Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2023
Randomized Controlled TrialUtilizing nasal- tragus length to estimate optimal endotracheal tube depth in neonates: A prospective randomized control study.
Determination of the optimal depth of endotracheal tube insertion in neonates is challenging. Various formulae have been proposed and are being commonly used for this purpose. There is no single formula that is ideal or can be applied across different populations. ⋯ Based on the results from the studied sample, NTL +1 cm formula is a better predictor than Weight + 6 cm formula to determine endotracheal tube insertion depth in term Indian neonates.
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Paediatric anaesthesia · Feb 2023
Development of a Pediatric Anesthesia Fellowship Curriculum in Australasia by the Society for Pediatric Anesthesia of New Zealand and Australia (SPANZA) Education Sub Committee.
There has been a recognized need to develop a curriculum for pediatric anesthesia training in Australia and New Zealand. The drivers are safe care for children, clear standards of care for children within and outside of quaternary centres, and clarity of the expertise and skill of the practitioner. Entrustable professional activities (EPAs) made up of multiple competencies and sub-competencies are useful for the description and assessment of contemporary medical education. ⋯ Individuals can shape their learning and training to the EPAs that will support their ability to provide high-quality safe care in the wide variety of institutions that they may be employed in after their pediatric fellowship. Institutions can use the curriculum to describe the skill set required for their institution and location. This paper will explain the process behind the development of the Society for Pediatric Anesthesia in New Zealand and Australia (SPANZA) guidelines of a curriculum for pediatric anesthesia fellowship based on EPAs.
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Paediatric anaesthesia · Feb 2023
Development and validation of a prediction model for preoperative anxiety in children aged 2-12 years old.
Children with preoperative anxiety are at risk of perioperative adverse events, such as reflux aspiration, prolonged induction time, wake agitation, and delirium. Identifying children at high risk of severe preoperative anxiety may help anesthesiologists intervene and manage them in advance. ⋯ ChiCTR2100054409 (https://www.chictr.org.cn/index.aspx).
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Paediatric anaesthesia · Feb 2023
Consumer research priorities for pediatric anesthesia and perioperative medicine.
Consumer-driven research is increasingly being prioritized. ⋯ This study has given Australian consumers the opportunity to shape the anesthesia and perioperative medicine research agenda for pediatric patients both nationally and internationally.
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Paediatric anaesthesia · Feb 2023
Case ReportsUnsuspected severe tracheal stenosis and tracheomalacia after correction surgery for congenital scoliosis: A case report.
Tracheal stenosis and tracheomalacia in patients with congenital scoliosis are serious and rare conditions caused by congenital dysplasia, postintubation injury, trauma, and tracheal tumor. Anesthesia of a child with tracheal stenosis is challenging for anesthesiologists. We describe an 8-year-old female patient developed severe tracheal stenosis and tracheomalacia after growing rod implantation for congenital scoliosis. Comprehensive assessment of preoperative pulmonary function and airway morphology, which can be neglected clinically, should be performed in congenital scoliosis patients.