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Removal of the laryngeal mask after tracheal intubation through itEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 20, 2009 Category: Anesthesiology Authors: Takashi Asai Source Type: journals

Intranasal flumazenil and naloxone to reverse over-sedation in a child undergoing dental restorations: commentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 19, 2009 Category: Anesthesiology Authors: Gastone Zanette, Lorenzo Favero, Giovanni Manani, Enrico Facco Source Type: journals

Jaw thrust: are we applying it correctly?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 18, 2009 Category: Anesthesiology Authors: Ifti Ahmed, William Russell Source Type: journals

Comparing peripheral venous access between obese and normal weight childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 18, 2009 Category: Anesthesiology Authors: OLUBUKOLA O. NAFIU, CONSTANCE BURKE, ANDY COWAN, NARKO TUTUO, SARAH MACLEAN, KEVIN K. TREMPER Source Type: journals

Analgesia after pediatric cardiac surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 17, 2009 Category: Anesthesiology Authors: Vinod Patil Source Type: journals

Protective ventilation to reduce inflammatory injury from one lung ventilation in a piglet modelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 16, 2009 Category: Anesthesiology Authors: MARY C. THEROUX, ALICIA O. FISHER, LIANA M. HORNER, MARIA E. RODRIGUEZ, ANDREW T. COSTARINO, THOMAS L. MILLER, THOMAS H. SHAFFER Source Type: journals

CorrespondenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - November 10, 2009 Category: Anesthesiology Authors: Christopher F. Tirotta Source Type: journals

APA national audit of pediatric opioid infusionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 opi...
Source: Pediatric Anesthesia - November 4, 2009 Category: Anesthesiology Authors: NEIL S. MORTON, AGATA ERRERA Source Type: journals

Alveolar recruitment strategy and PEEP improve oxygenation, dynamic compliance of respiratory system and end-expiratory lung volume in pediatric patients undergoing cardiac surgery for congenital heart diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: An alveolar recruitment strategy with relative high PEEP significantly improves Crs, oxygenation, PaCO2[ndash] PETCO2 difference, and EELV in pediatric patients undergoing cardiac surgery for congenital heart disease. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 23, 2009 Category: Anesthesiology Authors: THIERRY V. SCOHY, IDO G. BIKKER, JAN HOFLAND, PETER L. de JONG, AD J.J.C. BOGERS, DIEDERIK GOMMERS Source Type: journals

Sevoflurane modulation of Ca2+ regulation in skeletal muscle sarcoplasmic reticulum vesicles from young and mature rabbitsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: These findings suggest that the sensitivity of the SR to sevoflurane-mediated Ca2+ uptake may be increased with maturity, while an analogous developmental effect on RyR1 is less probable. Nonetheless, this study shows for the first time that a potent inhalational agent such as sevoflurane can influence the high affinity SR calcium-binding site by lowering the extraluminal concentration of calcium necessary to trigger calcium release. While this may not be of consequence when inhaled anesthetics are administered to normal children or adults, it may have life-threatening consequences in carriers of RyR1 mutation...
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: MATTHIAS KÖNIG, MARINA LIN, THOMAS E. NELSON, LEANNE GROBAN Source Type: journals

Ultrasound guided internal jugular vein access in children and infant: A meta-analysis of published studiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion: This current meta-analysis does not found the utility of ultrasound during IJV access in children and infants in increasing the success rate and in decreasing complications. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: STEPHANIE SIGAUT, ALIA SKHIRI, IDA STANY, JONATHAN GOLMAR, YVES NIVOCHE, ISABELLE CONSTANT, ISABELLE MURAT, SOUHAYL DAHMANI Source Type: journals

School-aged children's experiences of postoperative music medicine on pain, distress, and anxietyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Music medicine reduced the requirement of morphine and decreased the distress after minor surgery but did not else influence the postoperative care. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: STEFAN NILSSON, EVA KOKINSKY, ULRICA NILSSON, BIRGITTA SIDENVALL, KARIN ENSKÄR Source Type: journals

