Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2020
Randomized Controlled TrialVirtual Reality during Pediatric Vascular Access: A Pragmatic, Prospective Randomized, Controlled Trial.
Vascular access is a minor procedure that is associated with reported pain and fear in pediatric patients, often resulting in procedural incompliance. Virtual reality has been shown to be effective in adult populations for reducing pain and anxiety in various medical settings, although large studies are lacking in pediatrics. ⋯ This study demonstrates no reduction in pain while using Virtual reality (VR) across a heterogeneous pediatric inpatient population undergoing vascular access.
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Paediatric anaesthesia · Feb 2020
ReviewClinical Practice Guidelines in Pediatric Anesthesia; What Constitutes High Quality Guidance?
The explosion of scientific evidence has outstripped the ability of individual clinicians to acquire, process, and apply it within a clinical context. Clinical practice guidelines bridge the gap between this large body of evidence and clinical practice by translating evidence into recommendations. As such, they are an important extension of the evidence-based medicine paradigm. ⋯ We then describe the essential characteristics of good quality clinical guidance and outline initiatives aimed at improving quality. Specific issues and limitations related to guideline development in perioperative care of children are discussed. Finally, two clinical guidance documents, published recently in Pediatric Anesthesia, are discussed based upon these criteria.
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Paediatric anaesthesia · Feb 2020
Multicenter StudyAirway management and perioperative adverse events in children with mucopolysaccharidoses and mucolipidoses: a retrospective cohort study.
Children suffering from mucopolysaccharidoses (subtypes I, II, III, IV, VI, and VII) or mucolipidoses often require anesthesia, but are at high risk for perioperative adverse events. However, the impact of the disease subtype and the standard of care for airway management are still unclear. ⋯ The disease subtype and primary airway technique were the most important independent risk factors for perioperative adverse events. Our findings indicate that in MPS/ML children with predicted difficult airway indirect techniques should be favored for the first tracheal intubation attempt.