Paediatric anaesthesia
-
Paediatric anaesthesia · Oct 2021
Validation of the Ramsay scale for invasive procedures under deep sedation in pediatrics.
The Ramsay scale is the most widely used scale during pediatric procedures although it has not been formally validated. ⋯ The Ramsay scale is valid, reliable, and applicable to monitoring sedation for invasive procedures under deep sedation in pediatrics.
-
Paediatric anaesthesia · Oct 2021
Lessons from COVID19 - a reflection on the strengths and weakness of early consensus recommendations for pediatric difficult airway management during a respiratory viral pandemic using a modified Delphi method.
The authors recognized a gap in existing guidelines and convened a modified Delphi process to address novel issues in pediatric difficult airway management raised by the COVID-19 pandemic. ⋯ The consensus process cannot and should not replace evidence-based guidelines; however, it is encouraging to see that the panel's recommendations have held up well as scientific knowledge and clinical experience have grown.
-
Paediatric anaesthesia · Oct 2021
Effect of leg lift on stroke volume index in children 11-17 years old before and after induction of general anesthesia.
Fluid administration in ERAS is one component which anesthesiologists have control. Change in stroke volume index (SVI) is used to assess fluid responsiveness. This study sought the effect of perioperative fluid responsiveness in pediatric patients. The Cheetah NICOM™ (noninvasive CO monitor) was employed because of correlation with other CO monitors. ⋯ 96% of normal 11-17-year-old children were fluid responsive while awake and 79% after induction of general anesthesia.
-
Paediatric anaesthesia · Oct 2021
ReviewMidlatency Auditory Evoked Potentials during Anesthesia in Children: a Narrative Review.
The brain is considered as the major target organ of anesthetic agents. Despite that, a reliable means to monitor its function during anesthesia is lacking. Mid latency auditory evoked potentials are known to be sensitive to anesthetic agents and might therefore be a measure of hypnotic state in pediatric patients. This review investigates the available literature describing various aspects of mid latency auditory evoked potential monitoring in pediatric anesthesia.
-
Paediatric anaesthesia · Oct 2021
Observational StudyBehavioral changes after hospital discharge in preschool children experiencing emergence delirium after general anesthesia: a prospective observational study.
Emergence delirium is well known as early postoperative behavioral change after general anesthesia. However, it is unclear whether children with emergence delirium have negative behavioral changes after hospital discharge. ⋯ Children with emergence delirium developed more severe behavior changes 1 week after surgery than those without emergence delirium. High preoperative anxiety level and emergence delirium scores were associated with posthospital behavioral changes.