Adult patients who require transfusion following cardiopulmonary bypass (CPB) are at increased risk of adverse outcomes including death. Such studies have been done in children as well, with similar results, but none have previously been limited to neonates. Neonates may be more likely to bleed after cardiopulmonary bypass: the fixed bypass priming volumes are proportionally […]
Your patient’s oxygen saturation was < 95% for more than 10 seconds or perhaps your patient had laryngospasm during induction of anesthesia. Does it cost more to care for that patient? Dr. Maliwan Oofuvong, Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand, and colleagues describe a prospective matched cohort study of […]
Pediatric anesthesiologists debate the best way to anesthetize children for diagnostic radiology, particularly MRI. Although some anesthesiologists believe that there is less of a chance of postanesthetic nausea and vomiting with propofol anesthesia and less likelihood of airway complications in a spontaneously breathing patient, others feel that patients wake up faster after anesthetic gas maintenance […]
The caudal block is the most commonly performed regional anesthesia technique in children. Unfortunately, there is little data available to support the safety of the procedure. The Pediatric Regional Anesthesia Network (PRAN) database was created in order to fill gaps in available knowledge about the safety of regional anesthesia in children by collecting large-scale statistics. […]
How should mechanical ventilation be managed for children undergoing anesthesia? In this month’s issue of Anesthesia & Analgesia, Dr. Jeffrey M. Feldman, Department of Anesthesiology, Children’s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, has reviewed current technology used to ventilate children during anesthesia in the article titled “Optimal Ventilation of […]
Malignant hyperthermia (MH) is among the most feared complications of general anesthesia. As the name implies, malignant hyperthermia patients get very, very hot. The hotter they get, the more likely they are to die. Does inadequate temperature monitoring contribute to patient mortality? Dr. Marilyn Green Larach, The North American Malignant Hyperthermia Registry of the Malignant […]
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