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JOURNAL ARTICLE
Vladimir Brüggemann, Tom G Hansen
BACKGROUND: Remimazolam, a novel intravenous benzodiazepine recently approved by both the European Medicines Agency and the Food and Drug Agency, holds significant promise in clinical practice. Its pharmacodynamic profile closely mirrors that of midazolam, while its pharmacokinetics properties bear resemblance to remifentanil. Research in adult populations continues to accumulate, but the pediatric studies' pace is not significant. This scoping review aims to methodically scrutinize published studies, clinical trials, observational research, case reports, and pertinent literature to offer a comprehensive insight into the existing understanding of remimazolam in pediatric sedation and anesthesia...
March 19, 2024: Acta Anaesthesiologica Scandinavica
#42
REVIEW
Mary T Nabukenya, Mark W Newton, Rebecca M Gray, Indu Kapoor, Norifumi Kuratani, Jolene Moore, Ekta Rai, Faye M Evans
An estimated 1.7 billion children and adolescents do not have access to safe and affordable surgical care, and the vast majority of these are located in low-middle-income countries (LMICs). Pediatric anesthesia, a specialized field that requires a diverse set of knowledge and skills, has seen various advancements over the years and has become well-established in upper-middle and high-income countries. However, in LMICs, due to a multitude of factors including severe workforce shortages, this has not been the case...
March 12, 2024: Paediatric Anaesthesia
#43
JOURNAL ARTICLE
Hong Ye, Chunmiao Nian, Lijun Zhou, Yuman Xie, Fan Li, Tao Xue, Xueping Han
OBJECTIVE: To investigate the time course of action of different doses of mivacurium and determine the appropriate dose for laryngeal mask airway (LMA) insertion for day-case urologic surgery in children. METHODS: A total of 105 patients who enrolled in this study between March 2021 and December 2021 were randomised into 3 groups: Group A (mivacurium 0.15 mg/kg, n = 35), Group B (mivacurium 0.20 mg/kg, n = 35) and Group C (mivacurium 0...
2024: Frontiers in Pediatrics
#44
JOURNAL ARTICLE
Chunying Bao, Hongmin Cao, Zhipeng Shen, Yaoqin Hu, Jinjin Huang, Qiang Shu, Qixing Chen
STUDY OBJECTIVE: To explore if the pressure-controlled ventilation (PCV) and pressure-controlled ventilation-volume guaranteed (PCV-VG) modes are superior to volume-controlled ventilation (VCV) in optimizing intraoperative respiratory mechanics in infants and young children in the prone position. DESIGN: A single-center prospective randomized study. SETTING: Children's Hospital, Zhejiang University School of Medicine. PATIENTS: Pediatric patients aged 1 month to 3 years undergoing elective spinal cord detethering surgery...
March 8, 2024: Journal of Clinical Anesthesia
#45
JOURNAL ARTICLE
Is a Nomogram a Viable Predictive Tool for Managing Heparin Resistance in Pediatric Cardiac Surgery?
Karli Spann, Kenneth Stewart, Amir L Butt, Kenichi A Tanaka
No abstract text is available yet for this article.
March 6, 2024: Anesthesia and Analgesia
#46
JOURNAL ARTICLE
Dominique Dundaru-Bandi, Ryan Antel, Pablo Ingelmo
PURPOSE OF THIS REVIEW: This article explores how artificial intelligence (AI) can be used to evaluate risks in pediatric perioperative care. It will also describe potential future applications of AI, such as models for airway device selection, controlling anesthetic depth and nociception during surgery, and contributing to the training of pediatric anesthesia providers. RECENT FINDINGS: The use of AI in healthcare has increased in recent years, largely due to the accessibility of large datasets, such as those gathered from electronic health records...
February 27, 2024: Current Opinion in Anaesthesiology
#47
JOURNAL ARTICLE
Sarah R Martin, Zeev N Kain
PURPOSE OF REVIEW: There is increasing evidence of racial and ethnic disparities in pediatric perioperative care, which indicates a need to identify factors driving disparities. Social determinants of health (SDOH) play a fundamental role in pediatric health and are recognized as key underlying mechanisms of healthcare inequities. This article summarizes recent research exploring the influence of SDOH on pediatric perioperative outcomes. RECENT FINDINGS: Despite the scarcity of research exploring SDOH and pediatric perioperative outcomes, recent work demonstrates an association between SDOH and multiple outcomes across the perioperative care continuum...
February 27, 2024: Current Opinion in Anaesthesiology
#48
JOURNAL ARTICLE
Gabor Erdoes, Ehrenfried Schindler, Andreas Koster, Vera von Dossow, Ioana Maria Belciu, Sascha Meier, Mohammed R El-Tahan, Viviane G Nasr
The Pediatric Cardiac Anesthesia (PCA) fellowship is a demanding training program in Europe and the United States. Successful completion of the program requires years of training in anesthesiology, a thorough understanding of cardiovascular anatomy and physiology, and extensive experience in the perioperative management of neonates and children with heart disease. In the context of the first candidate to successfully complete the PCA program in Europe, this article presents excerpts from the design and structure of the European PCA program...
