Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2021
Randomized Controlled TrialEffects of tip-manipulated stylet angle on intubation using the GlideScope® videolaryngoscope in children: a prospective randomized controlled trial.
An optimal endotracheal tube curve can be a key factor in successful intubation using the GlideScope videolaryngoscope. ⋯ Having additional angle of the endotracheal tube tip to the left could be a useful technique to facilitate directing and advancing endotracheal tube into the vocal cords.
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Paediatric anaesthesia · Jul 2021
Observational StudyImpact of a revised postoperative care plan on pain and recovery trajectory following paediatric tonsillectomy.
A previous cohort of adenotonsillectomy patients at our institution demonstrated moderate-severe post-tonsillectomy pain scores lasting a median (range) duration of 6 (0-23) days and postdischarge nausea and vomiting affecting 8% of children on day 1 following surgery. In this subsequent cohort, we evaluate the impact of changes to our discharge medication and parental education on post-tonsillectomy pain and recovery profile. ⋯ Despite extensive changes to our discharge protocols parents continued to report a prolonged period of pain, post operative nausea and vomiting, and behavioral changes. Further work is required to examine barriers to compliance with simple analgesia and education in appropriate methods of opioid disposal.