Paediatric anaesthesia
-
Paediatric anaesthesia · Mar 2021
Randomized Controlled TrialComparative Evaluation of One-handed Versus Two-handed Mask Holding Techniques in Children During Inhalational Induction of Anesthesia: A Randomized Crossover Study.
We aimed to evaluate if two-handed mask airway is superior to one-handed mask airway during inhalational induction of anesthesia in children. ⋯ In children with obstructive sleep apnea due to adenotonsillar hypertrophy, two-handed airway provides superior airway patency that was not influenced by the anesthetic depth.
-
Paediatric anaesthesia · Mar 2021
Hypotension and Adverse Neurodevelopmental Outcomes among Children with Multiple Exposures to General Anesthesia: Sub-analysis of the Mayo Anesthesia Safety in Kids (MASK) Study.
The potential adverse effects of exposures to general anesthesia on the developing human brain remain controversial. It has been hypothesized that hypotension accompanying anesthesia could be contributory. We hypothesized that among children exposed to multiple anesthetics prior to age 3, children developing adverse neurodevelopmental outcomes would be more likely to have intraoperative hypotension. ⋯ We did not find evidence to support the hypothesis that, among children exposed to multiple anesthetics prior to age 3, children developing adverse neurodevelopmental outcomes would be more likely to have intraoperative hypotension compared with those who did not.
-
Paediatric anaesthesia · Mar 2021
Anesthesia for Pediatric Patients with Anti-NMDA-Receptor Encephalitis: a retrospective case series.
Anti-N-methyl-D-aspartate receptor encephalitis is caused by auto-antibodies that target the N-methyl-D-aspartate receptor. Autonomic instability is a hallmark of the disease. The objective of this case series is to examine how anesthesia affects pediatric patients with this disease. ⋯ Although pediatric patients with anti-N-methyl-D-aspartate receptor encephalitis experienced vital sign changes with anesthesia, they were not clinically significant and they behaved similarly to controls. Disease severity may be a risk factor for perioperative complications.