keyword
Keywords pediatrics critical care and a...

pediatrics critical care and anesthesia

https://read.qxmd.com/read/38523120/the-sensitivity-of-limited-sequence-mri-in-identifying-pediatric-cervical-spine-injury-a-western-pediatric-surgery-research-consortium-multicenter-retrospective-cohort-study
#1
JOURNAL ARTICLE
Caroline Melhado, Rachelle Durand, Katie W Russell, Natalya E Polukoff, John Rampton, Rajiv R Iyer, Shannon N Acker, Richele Koehler, Connor Prendergast, Nicholas Stence, Brent O'Neill, Benjamin E Padilla, Ramin Jamshidi, Jennifer A Vaughn, Jennifer S Ronecker, Leigh Selesner, Katrine Lofberg, Michael Regner, Jaclyn Thiessen, Christine Sayama, Ryan G Spurrier, Erin E Ross, Chia-Shang Jason Liu, Jason Chu, Kathryn McNevin, Catherine Beni, Bryce R H Robinson, Ken Linnau, Robert T Buckley, Stephanie D Chao, Akanksha Sabapaty, Elizabeth Tong, Laura M Prolo, Romeo Ignacio, Gretchen Floan Sachs, Peter Kruk, David Gonda, Mark Ryan, Samir Pandya, Korgun Koral, Bruno P Braga, Kurtis Auguste, Aaron R Jensen
INTRODUCTION: Clinical clearance of a child's cervical spine after trauma is often challenging due to impaired mental status or an unreliable neurologic examination. Magnetic resonance imaging (MRI) is the gold standard for excluding ligamentous injury in children but is constrained by long image acquisition times and frequent need for anesthesia. Limited-sequence MRI (LSMRI) is used in evaluating the evolution of traumatic brain injury and may also be useful for cervical spine clearance while potentially avoiding the need for anesthesia...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38464354/burden-of-routine-orthopedic-implant-removal-a-single-center-retrospective-study
#2
JOURNAL ARTICLE
Ammar K AlOmran, Nader Alosaimi, Ahmed A Alshaikhi, Omar M Bakhurji, Khalid J Alzahrani, Basil Ziyad Salloot, Tamim Omar Alabduladhem, Ahmed I AlMulhim, Arwa Alumran
BACKGROUND: Open reduction and internal fixation represent prevalent orthopedic procedures, sparking ongoing discourse over whether to retain or remove asymptomatic implants. Achieving consensus on this matter is paramount for orthopedic surgeons. This study aims to quantify the impact of routine implant removal on patients and healthcare facilities. A retrospective analysis of implant removal cases from 2016 to 2022 at King Fahad Hospital of the University (KFHU) was conducted and subjected to statistical scrutiny...
February 18, 2024: World Journal of Orthopedics
https://read.qxmd.com/read/38441068/the-intersection-of-pediatric-anesthesiology-and-social-determinants-of-health
#3
JOURNAL ARTICLE
Sarah R Martin, Zeev N Kain
PURPOSE OF REVIEW: There is increasing evidence of racial and ethnic disparities in pediatric perioperative care, which indicates a need to identify factors driving disparities. Social determinants of health (SDOH) play a fundamental role in pediatric health and are recognized as key underlying mechanisms of healthcare inequities. This article summarizes recent research exploring the influence of SDOH on pediatric perioperative outcomes. RECENT FINDINGS: Despite the scarcity of research exploring SDOH and pediatric perioperative outcomes, recent work demonstrates an association between SDOH and multiple outcomes across the perioperative care continuum...
February 27, 2024: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/38416105/analysis-of-adverse-events-in-the-postanesthesia-unit-at-a-tertiary-pediatric-hospital
#4
JOURNAL ARTICLE
Aihua Liu, Yun Shi
PURPOSE: The postanesthesia care unit (PACU) is an indispensable part of modern medicine which provides critical care to patients to ensure safe and smooth emergence from anesthesia. The adverse events in the PACU have been widely investigated in adults. However, little is known about the adverse events in pediatric populations. This study was designed to investigate adverse events, including the incidence, disease spectrum, and possible risk factors, in pediatric patients in the PACU at a tertiary pediatric hospital...