February 8, 2024: Journal of Cardiothoracic and Vascular Anesthesia
#49
JOURNAL ARTICLE
Yeon Ju Kim, Ha-Jung Kim, Sehee Kim, Hyungtae Kim, Choon Sung Lee, Chang Ju Hwang, Jae Hwan Cho, Young-Jin Ro, Won Uk Koh
BACKGROUND: Posterior spinal fusion (PSF), commonly used for adolescent idiopathic scoliosis (AIS), causes severe postoperative pain. Intravenous (IV) administration of acetaminophen has shown promise for opioid-sparing analgesia; however, its analgesic effect and optimal timing for its standard use remain unclear. Our study aimed to evaluate the analgesic effect and optimal timing of IV acetaminophen administration in pediatric and adolescent patients undergoing PSF and requiring adequate pain control...
February 20, 2024: Korean Journal of Anesthesiology
#50
RANDOMIZED CONTROLLED TRIAL
Yanle Xie, Zenghui Liang, Shuhan Chen, Jing Liu, Huimin Lv, Fei Xing, Yuanyuan Mao, Yanling Ren, Xin Wei, Zhongyu Wang, Na Xing, Jianjun Yang, Xiyao Gu, Jingjing Yuan
BACKGROUND: Postoperative pain is common in pediatric urological surgery. The study assess the impact of perioperative intravenous infusion of low-dose esketamine on postoperative pain in pediatric urological surgery. METHODS: Pediatric patients (n = 80) undergoing urological surgery were randomized into four groups. Patients in the control group were administered an analgesic pump containing only hydromorphone at a dose of 0.1 mg/kg (Hydromorphone Group 1, H1) or 0...
February 15, 2024: BMC Anesthesiology
#51
JOURNAL ARTICLE
Elizabeth M O'Brien, Rodrigo Daly Guris, William Quarshie, Elaina E Lin
BACKGROUND: Point-of-care ultrasound is an invaluable bedside tool for anesthesiologists and has been integrated into anesthesiology residency training and board certification in the United States. Little is known about point-of-care ultrasound training practices in pediatric anesthesia fellowship programs. AIMS: To describe the current state of point-of-care ultrasound education in pediatric anesthesia fellowship programs in the United States. METHODS: We conducted a cross-sectional survey study distributed to 60 American Accreditation Council for Graduate Medical Education-accredited pediatric anesthesia fellowship programs...
June 2024: Paediatric Anaesthesia
#52
REVIEW
Robert H Bartlett
Extracorporeal Circulation in Neonatal Respiratory Failure: A Prospective Randomized Study. By RH Bartlett, DW Roloff, RG Cornell, AF Andrews, PW Dillon, JB Zwischenberger. Pediatrics 1985; 76:479-87. Extracorporeal membrane oxygenation (ECMO) is the use of mechanical devices to replace cardiac and pulmonary function in critical care. In the 1960s, laboratory research showed that extracorporeal circulation could be maintained for days using a membrane oxygenator. In the 1970s, the first clinical trials showed that ECMO could sustain life in severe cardiac and pulmonary failure for days or weeks, leading to organ recovery...
March 1, 2024: Anesthesiology
#53
JOURNAL ARTICLE
Romy Yun, Daniel Qian, Ellen Wang, Michelle Zuniga, Ty Forbes, Brian Li, Samuel T Rodriguez, Christian Jackson, Thomas J Caruso
STUDY OBJECTIVE: HRAD± was developed to quickly assess pediatric perioperative affect and cooperation. HRAD± represents: Happy, Relaxed, Anxious, Distressed, with a yes/no answer to cooperativity. The primary aim of this study was to investigate the clinical utility of HRAD± as an affect and cooperation assessment tool for inhalational mask induction. Secondary aims examined inter-rater reliability (IRR) of HRAD± and predictive validity of induction HRAD± with emergence delirium...
