Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2022
ReviewAnesthesia and neurotoxicity study design, execution, and reporting in the nonhuman primate: A systematic review.
Concern for a role of anesthesia in neurotoxicity in children originated from neonatal rodent and nonhuman primate (NHP) models, yet prospective clinical studies have largely not supported this concern. The goal of this study was to conduct an objective assessment of published NHP study rigor in design, execution, and reporting. ⋯ Important deficits in study design, execution, and reporting were identified in neonatal NHP studies. These results raise concern for the validity and reliability of these studies and may explain in part the divergence from results obtained in human neonates.
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Paediatric anaesthesia · Apr 2022
Randomized Controlled TrialComparison of the Success with Two Bending Angles for Lighted stylet Intubation in Children: A Prospective Randomised Study.
The bend angle of a lighted stylet is an important factor for successful orotracheal intubation. The aim of this study was to test the differences in the success of endotracheal intubation using lighted stylet with 70° versus 90° bend angles in children aged 4-6 years with normal airways. ⋯ Lighted stylet intubation with a 90° bend angle improved the first-attempt success rate and reduced esophageal intubation in children aged 4-6 years with normal airways.
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Paediatric anaesthesia · Apr 2022
Attitudes and perceptions of caregivers regarding their presence at induction of anesthesia.
Caregiver presence at their children's induction of anesthesia is practiced daily around the world. Research exploring the attitudes and perceptions of caregivers regarding this practice is limited within the African context. ⋯ A caregiver's perception of the induction process is influenced by multiple factors. A finding specific to our cohort is the interplay between complex multifaceted cultural beliefs and anesthesia of their children. By acknowledging and addressing these beliefs, a caregiver's presence can be tailored to ensure a positive experience for all involved at induction.
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Paediatric anaesthesia · Apr 2022
Association between implementation of a coordinated care pathway in idiopathic scoliosis patients and a reduction in perioperative outcome disparities.
There are well-documented racial and ethnic disparities in treatment and perioperative outcomes for patients with adolescent idiopathic scoliosis. ⋯ Our study supports the hypothesis that use of a coordinated care pathway is associated with a reduction in racial and ethnic disparities in length of stay and pain scores in pediatric patients undergoing posterior spinal fusion.