An acute pain service improves postoperative pain management for children undergoing selective dorsal rhizotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Although we recognize that it is possible that there were changes in care not related specifically to the introduction of a dedicated APS that occurred in our institution that resulted in improvements in general postoperative care and in length of stay, our study did show that having an organized APS allowed to significantly decrease the incidence of postoperative oxygen desaturation and to decrease the hospital length of stay by 1 day. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: CHANTAL FRIGON, WITTHAYA LOETWIRIYAKUL, MANON RANGER, ANNIK OTIS Source Type: journals

Reduced-dose rocuronium for day-case tonsillectomy in children where volatile anaesthetics are not used: operating room time savingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Reduced-dose rocuronium in addition with propofol and alfentanil in children where volatile anesthetics are not used effectively saves the operating room time during short elective surgical procedures, avoids delays in patient recovery, allows high level of acceptable intubating conditions, and improves the optimal surgical work. Low incidences of PONV as VAS score may achieved successfully. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: DUBRAVKA BARTOLEK, JASMINKA JAKOBOVIĆ, FRANJO BARTOLEK, DIJANA FINCI, ALEKSANDRA MUNJIZA Source Type: journals

Potential hazard of endotracheal tube ISO connectorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: S. Johnston, P. Holmes Source Type: journals

Reversal of rocuronium-induced profound neuromuscular block by sugammadex in Duchenne muscular dystrophyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A case is reported in which a child with Duchenne muscular dystrophy received a dose of sugammadex to reverse a rocuronium-induced profound neuromuscular block. Sugammadex is the first selective relaxant binding agent and reverses rocuronium- and vecuronium-induced neuromuscular block. A fast and efficient recovery from profound neuromuscular block was achieved, and no adverse events or other safety concerns were observed. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: HANS D. de BOER, JAN van ESMOND, LEO H.J.D. BOOIJ, JACQUES J. DRIESSEN Source Type: journals

Comparison of the intubation with the Storz video laryngoscope and standard direct laryngoscopy in pediatric patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: Fu Shan Xue, Xu Liao, Jian Hua Liu, Yan Ming Zhang Source Type: journals

Pharmacokinetic–pharmacodynamic modeling of the hypotensive effect of remifentanil in infants undergoing cranioplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Remifentanil is effective in causing hypotension. The final model predicts that a steady state remifentanil concentration of 14 ng·ml[minus]1 would typically achieve a 30% decrease in MAP. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 12, 2009 Category: Anesthesiology Authors: JOSEPH F. STANDING, GREGORY B. HAMMER, WAI JOHNN SAM, DAVID R. DROVER Source Type: journals

'Use of winged laryngoscope blade for endotracheal intubation in a cleft lip child'– a case seriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 11, 2009 Category: Anesthesiology Authors: Dhulkhed Vithal, Desai Nitish, Gupta Arun Kumar Source Type: journals

Gas flow in the upper airway: turbulent or laminar?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 8, 2009 Category: Anesthesiology Authors: Jerrold Lerman Source Type: journals

Ultrasound-guided transversus abdominis plane block for reversal of ileostomy in a 2-kg premature neonateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 7, 2009 Category: Anesthesiology Authors: Alet Jacobs, Karl-Christian Thies Source Type: journals

Reducing bias in outcome measuresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 7, 2009 Category: Anesthesiology Authors: Jerrold Lerman Source Type: journals

Impact of normal saline infusion on postoperative metabolic acidosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Implementing serial Cleff 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 Cleff improves the interpretation of SBE values and can optimize fluid management in postoperative metabolic acidosis. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - October 1, 2009 Category: Anesthesiology Authors: CHRISTIAN MANN, ULRIKE HELD, SUSANNE HERZOG, OSKAR BAENZIGER Source Type: journals

Long-term posttraumatic effects of intraoperative awareness in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - September 30, 2009 Category: Anesthesiology Authors: LAUREN PHELAN, ROBYN STARGATT, ANDREW J. DAVIDSON Source Type: journals

