Articles: postoperative.
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Paediatric anaesthesia · Sep 2023
Modified technique for endobronchial blocker placement in pediatric patients undergoing thoracic surgery.
One lung ventilation (OLV) in small children can be achieved using an Arndt endobronchial blocker (AEBB), but it presents challenges. OLV during thoracic procedures provides better surgical conditions and postoperative outcomes. ⋯ The described technique allows for fast, safe, and reliable OLV while maintaining the ability to reposition the AEBB.
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National guidelines for rational opioid prescribing for acute postoperative pain are needed to optimise postoperative pain control and function whilst minimising opioid-related harm. ⋯ The consensus papers provide guidance and recommendations based on the consensus of expert opinion that is based on the best available evidence. However, there is a lack of evidence supporting many of these consensus statements. Efforts to further analyse interventions that aim to reduce the rates of opioid prescribing and their adverse effects should therefore continue.