Paediatric anaesthesia
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Paediatric anaesthesia · May 2016
Patient monitoring with Google Glass: a pilot study of a novel monitoring technology.
Head-mounted devices (HMDs) are of significant interest for applications within medicine, including in anesthesia for patient monitoring. Previous devices trialed in anesthesia for this purpose were often bulky, involved cable tethers, or were otherwise ergonomically infeasible. Google Glass is a modern HMD that is lightweight and solves many of the issues identified with previous HMDs. ⋯ Given the pilot nature of this study, we consider these results highly favorable. Anesthetists readily accepted Google Glass in the anesthetic environment, with further enhancements to device software, rather than hardware, now being the barrier to adoption. There are a number of applications for HMDs in pediatric anesthesia.
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Paediatric anaesthesia · May 2016
Observational StudyAudit of anesthetic trainees' 'hands-on' operating room experience in an Australian tertiary children's hospital.
There are no internationally accepted guidelines about what constitutes adequate clinical exposure during pediatric anesthetic training. In Australia, no data have been published on the level of experience obtained by anesthetic trainees in pediatric anesthesia. There is, however, a new ANZCA (Australian and New Zealand College of Anaesthetists) curriculum that quantifies new training requirements. ⋯ Experience gained at our hospital easily meets the new College requirements. Experience of fiber-optic intubation and regional blocks would appear insufficient to develop sufficient skills or confidence. The study provides other institutions with information to benchmark against their own trainee experience.
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Paediatric anaesthesia · May 2016
Randomized Controlled Trial Comparative StudyA randomized comparison of pediatric-sized Streamlined Liner of Pharyngeal Airway(™) and Laryngeal Mask Airway-Unique(™) in paralyzed children.
The pediatric-sized Streamlined Liner of Pharyngeal Airway (SLIPA) is a new supraglottic airway device for children. ⋯ In conclusion, both the SLIPA and the Laryngeal Mask Airway-Unique can be used effectively without severe complications in paralyzed children. Additionally, the SLIPA provides a better airway seal and better intraoperative position stability than the Laryngeal Mask Airway-Unique.
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Paediatric anaesthesia · May 2016
Anesthetic care and perioperative complications in children with Sanfilipo Syndrome Type A.
Patients with mucopolysaccharidoses (MPS) are generally considered high risk for anesthesia care, owing to disease-related factors. Sanfilippo syndrome type A (MPS IIIA) is the most frequently occurring MPS. Anesthesia-specific information for MPS IIIA is not readily available in the literature. ⋯ We found no change in the modified Cormack-Lehane intubation grades in 25 Sanfilippo syndrome type A children over the 2-year study period.
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Paediatric anaesthesia · May 2016
Changes in intracuff pressure of cuffed endotracheal tubes while positioning for adenotonsillectomy in children.
When using cuffed endotracheal tubes (cETTs), changes in head and neck position can lead to changes in intracuff pressure. ⋯ Both increases and decreases in the intracuff pressure may occur following positioning of the pediatric patient for adenotonsillectomy. An increase in intracuff pressure may result in a higher risk of damage to the tracheal mucosa. A decrease in the intracuff pressure can result in an air leak resulting in inadequate ventilation, increased risk of aspiration, and even predispose to airway fire if oxygen-enriched gases are used. Continuous intracuff pressure monitoring or rechecking the intracuff pressure after positioning for adenotonsillectomy may be indicated.