How do pediatric anesthesiologists define intraoperative hypotension?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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[ndash]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. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - September 30, 2009 Category: Anesthesiology Authors: OLUBUKOLA O. NAFIU, TERRI VOEPEL-LEWIS, MICHELLE MORRIS, WILSON T. CHIMBIRA, SHOBHA MALVIYA, PAUL I. REYNOLDS, KEVIN K. TREMPER Source Type: journals

The evolution of ketamine applications in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ketamine has found many applications in pediatric anesthetic practice. Insights into the mechanism of action and the pharmacokinetics and pharmacodynamics of its isomers have led to a re-evaluation of this drug, expanding the range of applications in children. Ketamine is a remarkably versatile drug that can be administered through almost any route. It can also be used for different purposes. The aim of this review is to look at the possible applications of this drug in children. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - September 29, 2009 Category: Anesthesiology Authors: JAMES A. ROELOFSE Source Type: journals

Anesthesia for children with hyperleukocytosis a retrospective reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Children with leukemia-related hyperleukocytosis often require general anesthesia at the time of presentation and are at significant perioperative risk. Respiratory adverse events are very common and mandate close postanesthesia care. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - September 14, 2009 Category: Anesthesiology Authors: CLEMENT FONG, WINNIE FUNG, JANE McDONALD, LUCE DALLA-POZZA, JONATHAN DE LIMA Source Type: journals

Anesthetic-induced neurotoxicity of the neonate: time for clinical guidelines?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - September 13, 2009 Category: Anesthesiology Authors: ROBERT D. SANDERS, ANDREW DAVIDSON Source Type: journals

Ethics and medical research in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The ethics of clinical research is based on several well-known guidelines and documents. The guidelines vary between countries, but the principles of respect for persons, beneficence, and justice are constant. These principles are reflected in requirements to obtain free and informed consent, to minimize risk or harm, and to not overly burden or disadvantage particular populations. For research to be ethical, it must also be of such a standard, and be conducted in such a manner that it will generate knew and useful knowledge. Children have limited capacity for understanding and may be more open to coercion. Therefore, they...
Source: Pediatric Anesthesia - August 25, 2009 Category: Anesthesiology Authors: ANDREW J. DAVIDSON, MIKE O'BRIEN Source Type: journals

Acupuncture management of pain and emergence agitation in children after bilateral myringotomy and tympanostomy tube insertionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Our study suggests that acupuncture therapy may be effective in diminishing both pain and emergence agitation in children after BMT insertion without adverse effects. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - August 25, 2009 Category: Anesthesiology Authors: YUAN-CHI LIN, ROSALIE F. TASSONE, STEFAN JAHNG, REZA RAHBAR, ROBERT S. HOLZMAN, DAVID ZURAKOWSKI, NAVIL F. SETHNA Source Type: journals

A comparison of the STORZ video laryngoscope and standard direct laryngoscopy for intubation in the Pediatric airway – a randomized clinical trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study demonstrates that the STORZ DCI video laryngoscope provides an improved view to the glottis in children with normal airway anatomy, but requires a longer time for intubation. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: ARNIM VLATTEN, SYLVIE AUCOIN, SHARON LITZ, BRIAN MACMANUS, CHRIS SODER Source Type: journals

Dexmedetomidine pharmacokinetics in pediatric intensive care – a pooled analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The sedation target concentration is similar to that described for adults. Immature clearance in the first year of life and a higher clearance (when expressed as l·h[minus]1·kg[minus]1) in small children dictate infusion rates that change with age. Extrapolation of dose from children given infusion in intensive care after cardiac surgery may not be applicable to those sedated for noninvasive procedures out of intensive care. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: AMANDA L. POTTS, BRIAN J. ANDERSON, GUY R. WARMAN, JERROLD LERMAN, SUSAN M. DIAZ, SANNA VILO Source Type: journals

