Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2019
Case ReportsAdverse events in radiation oncology: A case series from wake up safe, the pediatric anesthesia quality improvement initiative.
Radiation therapy in pediatric patients often requires anesthesia and poses environmental challenges. Monitoring must be done remotely to limit radiation exposure to the provider. Airway access can be limited by masks or frames. Care is often delivered in relatively inaccessible locations in the hospital. While individual institutions have reported their outcomes, this case series aims to review a multicenter registry of significant adverse events and make recommendations for improved care. ⋯ There were few radiation oncology significant adverse events, but analysis has led to the identification of several specific opportunities for improvement in pediatric anesthesia for radiation oncology.
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Paediatric anaesthesia · Mar 2019
Observational StudyFeasibility and Indicator Outcomes Using Computerized Clinical Decision Support in Pediatric Traumatic Brain Injury Anesthesia Care.
Traumatic brain injury anesthesia care is complex. The use of clinical decision support to improve pediatric trauma care has not been examined. ⋯ Use of clinical decision support in pediatric traumatic brain injury anesthesia care is feasible, reliable, and may have the potential to improve key performance indicator outcomes. This observational study suggests the possibility of clinical decision support as a strategy to reduce second insults and improve traumatic brain injury guideline adherence during pediatric anesthesia care.
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Paediatric anaesthesia · Mar 2019
Case ReportsQuadratus lumborum blocks: Two cases of associated hematoma.
A quadratus lumborum block associated complication is a rare event. We report two cases of hematoma following the performance of quadratus lumorum blocks in two patients. Performing this block requires additional consideration of abdominal wall anatomy and patient coagulation status.