Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2018
Comparative StudyThe incidence of postoperative respiratory complications: A retrospective analysis of cuffed vs uncuffed tracheal tubes in children 0-7 years of age.
The use of cuffed vs uncuffed endotracheal tubes in pediatric anesthesia is widely debated. This study aimed to investigate whether the use of cuffed vs uncuffed tubes is associated with an increased incidence of acute postoperative respiratory complications. ⋯ After adjustment for multiple confounders, the use of cuffed tubes was not associated with an increased incidence of acute respiratory complications in postanesthesia care unit.
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Paediatric anaesthesia · Mar 2018
Cost-effectiveness of intravenous acetaminophen and ketorolac in adolescents undergoing idiopathic scoliosis surgery.
Enhanced recovery after surgery protocols increasingly use multimodal analgesia after major surgeries with intravenous acetaminophen and ketorolac, despite no documented cost-effectiveness of these strategies. ⋯ Intravenous acetaminophen with or without ketorolac reduced opioid consumption, opioid-related adverse effects, length of stay, and thereby cost of care following idiopathic scoliosis in adolescents compared with opioids-alone postoperative analgesia strategy.
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Paediatric anaesthesia · Mar 2018
Oesophageal atresia: Are "long gap" patients at greater anesthetic risk?
Long gap oesophageal atresia occurs in approximately 10% of all oesophageal atresia infants and surgical repair is often difficult with significant postoperative complications. Our aim was to describe the perioperative course, morbidity, and early results following repair of long gap oesophageal atresia and to identify factors which may be associated with complications. ⋯ Long gap oesophageal atresia infants have a similar incidence of perioperative complications to other infants with oesophageal atresia. Current surgical approaches to long gap repair, however, are associated with longer anesthetic exposures and require multiple procedures in infancy to achieve oesophageal continuity.
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Paediatric anaesthesia · Mar 2018
Incidence and factors contributing to postdischarge nausea and vomiting in pediatric ambulatory surgical cases.
Little is known regarding the incidence and contributing factors of postdischarge nausea and vomiting in children. ⋯ We found an incidence of postdischarge nausea and vomiting of 14%. Intraoperative and postdischarge opioids increase the risk, with long-acting intraoperative opioids further accentuating the risk.
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Paediatric anaesthesia · Mar 2018
Comment LetterReply to Clark, Natasha; Morris, Stephen; Sargant, Nicholas, regarding their comment "Comment on Case Report 'Anaphylactic reaction to tranexamic acid in an adolescent undergoing posterior spinal fusion' by Chiem J, Ivanova I, Jimenez N et al. Paediatric Anaesthesia 2017;27: 774-775."