Paediatric anaesthesia
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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.
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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.
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Paediatric anaesthesia · Oct 2021
Case ReportsPropofol-Induced Uric Acid Crystals: A Case of Cloudy Urine.
Propofol is an intravenous anesthetic agent commonly used intraoperatively as well as in the intensive care unit. Known short-term effects of propofol can include apnea, hypotension, and bradycardia. In children, the rarer adverse sequelae of intravenous anesthetics have received little attention. We present the case of a thirteen-year-old male who incidentally developed uric acid crystals in his urine following a short-duration propofol infusion.
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Paediatric anaesthesia · Oct 2021
Randomized Controlled TrialComparative Efficacy of C-MAC® Miller Videolaryngoscope Versus McGrath® MAC Size '1' Videolaryngoscope in Neonates and Infants Undergoing Surgical Procedures Under General Anesthesia: A Prospective Randomized Controlled Trial.
Various anatomical and physiological factors make intubation in infants challenging. C-MAC videolaryngoscope shows better results as compared to the conventional direct laryngoscopy for intubation in infants. McGrath MAC size-1 with a disposable Macintosh type blade has recently been introduced for use in infants and has not been formally evaluated in this population. ⋯ The C-MAC Miller blade showed similar intubation timings, success rates, and intubation difficulty score as compared to McGrath MAC in neonates and infants, though the former provided superior glottic views. Both the videolaryngoscopes may be safely used in infants and neonates for routine intubation scenarios.
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Paediatric anaesthesia · Oct 2021
Review Biography Historical ArticleAn interview with Dr. Anne Marie Lynn, A Pioneering Woman in Medicine.
Dr. Anne Marie Lynn (1949-present), Professor Emeritus of Anesthesiology, Pain Medicine, and Pediatrics at the University of Washington, Seattle, was one of the most influential women in pediatric anesthesiology of her generation. Dr. ⋯ A pioneer in pain medicine pharmacology, particularly morphine and ketorolac, her research transformed pediatric anesthesia, pediatric pain medicine, and pediatric intensive care medicine. Through her journal articles, book chapters, national and international lectures, mentoring of residents, fellows, and faculty, and leadership in the Society for Pediatric Anesthesia, she inspired a generation of women and men physicians by demonstrating that gender should not be a barrier to undertaking roles once only held only by men. In 2017, for her many contributions, she was awarded the Society for Pediatric Anesthesia's Myron Yaster lifetime achievement award.