Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2014
The relationship between head and neck position and endotracheal tube intracuff pressure in the pediatric population.
Over the past few years, there has been a change in clinical practice with a transition to the use of cuffed instead of uncuffed endotracheal tubes (ETTs) in pediatric patients. These changes have led to concerns regarding unsafe intracuff pressures in pediatric patients, which may result in postoperative morbidity. To avoid these issues, it is generally suggested that the intracuff pressure be maintained at ≤30 cmH2 O. The current study prospectively assesses the changes in intracuff pressure related to alterations in head and neck position in pediatric patients. ⋯ Significant changes in the intracuff pressure occur with changes in head and neck position. In several cases, this resulted in a significant increase in the intracuff pressure. For prolonged cases with the head and neck turned from the neutral position, the intracuff pressure should be measured following patient positioning to ensure that the intracuff pressure is within the clinically recommended range.
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Paediatric anaesthesia · Mar 2014
Randomized Controlled TrialImplicit memory formation using the word stem completion task during anesthesia in children.
To determine whether there is evidence of implicit memory formation during pediatric anesthesia using the word stem completion task. ⋯ This study found no strong evidence that children form implicit memories for auditory words during anesthesia. Given the difference between lists, future research is warranted using carefully chosen word stems.
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Paediatric anaesthesia · Mar 2014
Straight video blades are advantageous than curved blades in simulated pediatric difficult intubation.
It is still controversial which laryngoscope may be a better option in unanticipated difficult airway in pediatric patients. The aim of the present study was to compare two direct and two video-assisted laryngoscope devices for the management of difficult pediatric airway. ⋯ Storz Miller laryngoscope was found to have advantages over the other laryngoscopes in regard to glottic view, duration of successful intubation, number of attempts, dental trauma severity, need for additional maneuvers, and ease of use.
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Paediatric anaesthesia · Mar 2014
Status of pediatric anesthesiology fellowship research education in the United States: a survey of fellowship program directors.
Currently, very little information is known regarding the research education of pediatric anesthesia fellows. ⋯ Structured research curriculum is associated with increased research productivity during pediatric anesthesia fellowship. Important barriers to fellows' research education include high clinical demands and lack of research time for faculty. Despite acknowledging the poor research education, a small minority of fellowship directors supports the addition of an extra year exclusively dedicated to research.