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Pediatric anaesthesiology

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https://www.readbyqxmd.com/read/26985403/the-revised-guidelines-of-the-medical-council-of-india-for-academic-promotions-need-for-a-rethink
#1
Rakesh Aggarwal, Nithya Gogtay, Rajeev Kumar, Peush Sahni
Note: This editorial is being published simultaneously in the Indian Heart Journal, Indian Journal of Anaesthesia, Indian Journal of Gastroenterology, Indian Journal of Medical Ethics, Indian Journal of Medical Microbiology, Indian Journal of Occupational and Environmental Medicine, Indian Journal of Pathology and Microbiology, Indian Journal of Pharmacology, Indian Journal of Physiology and Pharmacology, Indian Journal of Urology, Indian Pediatrics, International Journal of Health Research & Medicolegal Practice, Journal of Anaesthesiology Clinical Pharmacology, Journal of Ayurveda and Integrative Medicine, Journal of Clinical and Scientific Research, Journal of Conservative Dentistry, Journal of Family Medicine and Primary Care, Journal of Indian Academy of Forensic Medicine, Journal of Mahatma Gandhi Institute of Medical Sciences, Journal of Postgraduate Medicine, National Journal of Integrated Research in Medicine, and The National Medical Journal of India...
October 2015: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/24749317/-application-of-desflurane-in-anaesthesiology
#2
REVIEW
D A Moshchev, A Iu Lubnin
Desflurane (Des)--is a modern inhalation anaesthetic available in Russia since August, 2013. Des is a halogenated ether; its chemical structure is 2-difluoromethoxy-1-1-1-2-tetrafluoroethane (C3H2F6O). Special thermocompensated evaporators are used for Des dosing. Low solubility in blood and tissues of an organism causes fast absorption and elimination of Des. Blood/gas distribution ratio of Des is 0.42. Des distinctive properties are high saturated vapor pressure, super short duration of action and average power...
January 2014: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/24193682/-case-report-fontan-patient-on-the-southside-festival-60-000-visitors-119-999-ventricles
#3
REVIEW
Stefan Bushuven, Ehrenfried Schindler
Patients with univentricular congenital heart disease are treated with Fontan-procedure for more than 40 years resulting in mainly good life-quality for pediatric and now more and more adult patients. Due to prolonged life expectation and adequate physical state, adolescent and adult Fontan-patients participate in normal life activities like the main population. Mass events like open-air concerts and sport events belong to these activities.Since 1999 the Southside Festival is one of the main open air events in southern Germany with about 60...
October 2013: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/23397661/belgian-recommendations-on-perioperative-maintenance-fluid-management-of-surgical-pediatric-population
#4
N Najafi, F Veyckemans, J Berghmans, F De Groote, A De Villé, J Huys, J Lauweryns, B Loveniers, T Pirotte, E Roofthooft, L Veeckman, T Verhaeghen, P M Vermeulen, K Vermeylen
The European recommendations on perioperative maintenance fluids in children have recently been adapted from hypotonic to isotonic electrolyte solutions with lower glucose concentrations. In Belgium, however, the commercially approved solutions do not match with these recommendations and there is neither consensus nor mandate about the composition and volume of perioperative maintenance fluids in children undergoing surgery despite the continuing controversy in literature. This paper highlights the significant challenges and shortcomings while prescribing fluid therapy for pediatric surgical patients in Belgium...
2012: Acta Anaesthesiologica Belgica
https://www.readbyqxmd.com/read/23134161/the-difficult-airway-trolley-in-pediatric-anesthesia-an-international-survey-of-experience-and-training
#5
COMPARATIVE STUDY
Alyson Calder, Mary Hegarty, Kylie Davies, Britta S von Ungern-Sternberg
BACKGROUND: The pediatric difficult airway can be unexpected, leading to significant morbidity and mortality. Standardized emergency airway equipment should be available on a regularly checked difficult airway trolley (DAT). We conducted a survey to investigate pediatric anesthetists' knowledge, experience, and confidence with the DAT. METHODS: Members of the Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI), European Society for Paediatric Anaesthesiology (ESPA) and their national societies, Canadian Pediatric Anesthesia Society (CPAS), and Society for Paediatric Anaesthesia in New Zealand and Australia (SPANZA) were invited to complete a survey between January and April 2011...
December 2012: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/22993932/-malignant-hyperthermia-in-a-child-case-report
#6
N V Lemeneva
This case report describes the malignant hyperthermia (MH) accident in 12-year old boy undergoing maxillary-facial surgery: Crisis began 30 min after normal sevoflurane induction. Patient was successfully treated hence the MH exhibited abortive course. One should considerthis case as urgent reason for dantrolen registration in Russia, because it is not officially available yet. And it also demonstrates the necessity for more vigilant relation to the MH especially in pediatric anaesthesiology.
