Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2021
Case ReportsNeedle decompression of the abdomen in a premature infant with abdominal compartment syndrome and cardiopulmonary arrest: a case report.
A premature infant with abdominal compartment syndrome underwent cardiopulmonary arrest before receiving decompressive laparotomy, and the effect of cardiopulmonary resuscitation was poor. The abdomen was punctured with an 18-gauge needle, alleviating the distension and resulting in successful cardiopulmonary resuscitation.
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Paediatric anaesthesia · Mar 2021
CommentA comparison of anesthetic protective barriers for the management of COVID-19 pediatric patients.
Barrier techniques, such as plastic sheets or intubation boxes, are purported to offer additional protection for healthcare workers. ⋯ A well-designed intubation box is an effective barrier against droplets and is noninferior to no barrier in relation to intubation time. However, a box interferes with laminar flow in theaters with formal ventilation systems and may result in accumulation of aerosols if it is completely enclosed.
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Paediatric anaesthesia · Mar 2021
Observational StudyOptimal insertion depth of subclavian vein catheterization via the right supraclavicular approach in children.
Methods to determine the optimal insertion depth of ultrasound-guided supraclavicular approach to the subclavian vein (SCV) catheterization, alternatively used for central venous access, are debatable in children. ⋯ Optimal insertion depth for an ultrasound-guided supraclavicular approach to the SCV catheterization can be calculated using modification of a surface landmark formula in children younger than 6 years and weight heavier than 5 kg.
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Paediatric anaesthesia · Mar 2021
Pediatric liver transplantation in Australia and New Zealand: The case for a collaborative anesthetic database.
Liver transplantation is conducted with strict oversight of organizational structure and clinical practice. However, specific regulations pertaining to the delivery of anesthetic services are lacking and consideration of departmental structure and mechanisms for quality control must occur at a local level. Busy centers collect and process sufficient data to guide this process but those with low case loads may not generate enough data for useful analysis. In Australia and New Zealand, pediatric liver transplants are performed at only four locations. As these operations are not equally distributed geographically or temporally there are periods of low activity at some centers. As anesthesia affects patient outcome, quality assurance activities are important in this setting. ⋯ Combining the anesthetic liver transplant data from all sites in a single registry would expand data collection and generate broadly applicable findings. We propose the establishment of an Australasian pediatric anesthetic liver transplant database.