Editor's picks for the pediatric anesthesia article of the day: February 2024
Pediatric Anesthesia
by Melissa Brooks Peterson, Justin L. Lockman, Myron Yaster
23h ago
Pediatric Anesthesia, EarlyView ..read more
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Pediatric anesthesia in Mongolia and Thailand
Pediatric Anesthesia
by Pornarun Charoenraj, Zolzaya Chinzorig, Dolgorsuren Adiya, Naiyana Aroonpruksakul, Khuanysh Ayatkhan, Oyun Bayarsaikhan, Odgerel Boldbaatar, Duenpen Horatanaruang, Urantuya Khorolsaikhan, Pornswan Ngamprasertwong, Tumenjargal Purev‐Oidov, Solongo Tumur, Justin Skowno
6d ago
Abstract Introduction and history In Mongolia, pediatric anesthesia has advanced during the past 25 years through expanded, standardized education programs and international collaboration. Pediatric anesthesia is a recognized specialty, covering all surgical services, including cardiac and transplant, using physicians and nurses. Training The pediatric anesthesia fellowship is 6 months after 2 years of residency; pediatric nurse anesthesia training is 6 months. Conclusion As a Low- and Middle-Income Country (LMIC) with low population density and extreme weather, the challenges include insuffic ..read more
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Halothane: Why we still use it
Pediatric Anesthesia
by Raymond Ndikontar Kwinji
1w ago
Pediatric Anesthesia, EarlyView ..read more
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Pediatric anesthesiology in Brazil, Chile, and Mexico
Pediatric Anesthesia
by Vinícius Caldeira Quintão, Mario Concha, Lina Andrea Sarmiento Argüello, Silvana Cavallieri, Luis I. Cortinez, Gabriel Soares de Sousa, Marcella Marino Malavazzi Clemente, Ricardo Vieira Carlos, Juan Manuel Rodríguez, Karla Gutiérrez, Denis H. Jablonka, Annery G. García‐Marcinkiewicz
1w ago
Abstract Background Latin America comprises an extensive and diverse territory composed of 33 countries in the Caribbean, Central, and South America where Romance languages–languages derived from Latin are predominantly spoken. Economic disparities exist, with inequitable access to pediatric surgical care. The Latin American Surgical Outcomes Study in Pediatrics (LASOS-Peds), a multi-national collaboration, will determine safety of pediatric anesthesia and perioperative care. Objective Below, we provide a descriptive initiative to share how pediatric anesthesia in Brazil, Chile, and Mexico ope ..read more
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Brain drain in pediatric anesthesiology: The geographic and demographic distribution of national origin among pediatric anesthesiologists in the United States
Pediatric Anesthesia
by Liam K. Sullivan, Guillermo Saldaña, Cody W. Williams, Yuli Lim, Richard M. Hubbard
1w ago
Abstract Background American pediatric anesthesiologists have a long history of international volunteerism. However, the US healthcare system also benefits from the contributions of a large number of physicians who come from other nations to work within its borders. Despite this fact, little is known about the contribution of international medical graduates (IMG) to the pediatric anesthesiology subspecialty. Aims To characterize the contribution of IMG to the field of pediatric anesthesiology in the United States, and to elucidate the geographic and demographic distribution of their national o ..read more
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In this issue June 2024
Pediatric Anesthesia
by
1w ago
Pediatric Anesthesia, EarlyView ..read more
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Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients
Pediatric Anesthesia
by Hannah Lonsdale, Kurt Rodriguez, Ryan Shargo, Morgan Ekblad, Jerry M. Brown, Isabella Dolan, Jamie L. Fierstein, Alexandra Miller, Aditi Dey, Jacquelin Peck, Mohamed A. Rehman, Michael J. Wilsey
1w ago
Abstract Background Anesthesia is required for endoscopic removal of esophageal foreign bodies (EFBs) in children. Historically, endotracheal intubation has been the de facto gold standard for airway management in these cases. However, as more elective endoscopic procedures are now performed under propofol sedation with natural airway, there has been a move toward using similar Monitored Anesthesia Care (MAC) for select patients who require endoscopic removal of an EFB. Methods In this single-center retrospective cohort study, we compared endoscopic EFB removal with either MAC or endotracheal ..read more
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Coffin–Siris syndrome and delayed emergence—Is this an unusual or unknown anesthetic complication?
Pediatric Anesthesia
by Prasadkanna Prabhakar, Samuel David Chandran, Shalaka Ashok Tembhurne, Amit Mathew, Ekta Rai
2w ago
Pediatric Anesthesia, EarlyView ..read more
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Case series of peripherally inserted central catheter insertion in young children: A new approach to the axillary vein
Pediatric Anesthesia
by Peter Frykholm, Ali‐Reza Modiri, Robert Frithiof
2w ago
Abstract Background We have developed a new approach for peripherally inserted central catheter (PICC) insertion that we think has several advantages, including ease of insertion, access to a larger vein and patient comfort. Methods In this case series report, the first 19 cases were audited. Results All PICCs were inserted without complications; 17 on the first attempt. Conclusion We conclude that the novel approach to the axillary vein for PICC insertion is feasible and appears to be safe when performed by an experienced operator ..read more
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Improving perioperative acetaminophen administration for safer and cost‐effective multimodal analgesia in pediatric surgery: A QI initiative
Pediatric Anesthesia
by Richard M. Mahon, Prabi Rajbhandari, Todd A. Brown, Laurie J. Engler, Tarun Bhalla
2w ago
Abstract Background The use of acetaminophen in the perioperative period has emerged as an attractive option for providing safer and cost-effective analgesia in children. Aims The primary aim of our project was to increase the use of acetaminophen (both oral and intravenous) in the perioperative period from a baseline of 39.5% to 50% for all surgical patients within 24 months. The secondary aim was to increase the use of enteral acetaminophen from 10% to 52.5% during the same period. Methods A multidisciplinary team was formed, and model for improvement was chosen as the QI methodology. The pr ..read more
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