February 26, 2024: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/38392615/state-of-the-art-in-pediatric-anesthesia-a-narrative-review-about-the-use-of-preoperative-time
#5
REVIEW
Fabio Sbaraglia, Christian Cuomo, Filomena Della Sala, Rossano Festa, Rossella Garra, Federica Maiellare, Daniela Maria Micci, Domenico Posa, Cecilia Maria Pizzo, Angela Pusateri, Michelangelo Mario Spano, Monica Lucente, Marco Rossi
This review delves into the challenge of pediatric anesthesia, underscoring the necessity for tailored perioperative approaches due to children's distinctive anatomical and physiological characteristics. Because of the vulnerability of pediatric patients to critical incidents during anesthesia, provider skills are of primary importance. Yet, almost equal importance must be granted to the adoption of a careful preanesthetic mindset toward patients and their families that recognizes the interwoven relationship between children and parents...
February 6, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38384587/inhaled-volatiles-for-status-asthmaticus-epilepsy-and-difficult-sedation-in-adult-icu-and-picu-a-systematic-review
#6
REVIEW
Kevin Gorsky, Sean Cuninghame, Kesikan Jayaraj, Marat Slessarev, Conall Francoeur, Davinia E Withington, Jennifer Chen, Brian H Cuthbertson, Claudio Martin, Martin Chapman, Saptharishi Lalgudi Ganesan, Nicole McKinnon, Angela Jerath
OBJECTIVES: Inhaled volatile anesthetics support management of status asthmaticus (SA), status epilepticus (SE), and difficult sedation (DS). This study aimed to evaluate the effectiveness, safety, and feasibility of using inhaled anesthetics for SA, SE, and DS in adult ICU and PICU patients. DATA SOURCES: MEDLINE, Cochrane Central Register of Controlled Trials, and Embase. STUDY SELECTION: Primary literature search that reported the use of inhaled anesthetics in ventilated patients with SA, SE, and DS from 1970 to 2021...
February 2024: Critical care explorations
https://read.qxmd.com/read/38360404/continuous-infusion-of-beta-lactam-antibiotics-in-pediatric-intensive-care-unit-a-monocenter-before-after-implementation-study
#7
JOURNAL ARTICLE
Gwendoline Ragonnet, Romain Guilhaumou, Omar Hanafia, Nadège Néant, Solène Denante, Noémie Vanel, Stéphane Honoré, Fabrice Michel
CONTEXT: Beta-lactam continuous infusion (CI) is currently recommended in adult intensive care units to achieve target concentrations. In pediatric intensive care (PICU), few studies suggest the value of Beta-lactam CI to achieve target concentration. Our objective was to analyze the impact of Beta-lactam CI protocolization on the achievement of target concentration in PICU patients. MATERIAL AND METHODS: We conducted a single-center retrospective study in patients with beta-lactam treatment for more than 2 days and at least one sample for therapeutic drug monitoring (TDM)...
February 13, 2024: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/38321802/global-pediatric-anesthesia-anglophone-west-africa-perspective
#8
REVIEW
Ibironke Desalu, Pokua Sarpong, Maryrose O Osazuwa, Raymond Ndikontar Kwinji, Aramide Folayemi Faponle, Musa Kallamu Suleiman, Junette Metogo Mbengono Epse Njoki, Iniabasi Ilori, Olayinka R Eyelade, Anastasia Abena Ohene, Audrey Anno, William Addison
BACKGROUND: This article gives the pediatric anesthesia perspective from Cameroon, Nigeria, Ghana, Liberia, and Gambia, five out of six countries in Anglophone West Africa. Over 40% of the population of most of these countries are younger than 14 years and there is an increasing need for paediatric anesthesia services. FINDINGS: Workforce density ranges from 0.08 to 0.58 physician anesthesia providers per 100,000 population. There are only 13 trained pediatric anesthetists; ratios range from 0 to 0...