May 2012: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/22985754/-the-objective-structured-clinical-evaluation-of-teaching-in-anaesthesiology-and-resuscitation
#7
M Echevarría Moreno, C Prieto Vera, A Martín Tellería, F Neira Reina, J S Martín, M L Fernández Jurado, J C Luis Navarro, J L Ortega Garcia, L Alarcón Martínez, R López-Cuervo Derqui
OBJECTIVES: To find out the acquirement of professional competencies of Anaesthesiology and Resuscitation medical residents at the end of their training period using the Objective Structured Clinical Evaluation (OCSE) tool. MATERIAL AND METHODS: Six competency components to evalúate were defined as follows: clinical interview (communication), technical ability and relationship abilities (leadership, decision making, work in a team), diagnostic assessment, therapeutic management, and medical records...
March 2012: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/21785359/how-many-training-modalities-are-needed-to-obtain-procedural-confidence-in-intraosseous-access-a-questionnaire-study
#8
Peter Hallas, Lars Folkestad, Mikkel Brabrand
Participants in advanced resuscitation courses are often expected to learn to perform intraosseous access (IO). But how many learning modalities are needed to achieve procedural confidence in IO? We distributed an online questionnaire to members of emergency medicine, paediatric and anaesthesiology societies in Scandinavia. The responders without real-life experience with IO (n=322) were classified as 'not confident' or 'confident' in IO. Of total responders 22.8% without training felt confident. Confidence increased to 74...
December 2011: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/21413426/-guidelines-for-safe-paediatric-anaesthesia-of-the-committee-on-quality-and-safety-in-anaesthesia-polish-society-of-anaesthesiology-and-intensive-therapy
#9
Andrzej Piotrowski
No abstract text is available yet for this article.
July 2010: Anestezjologia Intensywna Terapia
https://www.readbyqxmd.com/read/21252833/a-survey-of-anaesthesiology-residents-knowledge-of-resuscitation-guidelines
#10
Małgorzata Grześkowiak, Alicja Bartkowska-Śniatkowska, Jowita Rosada-Kurasińska
BACKGROUND: Several surveys have been published, documenting the lack of knowledge of cardiopulmonary resuscitation (CPR) among anaesthesiology residents. As a result, we decided to assess the competency of local trainees in basic and advanced CPR. METHODS: The survey was conducted among 26 residents in anaesthesiology who were asked twice (at the beginning, and at the end of refresher courses) to complete an open test on adult and paediatric CPR guidelines. RESULTS: The results in the first, introductory surveys were poor...
October 2010: Anestezjologia Intensywna Terapia
https://www.readbyqxmd.com/read/20593158/-endotracheal-tubes-in-pediatric-patients-published-formulas-to-estimate-the-optimal-size
#11
REVIEW
M von Rettberg, E Thil, H Genzwürker, C Gernoth, J Hinkelbein
BACKGROUND: Estimating the endotracheal tube size with the optimal internal diameter (ID) is of outstanding importance for airway management in pediatric patients. For many years different weight, height, and/or age-based formulas have been published. The aim of the present study was to identify and to compare published formulas to estimate optimal tube size in pediatric patients. MATERIALS AND METHODS: A PubMed search was performed to identify published formulas for tube diameter in pediatric patients...
April 2011: Der Anaesthesist
https://www.readbyqxmd.com/read/20209707/efficacy-and-safety-of-procedural-sedation-and-analgesia-by-paediatric-intensivist-in-paediatric-oncology-unit
#12
Anwarul Haque, Zahra Fadoo
Children with cancer especially acute leukaemia undergo multiple painful procedures like bone marrow biopsy (BM) and lumber puncture (LP) for intrathecal chemotherapy during their first year of treatment. The purpose of this study is to report safety and efficacy of Procedural Sedation and Analgesia (PSA) by paediatric intensivist for oncology procedures in controlled setting in paediatric oncology unit. During 20 months, 124 children received PSA for 499 procedures. 324 LP alone, 175 BM alone and 40 combined LP and BM were done...
February 2010: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/20149517/a-paediatric-cardiopulmonary-resuscitation-training-project-in-honduras
#13
Javier Urbano, Martha M Matamoros, Jesús López-Herce, Angel P Carrillo, Flora Ordóñez, Ramón Moral, Santiago Mencía
OBJECTIVES: It is possible that the exportation of North American and European models has hindered the creation of a structured cardiopulmonary resuscitation (CPR) training programme in developing countries. The objective of this paper is to describe the design and present the results of a European paediatric and neonatal CPR training programme adapted to Honduras. MATERIALS AND METHODS: A paediatric CPR training project was set up in Honduras with the instructional and scientific support of the Spanish Group for Paediatric and Neonatal CPR...
