Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2017
Observational StudyPosition and relative size of the vertebral artery according to age: Implications for internal jugular vein access.
The purpose of this retrospective observational study was to investigate the anatomical characteristics of the vertebral artery in pediatric patients using computed tomography images. ⋯ The theoretical risk of vertebral artery puncture is higher in younger children during internal jugular vein catheterization.
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Paediatric anaesthesia · Oct 2017
Biography Historical ArticleOutstanding contribution to pediatric anesthesiology: An interview with Dr. Robert H. Friesen.
Dr. Robert H. Friesen, (1946-) Professor of Anesthesiology, Children's Hospital Colorado, University of Colorado, Anschutz Medical Campus, has played a pivotal and pioneering role in the development of pediatric and congenital cardiac anesthesiology. ⋯ As a model clinician-scientist, educator, and administrator, he changed the practice of pediatric anesthesia and shaped the careers of hundreds of physicians-in-training, imbuing them with his core values of honesty, integrity, and responsibility. Based on a series of interviews with Dr. Friesen, this article reviews a career that advanced pediatric and congenital cardiac anesthesia during the formative years of the specialties.
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Paediatric anaesthesia · Oct 2017
Lower airway dimensions in pediatric patients-A computed tomography study.
The aim of this study was to obtain lower airway dimensions in children by means of computed tomography (CT). ⋯ This comprehensive anatomical database of lower airway dimensions demonstrates that tracheal and bronchial diameters correlate better to age, and that tracheal and bronchial length correlate better to body length. All measured airway parameters correlated poorly to body weight.
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Paediatric anaesthesia · Oct 2017
Anesthetic considerations for a novel anterior surgical approach to pediatric scoliosis correction.
Idiopathic scoliosis is a condition that may require surgical correction. Limitations of previous surgical modalities, however, created the need for novel methods of repair. One such technique, a newer form of anterolateral scoliosis correction, has shown considerable promise, which our center has had substantial experience performing. ⋯ The described anesthetic and analgesic management provides a framework for delivering perioperative care for this challenging procedure, which is gaining popularity as a modality for scoliosis correction.
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Paediatric anaesthesia · Oct 2017
The phenylephrine concentration-response relationship for blood pressure after nasal delivery in children.
Intranasal phenylephrine is commonly used to vasoconstrict the nasal mucosa, reducing bleeding associated with nasotracheal intubation or endoscopic sinus surgery. There are few data quantifying either absorption pharmacokinetics or phenylephrine concentration effect on blood pressure in children. ⋯ Absorption of phenylephrine through the nasal mucosa was rapid and similar to the ophthalmic formulation. Bioavailability was also similar to the ophthalmic formulation. The maximum effect (EMAX ) in children was half that in adults (EMAX 50 mm Hg).