February 6, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38320860/a-comparative-study-to-confirm-the-endotracheal-tube-placement-using-ultrasonography-and-standard-auscultation-method-in-children
#9
JOURNAL ARTICLE
Neha Sinha, Nandita Kad, Mayuri Golhar, Disha Gupta, Anshul Anshul, Prakriti Bishnoi
BACKGROUND: In pediatric patients due to shorter trachea suboptimal positioning of endotracheal tube (ETT) is seen in 20%-50% of patients triggering grave complications. We compared standard auscultation and ultrasound-guided lung sliding to confirm the position of ETT in children. METHODS: Seventy-five pediatric patients between 2-8 years of age, American Society of Anesthesiologists physical status classification I and II scheduled for surgery under general anesthesia with endotracheal intubation were studied...
September 1, 2023: Asian Journal of Anesthesiology
https://read.qxmd.com/read/38283550/evaluation-of-perioperative-risk-factors-in-pediatric-patients-with-left-ventricle-outflow-tract-obstruction
#10
JOURNAL ARTICLE
Canan Salman Önemli, Kübra Evren Şahin, Mustafa Karaçelik, Çagatay Bilen
INTRODUCTION: Left ventricular outflow tract obstructions (LVOTO) presents as complex cardiac diseases accompanied by other cardiac anomalies in the pediatric age group. Postoperative complications, especially cardiac, pulmonary, and renal complications, that may develop after pediatric cardiac surgery can become life-threatening. If the perioperative risk factors for these complications are known in pediatric patients with LVOTO, anesthesiologists and surgeons may take precautions to eliminate undesirable outcomes...
December 2023: Polish Journal of Cardio-Thoracic Surgery
https://read.qxmd.com/read/38264926/where-have-all-the-pediatric-anesthesiology-fellows-gone-in-the-usa-anesthesiology-fellowship-trends
#11
JOURNAL ARTICLE
Andrew J Giustini, Erica L Sivak, Viviane G Nasr, Franklyn P Cladis, Dean B Andropoulos, Nina Deutsch, Justin L Lockman, Bree Bower, Marco Corridore, Matthew K Muffly
BACKGROUND: Recent consternation over the number of unfilled Pediatric Anesthesiology fellowship positions in the United States compelled us to assess the change in the ratio of Pediatric Anesthesiology fellows to the number of graduating anesthesiology residents over the 14-year period between 2008 and 2022. We also sought to report the total ratio of anesthesiology fellows to graduating residents and trends in the annual number of fellowship applicants relative to the number of Accreditation Council for Graduate Medical Education (ACGME)-accredited anesthesiology fellowship positions by specialty...
January 24, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38251614/pediatric-anesthesia-in-the-community
#12
REVIEW
Richard P Dutton, Robert B Bryskin, Marion 'Red' Starks, Aesha S Shukla, Olivia Lounsbury
Pediatric anesthesia is a diverse subspecialty practiced at thousands of hospitals and ambulatory surgery centers across the country. Most unusual and high-risk cases are performed in dedicated children's hospitals. However, the majority of cases and practitioners are based in the community. We present a review of demographics in pediatric anesthesia in the United States across 7 years of data from US Anesthesia Partners, a national anesthesia practice, which covers the full range of hospitals and outpatient facilities...
