Paediatric anaesthesia
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Paediatric anaesthesia · May 2023
Standardized Anesthesia InductioN Tool (SAINT) - the development and international adoption of an integrated electronic tool for documenting the induction of anesthesia in children.
The induction of anesthesia in children poses a challenge for the anesthesiologist, the parent and child. Anxiety and negative behaviours and strategies that effectively mitigate should be documented accurately and be available for future patient encounters. To address the need for a structured and standardized electronic documentation tool. ⋯ We show that collaborative development and rapid adoption of the comprehensive induction tool SAINT has led to its rapid adoption in the routine practice of pediatric anesthesiology across several countries. Further studies on how the SAINT is being used for quality improvement or research are warranted.
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Paediatric anaesthesia · May 2023
Improving safety in anesthetized patients undergoing Magnetic Resonance Imaging - Concept of timeout in the MRI suite and measures to improve adherence to timeout protocol.
The time-out protocol introduced by the Joint Commission is an important tool to prevent adverse events and improve safety in various health-care environments. However, its implementation and utilization involve human, social, behavioral as well as system issues. ⋯ Time-out protocol in an MRI suite provides a final check to the anesthesia team before the anesthetized patient is wheeled into MR gantry. Using quality improvement methodology, we increased the compliance of time-out protocol in the magnetic resonance imaging environment. Our study is an example how other institutions in India and elsewhere can adapt similar improvement strategies to enhance patient safety.
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Paediatric anaesthesia · May 2023
Children's perioperative multidimensional anxiety scale: Turkish cross-cultural adaptation.
The number of pediatric surgeries is constantly increasing. Evaluating anxiety levels in pediatric surgical patients is highly important in terms of preventing complications. ⋯ The CPMAS, which was developed by Chow et al. in English, had high validity and reliability levels for Turkey. It is recommended that the scale be used by healthcare professionals in Turkey in the assessment of surgery-related anxiety in children.
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Paediatric anaesthesia · May 2023
Randomized Controlled TrialEffects of Virtual Tour on Perioperative Pediatric Anxiety.
There is a high incidence of perioperative anxiety in the pediatric population, with adverse side effects, such as emergency delirium and maladaptive postoperative behaviors. ⋯ Our study confirms previous studies that found virtual tours for perioperative patients may reduce perioperative anxiety and improve satisfaction. We found no impact on longer-term outcomes.