Anesthesia and analgesia
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Anesthesia and analgesia · Apr 2020
Nasolaryngeal Distances in the Adult Population and an Evaluation of Commercially Available Nasotracheal Tubes.
Nasolaryngeal distance can be reliably predicted using:
NLD (mm) = 1.1 × body height (cm) – 13.2
pearl -
Anesthesia and analgesia · Apr 2020
Meta AnalysisPositive End-Expiratory Pressure During Anesthesia for Prevention of Postoperative Pulmonary Complications: A Meta-analysis With Trial Sequential Analysis of Randomized Controlled Trials.
It is still uncertain whether intraoperative PEEP actually reduces postoperative respiratory complications.
pearl -
Anesthesia and analgesia · Apr 2020
Randomized Controlled TrialMusic Interventions in Pediatric Surgery (The Music Under Surgery In Children Study): A Randomized Clinical Trial.
Perioperative music interventions have been shown to reduce anxiety and pain in adults. This inexpensive, easily applicable intervention could be of benefit to children as well. Our objective was to determine the effects of music interventions on distress, anxiety, and postoperative pain in infants undergoing surgery. ⋯ Music interventions do not seem to benefit all young infants undergoing surgery. The potential benefits of music interventions in the preoperative period and in more distressed children warrant further exploration.
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Anesthesia and analgesia · Apr 2020
Review GuidelinePerioperative Management of Pediatric Patients With Type 1 Diabetes Mellitus, Updated Recommendations for Anesthesiologists.
Approximately 1 of every 300 children in the United States has type 1 diabetes mellitus (T1D), and these patients may require anesthetics for a variety of procedures. Perioperative coordination is complex, and attention to perioperative fasting, appropriate insulin administration, and management of hypo- and hyperglycemia, as well as other metabolic abnormalities, is required. ⋯ A multi-institutional working group was formed by the Society for Pediatric Anesthesia Quality and Safety Committee to review current guidelines in the endocrinology and anesthesia literature and provide recommendations to anesthesiologists caring for pediatric patients with T1D in the perioperative setting. Recommendations for preoperative evaluation, glucose monitoring, insulin administration, fluid management, and postoperative management are discussed, with particular attention to increasingly prevalent insulin pumps and continuous glucose monitoring (CGM).