December 2023: Advances in Anesthesia
https://read.qxmd.com/read/38240602/proceedings-of-the-28th-annual-congress-of-the-international-liver-transplantation-society
#13
JOURNAL ARTICLE
Johns Shaji Mathew, Alexandra Shingina, Mohammad Qasim Khan, Elizabeth Wilson, Nicholas Syn, Ashwin Rammohan, Felipe Alconchel, Abdul Rahman Hakeem, Sadhana Shankar, Dhupal Patel, Onur Keskin, Jiang Liu, David Nasralla, Alessandra Mazzola, Madhukar S Patel, Tomohiro Tanaka, David Victor, Uzung Yoon, Young-In Yoon, Carmen Vinaixa, Varvara Kirchner, Eleonora De Martin, R Mark Ghobrial, Ryan Chadha
The 2023 Joint International Congress of the International Liver Transplantation Society (ILTS), the European Liver and Intestine Transplant Association (ELITA), and the Liver Intensive Care Group of Europe (LICAGE) held in Rotterdam, the Netherlands, marked a significant recovery milestone for the liver transplant community after COVID-19. With 1159 participants and a surge in abstract submissions, the event focused on "Liver Disorders and Transplantation: Innovations and Evolving Indications." This conference report provides a comprehensive overview of the key themes discussed during the event, encompassing Hepatology, Anesthesia and Critical Care, Acute Liver Failure, Infectious Disease, Immunosuppression, Pediatric Liver Transplantation, Living Donor Liver Transplantation, Transplant Oncology, Surgical Approaches, and Machine Perfusion...
January 22, 2024: Liver Transplantation
https://read.qxmd.com/read/38166574/major-pneumothorax-during-pediatric-cardiac-mri-procedure-under-general-anesthesia-step-by-step-analysis-and-importance-of-a-well-known-environment-and-material
#14
JOURNAL ARTICLE
Quentin Delhez, Laurent Bairy, John Mitchell, Adrien Maseri
BACKGROUND: To perform step-by-step analysis of the different factors (material, anesthesia technique, human, and location) that led to major pneumothorax during an infrequent pediatric cardiac MRI and to prevent its occurrence in the future. Anesthesia equipment used in a remote location is often different than those in operating rooms. For magnetic resonance imaging (MRI), ventilation devices and monitors must be compatible with the magnetic fields. During cardiac MRI numerous apneas are required and, visual contact with the patient is limited for clinical evaluation...
January 2, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38158251/diagnostic-accuracy-of-the-pediatric-cam-icu-pre-school-cam-icu-pediatric-anesthesia-emergence-delirium-and-cornell-assessment-of-pediatric-delirium-for-detecting-delirium-in-the-pediatric-intensive-care-unit-a-systematic-review-and-meta-analysis
#15
REVIEW
Iftitakhur Rohmah, Yi-Chen Chen, Chia-Jou Lin, Nan-Hsuan Tsao, Hsiao-Yean Chiu
OBJECTIVES: Delirium is a frequent complication of critical illness, affecting 34% of children admitted to pediatric intensive care units. The commonly used tools for detecting delirium in the pediatric intensive care unit include the Pediatric Confusion Assessment Method for the intensive care unit (ICU, pCAM-ICU), Preschool Confusion Assessment Method for the ICU (psCAM-ICU), Pediatric Anesthesia Emergence Delirium and the Cornell Assessment of Pediatric Delirium. DATA SOURCES: We searched four electronic databases for relevant articles from inception to March 1, 2023...
December 28, 2023: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/38142866/electroencephalographic-density-spectral-array-monitoring-during-propofol-sevoflurane-coadministration-in-children-an-exploratory-observational-study
#16
JOURNAL ARTICLE
Iris J de Heer, Hannah A C Raab, Stephan Krul, Gulhan Karaoz-Bulut, Robert-Jan Stolker, Frank Weber
INTRODUCTION: Propofol and sevoflurane have a long history in pediatric anesthesia. Combining both drugs at low dose levels offers new opportunities. However, monitoring the hypnotic effects of this drug combination in children is challenging, because the currently available processed EEG-based systems are insufficiently validated in young children and the co-administration of anesthetics. This study investigated electroencephalographic density spectral array monitoring during propofol/sevoflurane coadministration with fixed sevoflurane- and variable propofol dosages...
