Chapter · January 1, 2020
In infants, perioperative anesthetic morbidity is higher than in other age groups, which underscores the importance of the dedicated pediatric postanesthesia care unit (PACU). The pediatric PACU environment requires careful planning and ongoing maintenance ...
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Journal ArticlePaediatr Anaesth · April 2018
INTRODUCTION: Surgical correction of pediatric scoliosis is associated with significant blood loss. Minimizing estimated blood loss and blood transfusion is beneficial as transfusions have been associated with increased morbidity, including risk of surgica ...
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Journal ArticlePaediatr Anaesth · July 2017
INTRODUCTION: Recent reports have suggested that caudal anesthesia may be associated with an increased risk of postoperative surgical complications. We examined our experience with caudal anesthesia in hypospadias repair to evaluate for increased risk of u ...
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Journal Article · December 9, 2011
The pediatric postanesthesia care unit is an environment where a child is able to recover from their anesthesia safely and comfortably. However, there are many requirements that must be met for these goals to be achieved. The equipment and monitoring that ...
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Journal ArticleJ Pediatr Hematol Oncol · October 2011
Hydroxyurea has enhanced the treatment for children with sickle cell anemia. The objectives of this study were to compare perioperative transfusions and outcomes for children taking hydroxyurea versus those not taking hydroxyurea. We retrospectively review ...
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Journal ArticleAnesth Analg · February 1, 2010
Intraosseous (IO) access is used most frequently for emergency care of critically ill infants and children when IV access cannot be rapidly achieved. Despite its efficacy in such situations, applications outside of the emergency room or resuscitation scena ...
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Journal ArticlePaediatr Anaesth · October 2009
The need for consent to regional anesthetic procedures varies considerably between countries. It is likely that legislation and professional guidance will tighten consent procedures, and in several countries detailed written consent is required for regiona ...
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Journal ArticleJ Neurodev Disord · March 2009
To examine brain volumes in substructures associated with the behavioral features of children with FXS compared to children with idiopathic autism and controls. A cross-sectional study of brain substructures was conducted at the first time-point as part of ...
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Journal ArticlePaediatr Anaesth · August 2007
BACKGROUND: Patients with infantile-onset Pompe disease suffer from marked hypertrophic cardiomyopathy and an increased risk of arrhythmia. A noncompliant left ventricle predisposes these infants to diastolic heart failure with elevated left ventricular en ...
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Chapter · January 1, 2020
In infants, perioperative anesthetic morbidity is higher than in other age groups, which underscores the importance of the dedicated pediatric postanesthesia care unit (PACU). The pediatric PACU environment requires careful planning and ongoing maintenance ...
Full textCite
Journal ArticlePaediatr Anaesth · April 2018
INTRODUCTION: Surgical correction of pediatric scoliosis is associated with significant blood loss. Minimizing estimated blood loss and blood transfusion is beneficial as transfusions have been associated with increased morbidity, including risk of surgica ...
Full textLink to itemCite
Journal ArticlePaediatr Anaesth · July 2017
INTRODUCTION: Recent reports have suggested that caudal anesthesia may be associated with an increased risk of postoperative surgical complications. We examined our experience with caudal anesthesia in hypospadias repair to evaluate for increased risk of u ...
Full textLink to itemCite
Journal Article · December 9, 2011
The pediatric postanesthesia care unit is an environment where a child is able to recover from their anesthesia safely and comfortably. However, there are many requirements that must be met for these goals to be achieved. The equipment and monitoring that ...
Full textCite
Journal ArticleJ Pediatr Hematol Oncol · October 2011
Hydroxyurea has enhanced the treatment for children with sickle cell anemia. The objectives of this study were to compare perioperative transfusions and outcomes for children taking hydroxyurea versus those not taking hydroxyurea. We retrospectively review ...
Full textLink to itemCite
Journal ArticleAnesth Analg · February 1, 2010
Intraosseous (IO) access is used most frequently for emergency care of critically ill infants and children when IV access cannot be rapidly achieved. Despite its efficacy in such situations, applications outside of the emergency room or resuscitation scena ...
Full textLink to itemCite
Journal ArticlePaediatr Anaesth · October 2009
The need for consent to regional anesthetic procedures varies considerably between countries. It is likely that legislation and professional guidance will tighten consent procedures, and in several countries detailed written consent is required for regiona ...
Full textLink to itemCite
Journal ArticleJ Neurodev Disord · March 2009
To examine brain volumes in substructures associated with the behavioral features of children with FXS compared to children with idiopathic autism and controls. A cross-sectional study of brain substructures was conducted at the first time-point as part of ...
Full textLink to itemCite
Journal ArticlePaediatr Anaesth · August 2007
BACKGROUND: Patients with infantile-onset Pompe disease suffer from marked hypertrophic cardiomyopathy and an increased risk of arrhythmia. A noncompliant left ventricle predisposes these infants to diastolic heart failure with elevated left ventricular en ...
Full textLink to itemCite
Journal ArticleAnesth Analg · May 2007
In a patient with a known difficult airway, history and examination may be of limited use in formulating a management plan for subsequent tracheal intubation. Further detailed and descriptive review of the airway is necessary. Virtual imaging is a recent a ...