Anesthetic-specific electroencephalographic patterns during emergence from sevoflurane and isoflurane in infants and childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The principal finding of the present study was that there are anesthetic-specific and concentration-dependent EEG effects in children. Depth-of-anesthesia monitors that utilize algorithms based on the EEGs of adult reference populations therefore may not be appropriate for use in children. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: SANSAN S. LO, JULIA B. SOBOL, NAVIN MALLAVARAM, MARGARET CARSON, CHUNG CHANG, PHILIP G. GRIEVE, RONALD G. EMERSON, RAYMOND I. STARK, LENA S. SUN Source Type: journals

Efficacy of a low-dose spinal morphine with bupivacaine for postoperative analgesia in children undergoing hypospadias repairEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Spinal anesthesia provided by hyperbaric bupivacaine is adequate for distal hypospadias repair in children, but adding 2 [mu]g·kg[minus]1 intrathecal morphine provides better postoperative pain control when compared to placebo in these children. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: SEZA APILIOGULLARI, ATES DUMAN, FUNDA GOK, ISAK AKILLIOGLU, ILHAN CIFTCI Source Type: journals

Evaluation of intraoperative memory and postoperative behavior in children: are we really measuring what we intend to measure?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - August 20, 2009 Category: Anesthesiology Authors: URSULA LOPEZ, WALID HABRE Source Type: journals

Overview of total intravenous anesthesia in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Total intravenous anesthesia (TIVA) can be defined as a technique, in which general anesthesia is induced and maintained using purely i.v. agents. TIVA has become more popular and possible in recent times because of the pharmacokinetic (PK) and pharmacodynamic properties of propofol and the availability of short-acting synthetic opioids. Also, new concepts in PK modeling and advances in computer technology have allowed the development of sophisticated delivery systems, which make control of anesthesia given by the i.v. route as straightforward and user friendly as conventional, inhalational techniques. Monitoring of depth ...
Source: Pediatric Anesthesia - August 19, 2009 Category: Anesthesiology Authors: VAITHIANADAN MANI, NEIL S. MORTON Source Type: journals

Hyperthermia in the pediatric intensive care unit – is it malignant hyperthermia?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Cases of elevated temperature in children in an intensive care unit setting reported to the MHAUS Hotline were rarely considered to be MH related. Although MH does not represent a significant portion of diagnoses related to hyperthermia, when hyperthermia occurs in children exposed to anesthetic agents, MH should be considered in the differential diagnosis. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - August 19, 2009 Category: Anesthesiology Authors: LAURA E. SCHLEELEIN, RONALD S. LITMAN Source Type: journals

Salbutamol premedication in children with a recent respiratory tract infectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Premedication with [beta]-2 agonists (e.g. salbutamol) is effective in preventing increases in total respiratory resistance and in decreasing the incidence of perioperative bronchospasm in asthmatic children. Because children with recent respiratory tract infection (RTI) exhibit bronchial hyperreactivity similar to that observed in asthmatic children, the use of salbutamol in children with RTI has become popular among pediatric anesthetists for the prevention of perioperative respiratory adverse events (PRAE). In a prospective observational study, we therefore assessed the usefulness of salbutamol premedication...
Source: Pediatric Anesthesia - August 19, 2009 Category: Anesthesiology Authors: BRITTA S. von UNGERN-STERNBERG, WALID HABRE, THOMAS O. ERB, MAIREAD HEANEY Source Type: journals

Comparison of the Cobalt Glidescope® video laryngoscope with conventional laryngoscopy in simulated normal and difficult infant airways*Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The new Glidescope® performs as well as the Miller laryngoscope under simulated normal and difficult airway conditions. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 30, 2009 Category: Anesthesiology Authors: MICHELLE WHITE, NICOLA WEALE, JUDITH NOLAN, STEVEN SALE, GUY BAYLEY Source Type: journals

Moral responsibility to attain thorough pediatric drug labelingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many drugs used in children have not been labeled for pediatric use. While this was the standard for many years, recent regulations and incentives have improved the depth and breadth of pediatric drug labeling. Nonetheless, common pediatric drugs have not been adequately labeled, particularly generic and orphaned drugs and drugs that were approved for one age group but never tested in other age groups. Anesthesiologists have a moral responsibility to encourage government, pharmaceutical companies, and researchers to study drugs in children. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 29, 2009 Category: Anesthesiology Authors: DAVID B. WAISEL Source Type: journals