December 22, 2023: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/38129208/retrospective-comparison-of-recombinant-activated-factor-vii-versus-4-factor-prothrombin-complex-concentrate-in-cardiac-surgical-patients
#17
JOURNAL ARTICLE
David Faraoni, Anna Guindi, Ashish A Ankola, Ashraf Resheidat, Ziyad Binsalamah, Jun Teruya, Fabio Savorgnan, David F Vener
OBJECTIVES: To compare the incidences of postoperative thrombotic complications, transfusion of blood products, and chest tube output in congenital cardiac surgical patients who received either recombinant activated factor VII (rFVIIa) or 4-factor prothrombin complex concentrate (4F-PCC). DESIGN: We performed a retrospective study. SETTING: Patients who underwent surgery at a tertiary academic hospital. PARTICIPANTS: Pediatric patients who underwent cardiac surgery...
November 30, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38071737/a-single-center-retrospective-analysis-to-compare-measurement-of-fibrinogen-using-the-teg6-analyzer-to-the-clauss-measurement-in-children-undergoing-heart-surgery
#18
JOURNAL ARTICLE
Nischal Gautam, Vy Tran, Evelyn Griffin, Jehan Elliott, Eric Rydalch, Kelbie Kerr, Alex J Wilkinson, Xu Zhang, Sepideh Saroukhani
BACKGROUND: Newer generation viscoelastic tests, TEG6s, offer point-of-care hemostatic therapy in adult patients. However, their efficacy in estimating fibrinogen levels in pediatric patients undergoing cardiac surgery is not well established. AIMS: This study evaluates TEG6s for estimating fibrinogen levels in pediatric cardiac surgery patients and its predictive capability for post-bypass hypofibrinogenemia. METHODS: A single-center, retrospective study on pediatric patients (under 18 years) who underwent cardiac surgery with cardiopulmonary bypass from August 2020 and November 2022...
December 10, 2023: Paediatric Anaesthesia
https://read.qxmd.com/read/38056790/point-of-care-ultrasound-in-pediatrics-a-review-and-update
#19
REVIEW
Saul Flores, Erik Su, Justin M Moher, Adam C Adler, Alan F Riley
Point-Of-Care-Ultrasound (POCUS) has encountered a tremendous expansion in patient care. POCUS has taken a central role during invasive procedures. POCUS has expanded to most subspecialties from adult to pediatric and neonatal health care. POCUS in pediatrics has also become part of specific critical situations such as myocardial function assessment during cardiac arrest, ECMO deployment and neurological evaluation. In this review we will go over the most important historical aspects of POCUS. We will also review important aspects of POCUS in the intensive care unit, cardiologist evaluation and in the emergency department among others...
December 4, 2023: Seminars in Ultrasound, CT, and MR
https://read.qxmd.com/read/38048987/jelly-snakes-to-reduce-early-postoperative-vomiting-in-children-after-adenotonsillectomy-the-randomized-controlled-snakes-trial
#20
JOURNAL ARTICLE
David Sommerfield, Aine Sommerfield, Daisy Evans, R Nazim Khan, Abbie Luke, Shyan Vijayasekaran, Paul Bumbak, Hayley Herbert, Britta S von Ungern-Sternberg
BACKGROUND: Despite the use of dual antiemetic agents, postoperative nausea and vomiting (PONV) occurs in an unacceptably large number of patients post-tonsillectomy. There has been increased interest in alternative and non-pharmacological treatments for PONV e.g., chewing gum. We investigated if chewing a large confectionary jelly snake had prophylactic antiemetic effects postoperatively in young children. METHODS: Prospective, open-label randomised controlled trial of 240 patients, 2 - 16 years...
December 2, 2023: Anaesthesia, Critical Care & Pain Medicine
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