April 2010: Resuscitation
https://www.readbyqxmd.com/read/19693447/-out-of-hospital-pediatric-emergencies-perception-and-assessment-by-emergency-physicians
#14
C Eich, M Roessler, A Timmermann, J F Heuer, U Gentkow, B Albrecht, S G Russo
BACKGROUND: Out-of-hospital (OOH) pediatric emergencies have a relatively low prevalence. In Germany the vast majority of cases are attended by non-specialized emergency physicians (EPs) for whom these are not routine procedures. This may lead to insecurity and fear. However, it is unknown how EPs perceive and assess pediatric emergencies and how they could be better prepared for them. METHODS: All active EPs (n=50) of the Department of Anaesthesiology, Emergency and Intensive Care Medicine at the University Medical Centre of Göttingen were presented with a structured questionnaire in order to evaluate their perception and assessment of OOH pediatric emergencies...
September 2009: Der Anaesthesist
https://www.readbyqxmd.com/read/19576724/-medical-paediatric-simulation-a-european-survey
#15
V Lassalle, J Berton, G Bouhours, M Péres, G Bossard, J-C Granry
OBJECTIVE: To present the effective applications of paediatric medical simulation in terms of education, evaluation, density, development, goals and constraints. STUDY DESIGN: Survey realized within 38 paediatric simulation centres (PSC) in Europe, identified by Web search and through the Society in Europe for Simulation Applied to Medicine (SESAM. RESULTS: Twenty centers answered the questionnaire (52%). Ninety-four percent of the PSC had beforehand acquired an experience of adult medical simulation, 94...
July 2009: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/19236599/specialist-training-in-pediatric-anesthesia-the-scandinavian-approach
#16
REVIEW
Tom G Hansen
There has been a great deal of focus on specialist training in pediatric anesthesia in the last decade or so. Internationally, however, there is still no uniform agreement as to how such a training program should be arranged and organized. Since September 2003, the Scandinavian Society of Anaesthesiology and Intensive Care Medicine has coordinated an advanced Inter-Nordic educational program in pediatric anesthesia and intensive care. The training program is managed by a Steering Committee. This program is intended for physicians who recently have received their specialist degree in anesthesiology and intensive care...
May 2009: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/19090429/-anaesthesiological-aspects-of-paediatric-medical-care-in-non-specialised-departments
#17
B Pohl
Paediatric perioperative care represents specific challenges related to the distinct developmental, anatomic and physiological characteristics of children, requiring specialised expertise, including pharmacology. A specially trained anaesthesia team, an appropriate environment and appropriate paediatric-sized equipment (endotracheal tubes, cannulas) represent key factors in determining the perioperative outcome for this population. Other important equipment that must be adapted to the paediatric population include: Non-invasive anaesthesia monitoring equipment (ECG, blood pressure cuff, pulse oximetry, capnography, oxygen monitor, volatile gas concentration monitor, peripheral nerve stimulator and temperature probe); as well as specialised ventilators that allow pressure- and volume-controlled ventilation with volumes as low as 20 ml, variable high frequency ventilation up to 60 breaths per minute and paediatric ventilator hose systems with automatic correction for compliance...
December 2008: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/18509609/-video-assisted-patient-education-in-anaesthesiology-possibilities-and-limits-of-a-new-procedure-for-improvement-of-patient-information
#18
REVIEW
C Salzwedel, S Marz, M Bauer, M Schuster
In video-assisted patient education (ViPa), patients watch an educational video about the process and the risks of anaesthesia in addition to the preanaesthetic interview with the anaesthesiologist. Used as a supplement to the preanaesthetic visit, the videos can increase patients' knowledge and satisfaction without having any negative effect on perioperative anxiety. Because the video graphically depicts the basic information, the preanaesthetic visit can then focus on specific aspects of the individual patient, i...
June 2008: Der Anaesthesist
https://www.readbyqxmd.com/read/18402337/-critical-reading-of-clinical-research-reports-among-resident-doctors-at-imss-of-five-specialties-exploratory-national-study
#19
Félix A Leyva-González, Leonardo Viniegra-Velázquez, Enrique Espinosa-Huerta, José Arturo Robles-Páramo
INTRODUCTION: Critical reading holds an important role in methodical criticism of clinical aptitude, which contributes to its perfection, which would be indispensable in the study and consideration in the continuing formation of the medical resident. OBJECTIVE: To investigate the degree of development of critical reading of information of clinical investigation, in medical residents of five specialties in the country. MATERIAL AND METHODS: A cross-sectional study took place, in 3060 medical residents of five residencies (internal medicine n=474, pediatric n=358, family medicine n=1651, ER/doctor surgical n=269 and anaesthesiology n=308)...
November 2007: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
https://www.readbyqxmd.com/read/17375310/ultrasound-guided-percutaneous-placement-of-ventriculoatrial-shunts
#20
L Ellegaard, S Mogensen, M Juhler
INTRODUCTION: In accordance with the literature on ventriculoatrial (VA) shunts, a percutaneous approach to the internal jugular vein is preferable to surgical preparation of the vein before catheter placement. Inspired by the above and the problems still remaining in the percutaneous method and successful results from anaesthesiology with the use of ultrasound-guided placement of central venous catheters, we have implemented an ultrasound-guided percutaneous technique for placement of VA shunts including pre- and intraoperative ultrasound guidance...
August 2007: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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