Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2018
Role of ultrasound guided epidural anesthesia for lower limb surgery in children with previously repaired meningomyelocele.
Children that have had a meningomyelocele repair often present for hip and bilateral lower limb surgeries. Due to vertebral, epidural, and nerve root abnormalities, placement of epidural catheter is difficult. ⋯ Ultrasound guidance aids in identification of normal intervertebral space and explicitly shows the abnormal space. It can be used as an aid to differentiate between normal and abnormal space in post-meningomyelocele repair.
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Paediatric anaesthesia · Mar 2018
Ultrasound-guided lumbar plexus block in children and adolescents using a transverse lumbar paravertebral sonogram: Initial experience.
The clinical reliability and reproducibility of ultrasound-guided lumbar plexus blocks is not established in pediatric populations. We present the results of a combined nerve stimulation ultrasound-guided lumbar plexus block using the vertebral body, transverse process, and psoas muscle as landmarks on a transverse lumbar paravertebral sonogram with mid-axillary transducer placement, "shamrock method," in children and adolescents. ⋯ Ultrasound guidance using lateral imaging of transverse process, vertebral body, and psoas muscle allows practitioners to reach the nerves of the lumbar plexus and achieve sensory block in pediatric patients with a high success rate.
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Paediatric anaesthesia · Mar 2018
Comparative StudyThe incidence of postoperative respiratory complications: A retrospective analysis of cuffed vs uncuffed tracheal tubes in children 0-7 years of age.
The use of cuffed vs uncuffed endotracheal tubes in pediatric anesthesia is widely debated. This study aimed to investigate whether the use of cuffed vs uncuffed tubes is associated with an increased incidence of acute postoperative respiratory complications. ⋯ After adjustment for multiple confounders, the use of cuffed tubes was not associated with an increased incidence of acute respiratory complications in postanesthesia care unit.
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Paediatric anaesthesia · Mar 2018
Comment LetterReply to Clark, Natasha; Morris, Stephen; Sargant, Nicholas, regarding their comment "Comment on Case Report 'Anaphylactic reaction to tranexamic acid in an adolescent undergoing posterior spinal fusion' by Chiem J, Ivanova I, Jimenez N et al. Paediatric Anaesthesia 2017;27: 774-775."