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Journal ArticleArch Gen Psychiatry · December 2005
CONTEXT: While the neuroanatomical basis of autism is not yet known, evidence suggests that brain enlargement may be characteristic of this disorder. Inferences about the timing of brain enlargement have recently come from studies of head circumference (HC ...
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Journal ArticlePediatr Radiol · September 2005
UNLABELLED: Autism is a pervasive neurodevelopmental disorder. Because of the deficits associated with the condition, sedation of children with autism has been considered more challenging than sedation of other children. OBJECTIVE: To test this hypothesis, ...
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Journal ArticlePaediatr Anaesth · June 2004
Pompe or Glycogen Storage Disease type II (GSD-II) is a genetic disorder affecting both cardiac and skeletal muscle. Historically, patients with the infantile form usually die within the first year of life due to cardiac and respiratory failure. Recently a ...
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Journal ArticleBest Pract Res Clin Anaesthesiol · June 2002
Regional anaesthetic techniques are useful for providing post-operative pain control for ambulatory surgery in children. This chapter focuses on unique features of paediatric anatomy and physiology that allow successful performance of these techniques. An ...
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Journal ArticleAnesthesiol Clin North Am · March 2002
The use of office-based surgery and anesthesia will continue to grow. The anesthesia community has embraced the opportunity to become a driving force of office-based surgery and has organized into rapidly growing groups that promote safe practice in the of ...
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Journal ArticleTechniques in Regional Anesthesia and Pain Management · January 1, 2002
Paravertebral nerve block is a very effective method of postoperative pain control that is ideal for certain unilateral operative procedures in which bilateral blockade is not necessary. The quality of the block may be superior to that seen with epidural a ...
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Journal ArticleAnesth Analg · December 2001
Featured Publication
UNLABELLED: Remifentanil hydrochloride is an ultra-short-acting opioid that undergoes rapid metabolism by tissue and plasma esterases. We aimed to characterize the pharmacokinetics and determine the hemodynamic profile of remifentanil after a single-bolus ...
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Journal ArticleAnesthesiol Clin North Am · June 2001
Featured Publication
Prevention of childhood injury remains the cornerstone of reducing the number of children who present for post-traumatic surgical intervention. Beyond prevention, the next best step is the accurate diagnosis and treatment of traumatic injury. Anesthesiolog ...
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Journal ArticleCan J Anaesth · February 2000
PURPOSE: To describe neuromuscular effects of rapacuronium in pediatric patients during N2O-halothane anesthesia and compare them with mivacurium in children. METHODS: 103 pediatric patients, seven days -12 yr, received rapacuronium or mivacurium during N2 ...
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Journal ArticleCurr Rev Pain · 1999
Managing pain in children is a complex area that requires an understanding of the unique challenges offered by this young population. Regional anesthesia is emerging as an adjunct to pain management in children, particularly in the perioperative arena.The ...
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Journal ArticleJ Clin Anesth · December 1998
Featured Publication
STUDY OBJECTIVE: To determine if 450 micrograms/kg (1.5 times the ED95) of rocuronium would result in a comparable onset with a shorter duration of action when compared with 600 micrograms/kg (2 times the ED95). DESIGN: Randomized, single-blind study. SETT ...
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Journal ArticleJ Pediatr Surg · March 1998
BACKGROUND/PURPOSE: Surgery in patients with sickle hemoglobinopathies can be problematic because of the potential for sickling events in the perioperative and postoperative period. The authors and others have previously reported successful surgical outcom ...
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Journal ArticlePaediatr Anaesth · 1998
In a randomized controlled trial at Duke University and University of North Carolina Hospitals, 143 two to six year old children undergoing elective ambulatory surgery were randomized into a control group who received routine preoperative teaching or an in ...
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Journal ArticlePaediatr Anaesth · 1998
Thirty min prior to anaesthetic induction for surgery, children aged 4-12 years old were given a 10 micrograms.kg-1 oral transmucosal fentanyl citrate (OTFC) and were instructed to suck the OTFC until pruritus appeared (Group 2) or until the entire dose wa ...
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Journal ArticleRegional Anesthesia and Pain Medicine · January 1, 1998
Introduction: Thoracic epidural anesthesia via the caudal route in infants and children has been shown to be a reliable alternative to direct thoracic epidural placement1'2. The caudal route avoids difficulties and hazards of trochar insertion in the lumba ...
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Journal ArticleAnesthesiology · December 1996
BACKGROUND: This study determined the accuracy of previously defined adult fentanyl pharmacokinetics in children having surgery; from this population, the pharmacokinetics of fentanyl were characterized in children when administered via a computerized assi ...
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Journal ArticleJ R Coll Gen Pract · February 1988
A 12-month study of the incidence of acute otitis media in children under three years of age in an urban practice of 10 000 patients showed that acute otitis media accounted for one in 10 of all episodes of illness presented. In contrast to findings in Sca ...
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Journal ArticleBr Med J (Clin Res Ed) · February 25, 1984
We attempted to evaluate a course on muscle and joint problems for general practitioners using a practice log diary and a factual test paper, which were completed both before and after the course by the doctors attending. A significant improvement was show ...
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Journal ArticleBr Med J (Clin Res Ed) · November 12, 1983
A study was made of 813 orthopaedic referrals by 134 general practitioners in North Staffordshire. The referral rates showed no relation to practice list size or the doctors' previous orthopaedic experience. The published waiting times did not accurately r ...
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