February 9, 2024: Journal of Clinical Anesthesia
#54
JOURNAL ARTICLE
Luca Pio, Valerio Gentilino, Francesco Macchini, Alberto Attilio Scarpa, Roberto Lo Piccolo, Andrea Conforti, Alberto Ratta, Riccardo Guanà, Francesco Molinaro, Sara Costanzo, Giovanna Riccipetitoni, Gabriele Lisi, Paola Midrio, Francesca Tocchioni, Giovannii Cobellis, Andrea Volpe, Elisa Zolpi, Anna Morandi, Enrico Ciardini, Claudio Vella, Maria Giovanna Grella, Maria Sergio, Edoardo Guida, Lorenzo Nanni, Silvia Ceccanti, Vincenzo Di Benedetto, Maurizio Cheli, Alfredo Garzi, Maria Nobili, Valeria Gabriele, Giovanni Boroni, Filippo Incerti, Nicola Zampieri, Sebastiano Cacciaguerra, Pier Luca Ceccarelli, Maria Escolino, Vito Briganti, Davide Gori, Ciro Esposito, Piergiorgio Gamba, Fabrizio Gennari, Alessandro Inserra, Patrizia Dall'Igna, Carmelo Romeo, Pietro Bagolan, Cosimo Bleve, Fabio Chiarenza, Francesco Morini, Gloria Pelizzo, Michele Torre
INTRODUCTION: Over the years, congenital lung malformations (CLM) management remains a controversial topic in pediatric thoracic surgery. The Italian Society of Pediatric Surgery performed a national survey to study the current management variability among centers, trying to define national guidelines and a standardized approach of children with congenital lung malformations. METHODS: Following a National Society approval, an electronic survey including 35 items on post-natal management was designed, focusing on surgical, anesthesiology, radiology and pneumology aspects...
February 10, 2024: Pediatric Surgery International
#55
REVIEW
Jinhong Zhang, Jie Zeng, Pan Zhou, Haixia Deng, Cong Yu
STATEMENT OF PROBLEM: Bibliometric analysis methods were used to evaluate pediatric dental sedation research and to identify topical hotspots using quantitative and qualitative methodologies. PURPOSE: To conduct bibliometric analysis on the retrieved data and to foresee the development of trends and hotspots in this research area. MATERIAL AND METHODS: We retrieved appropriate research articles from the Web of Science Core Collection on January 1, 2023...
February 15, 2024: Heliyon
#56
JOURNAL ARTICLE
Jan J van Wijk, Albina Musaj, Sanne E Hoeks, Irwin K M Reiss, Robert Jan Stolker, Lonneke M Staals
STUDY OBJECTIVE: Protocols are used in intensive care and emergency settings to limit the use of oxygen. However, in pediatric anesthesiology, such protocols do not exist. This study aimed to investigate the administration of oxygen during pediatric general anesthesia and related these values to PaO2 , SpO2 and SaO2 . DESIGN: Retrospective observational study. SETTING: Tertiary pediatric academic hospital, from June 2017 to August 2020. PATIENTS: Patients aged 0-18 years who underwent general anesthesia for a diagnostic or surgical procedure with tracheal intubation and an arterial catheter for regular blood withdrawal were included...
June 2024: Journal of Clinical Anesthesia
#57
JOURNAL ARTICLE
Neha Sinha, Nandita Kad, Mayuri Golhar, Disha Gupta, Anshul Anshul, Prakriti Bishnoi
BACKGROUND: In pediatric patients due to shorter trachea suboptimal positioning of endotracheal tube (ETT) is seen in 20%-50% of patients triggering grave complications. We compared standard auscultation and ultrasound-guided lung sliding to confirm the position of ETT in children. METHODS: Seventy-five pediatric patients between 2-8 years of age, American Society of Anesthesiologists physical status classification I and II scheduled for surgery under general anesthesia with endotracheal intubation were studied...
September 1, 2023: Asian Journal of Anesthesiology
#58
JOURNAL ARTICLE
Bin Zhang, Mingzhuo Li, Yuejiao Han, Xianliang Zhao, Chunhong Duan, Junxia Wang
BACKGROUND: There is limited research on the combined use of propofol and esketamine for anesthesia induction during flexible laryngeal mask airway (FLMA) in pediatric patients, and the effective dosage of propofol for FLMA smooth insertion remains unclear. We explored the effective dose of propofol combined with intravenous esketamine for the smooth insertion of FLMA in two distinct age groups of preschool children. METHODS: This is a prospective, observer-blind, interventional clinical study...
February 5, 2024: BMC Anesthesiology
#59
JOURNAL ARTICLE
Lindsay L Warner, Leanne Thalji, Lindsay R Hunter Guevara, Matthew A Warner, Daryl J Kor, David O Warner, Andrew C Hanson, Michael E Nemergut
STUDY OBJECTIVE: To evaluate the association between pretransfusion and posttransfusion hemoglobin concentrations and the outcomes of children undergoing noncardiac surgery. DESIGN: Retrospective review of patient records. We focused on initial postoperative hemoglobin concentrations, which may provide a more useful representation of transfusion adequacy than pretransfusion hemoglobin triggers (the latter often cannot be obtained during acute surgical hemorrhage)...
February 2, 2024: Journal of Clinical Anesthesia
#60
JOURNAL ARTICLE
Balaji Vaithialingam
No abstract text is available yet for this article.
January 31, 2024: Minerva Anestesiologica
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