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
Postoperative Recovery in Children: Turkish Cross-Cultural Adaptation.
Postoperative recovery is an individual process involving subjective experiences. The fact that children still experience high rates of complications associated with surgery requires the discovery of new evaluation methods. No studies in Turkey have reported a measurement instrument evaluating postoperative recovery in children. The purpose of this methodological study is to cross-culturally adapt the Postoperative Recovery in Children (PRiC) instrument into the Turkish language and test the validity and reliability of its Turkish version. ⋯ The Turkish version of PRiC has good reliability and validity. A validity and reliability study of PRiC to assess children's postoperative recovery in the context of different surgical operations should be conducted.
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Perioperative pain management impacts patient morbidity, quality of life, and hospitalization cost. In children, it impacts not only the child, but the whole family. Adjuncts for improved perioperative analgesia continue to be sought to minimize adverse side effects associated with opioids and for those in whom regional or neuraxial anesthesia is not suitable. ⋯ Despite the limited pediatric literature, some of these findings have been replicated. Large-scale trials providing evidence for the pediatric pharmacokinetics and high-quality safety data with respect to intravenous lidocaine are still however lacking. To date, dose ranges studied in the pediatric population have not been associated with serious side effects and current data suggests perioperative intravenous lidocaine in a subgroup of pediatric surgical patients seems well-tolerated and beneficial.