Consent issues and pediatric regional anesthesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses aspects of consent to regional anesthesia in children. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 27, 2009 Category: Anesthesiology Authors: PER-ARNE LÖNNQVIST, NEIL S. MORTON, ALLISON K. ROSS Source Type: journals

Hemodynamic effects of dobutamine and dopexamine after cardiopulmonary bypass in pediatric cardiac surgery*Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This trial demonstrates that low-dose dobutamine and dopexamine both increase cardiac index during pediatric cardiac surgery but with different hemodynamic effects. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 23, 2009 Category: Anesthesiology Authors: MYRON M. KWAPISZ, CHRISTOPH NEUHÄUSER, STEPHAN SCHOLZ, INGEBORG D. WELTERS, TOBIAS LÖHR, TILLO KOCH, KLAUS VALESKE, HAKAN AKINTÜRK, JOSEF THUL, MATTHIAS MÜLLER Source Type: journals

Ultrasound-guided perineural catheter and local anesthetic infusion in the perioperative management of pediatric limb salvage: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the successful use of brachial plexus perineural infusion in the care of a child following near-amputation of her dominant hand. An ultrasound-guided infraclavicular brachial plexus catheter was placed in the recovery room after complex reconstructive surgery and a continuous infusion of 0.2% ropivacaine maintained for 24 days. The resultant sympathectomy was integral to providing distal limb perfusion despite partial restenosis of the surgical revascularization. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 23, 2009 Category: Anesthesiology Authors: VANESSA J. LOLAND, BRIAN M. ILFELD, REID A. ABRAMS, EDWARD R. MARIANO Source Type: journals

Parental rights and medical decisionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article identifies and provides a preliminary assessment of a perhaps surprising variety of arguments for the presumption in favor of this parental right. The arguments considered include those flowing from ideas that parents are motivated by their child's best interests; that they have privileged insight into their child's preferences and capacities; that parental support has clinical significance and may be contingent upon respect for the presumption; that parents and families typically bear the burden of treatment decisions; that parents' views often have a religious basis; that it would be improper to override par...
Source: Pediatric Anesthesia - July 23, 2009 Category: Anesthesiology Authors: TIM DARE Source Type: journals

Hypotension during anesthesia before surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 13, 2009 Category: Anesthesiology Authors: MICHAEL R J SURY, MICHAEL WILLIAM BROADHEAD Source Type: journals

Midazolam as a sole sedative for computed tomography imaging in pediatric patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The level of sedation achieved in children with midazolam 0.2 mg·kg[minus]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. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 12, 2009 Category: Anesthesiology Authors: RANJU SINGH, NISHANT KUMAR, HOMAY VAJIFDAR Source Type: journals

Pediatric DNAR orders in the perioperative periodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Paediatri...
Source: Pediatric Anesthesia - July 12, 2009 Category: Anesthesiology Authors: CHARLES G. STACK, JEFF PERRING Source Type: journals

Scoliosis repair in a teenager with Duchenne's muscular dystrophy: who calls the shots?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 surge...
Source: Pediatric Anesthesia - July 12, 2009 Category: Anesthesiology Authors: FIONA MILES, TIM DARE Source Type: journals

Exhaled carbon monoxide screening for environmental tobacco smoke exposure in preanesthetic childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. (Source: Pediatric Anesthesia)
Source: Pediatric Anesthesia - July 12, 2009 Category: Anesthesiology Authors: DANIELLE DUKELLIS, JEANNIE ZUK, ZHAOXING PAN, JOHN E. MORRISON, ROBERT H. FRIESEN Source Type: journals

Publication ethicsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 wheth...
Source: Pediatric Anesthesia - July 12, 2009 Category: Anesthesiology Authors: NEIL S. MORTON Source Type: journals