonka Anner Source Type: research

Halothane: Why we still use it
Paediatr Anaesth. 2024 Apr 15. doi: 10.1111/pan.14900. Online ahead of print.NO ABSTRACTPMID:38619502 | DOI:10.1111/pan.14900 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 15, 2024 Category: Anesthesiology Authors: Raymond Ndikontar Kwinji Source Type: research

Pediatric anesthesiology in Brazil, Chile, and Mexico
CONCLUSIONS: Brazil an upper middle-income country, population 203 million, has a public system insufficiently resourced and a private system, resulting in inequitable safety and accessibility. Surgical complications constitute the third leading cause of mortality. Anesthesiology residency is 3 years, with required rotations in pediatric anesthesia; five hospitals offer pediatric anesthesia fellowships. Anesthesiology is a physician-only practice. A Pediatric Anesthesia Committee within the Brazilian Society of Anesthesiology offers education through seasonal courses and workshops including pediatric advanced life support....
Source: Paediatric Anaesthesia - April 15, 2024 Category: Anesthesiology Authors: Vin ícius Caldeira Quintão Mario Concha Lina Andrea Sarmiento Arg üello Silvana Cavallieri Luis I Cortinez Gabriel Soares de Sousa Marcella Marino Malavazzi Clemente Ricardo Vieira Carlos Juan Manuel Rodr íguez Karla Guti érrez Denis H Jablonka Anner Source Type: research

Halothane: Why we still use it
Paediatr Anaesth. 2024 Apr 15. doi: 10.1111/pan.14900. Online ahead of print.NO ABSTRACTPMID:38619502 | DOI:10.1111/pan.14900 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 15, 2024 Category: Anesthesiology Authors: Raymond Ndikontar Kwinji Source Type: research

Brain drain in pediatric anesthesiology: The geographic and demographic distribution of national origin among pediatric anesthesiologists in the United States
CONCLUSIONS: International medical graduates, disproportionately from low- and middle-income countries, compose a large proportion of the US Pediatric Anesthesiology workforce. While these clinicians play a vital role in providing care for American children, the potential impacts of skilled physician loss on their nations of origin must also be considered.PMID:38610114 | DOI:10.1111/pan.14901 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 13, 2024 Category: Anesthesiology Authors: Liam K Sullivan Guillermo Salda ña Cody W Williams Yuli Lim Richard M Hubbard Source Type: research

Brain drain in pediatric anesthesiology: The geographic and demographic distribution of national origin among pediatric anesthesiologists in the United States
CONCLUSIONS: International medical graduates, disproportionately from low- and middle-income countries, compose a large proportion of the US Pediatric Anesthesiology workforce. While these clinicians play a vital role in providing care for American children, the potential impacts of skilled physician loss on their nations of origin must also be considered.PMID:38610114 | DOI:10.1111/pan.14901 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 13, 2024 Category: Anesthesiology Authors: Liam K Sullivan Guillermo Salda ña Cody W Williams Yuli Lim Richard M Hubbard Source Type: research

In this issue June 2024
Paediatr Anaesth. 2024 Apr 12. doi: 10.1111/pan.14903. Online ahead of print.NO ABSTRACTPMID:38607369 | DOI:10.1111/pan.14903 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 12, 2024 Category: Anesthesiology Source Type: research

Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research

Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research

Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research

Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
CONCLUSIONS: This study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi-site studies are needed to confirm these findings.PMID:38591665 | DOI:10.1111/pan.14888 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 9, 2024 Category: Anesthesiology Authors: Hannah Lonsdale Kurt Rodriguez Ryan Shargo Morgan Ekblad Jerry M Brown Isabella Dolan Jamie L Fierstein Alexandra Miller Aditi Dey Jacquelin Peck Mohamed A Rehman Michael J Wilsey Source Type: research

Coffin-Siris syndrome and delayed emergence-Is this an unusual or unknown anesthetic complication?
Paediatr Anaesth. 2024 Apr 8. doi: 10.1111/pan.14892. Online ahead of print.NO ABSTRACTPMID:38586918 | DOI:10.1111/pan.14892 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 8, 2024 Category: Anesthesiology Authors: Prasadkanna Prabhakar Samuel David Chandran Shalaka Ashok Tembhurne Amit Mathew Ekta Rai Source Type: research

Case series of peripherally inserted central catheter insertion in young children: A new approach to the axillary vein
CONCLUSION: We conclude that the novel approach to the axillary vein for PICC insertion is feasible and appears to be safe when performed by an experienced operator.PMID:38587025 | DOI:10.1111/pan.14897 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 8, 2024 Category: Anesthesiology Authors: Peter Frykholm Ali-Reza Modiri Robert Frithiof Source Type: research

Improving perioperative acetaminophen administration for safer and cost-effective multimodal analgesia in pediatric surgery: A QI initiative
CONCLUSION: We successfully achieved and sustained our goals of improving acetaminophen use for our surgical patients without worsening pain scores or worsening use of intravenous opioids. Future directions include further refining our strategies and exploring additional opportunities to optimize pain management in pediatric perioperative settings.PMID:38578161 | DOI:10.1111/pan.14893 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 5, 2024 Category: Anesthesiology Authors: Richard M Mahon Prabi Rajbhandari Todd A Brown Laurie J Engler Tarun Bhalla Source Type: research