Coaching for the pediatric anesthesiologist: Becoming our best selves

Jamie McElrath Schwartz; Eric Wittkugel; Scott D. Markowitz; Jennifer K. Lee; Nina Deutsch

doi:10.1111/pan.14041

A comparison of intranasal dexmeditomidine versus intranasal midazolam as a pre anesthetic medication in children undergoing adenotonsillectomy

QJM ◽

10.1093/qjmed/hcab086.091 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Nourhan M El Zoghby ◽

Ahmed S Mohammed ◽

Ahmed M El Hennawy ◽

Ramy M Wahba

Keyword(s):

Pediatric Patients ◽

Controlled Clinical Trial ◽

Physical Status ◽

University Hospitals ◽

Double Blind ◽

Institutional Ethics ◽

Pediatric Anesthesiologist ◽

Important Concern ◽

Anxiety Levels ◽

Intranasal Midazolam

Abstract Background Adenotonsillectomy is one of the most common surgical procedures performed on pediatric patients. Relieving pre- and post-operative anxiety is an important concern for the pediatric anesthesiologist. Aim of the Work: to compare dexmedetomidine with midazolam effect on preoperative sedation, the ease of children parent separation, the mask tolerance, intraoperative hemodynamics stability, emergence of anesthesia and postoperative analgesia. Patients and Methods A Prospective, randomized and double blind controlled clinical trial was done after approval of institutional ethics committee in Ain Shams university Hospitals for 6 months and obtaining an informed written consent from parents. It was designed to include fifty pediatric patients, aged 5 to 10 years old of both genders, with physical status ASA Ι. Results statistically significant increase mean of Dexmedetomidine compared to midazolam according to sedation score after 15min. to after 45min. Conclusion Premedication with intranasal dexmedetomidine 1 μg/kg attained significant and satisfactory sedation with better parent separation and lower anxiety levels without any adverse effects as compared with intranasal midazolam 0.2 mg/kg in children undergoing adenotonsillectomy.

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Electronic cigarettes: A narrative review of the implications for the pediatric anesthesiologist

Pediatric Anesthesia ◽

10.1111/pan.13885 ◽

2020 ◽

Vol 30 (6) ◽

pp. 653-659

Author(s):

Francois Lemay ◽

Paul Baker ◽

Hayden McRobbie

Keyword(s):

Electronic Cigarettes ◽

Narrative Review ◽

Pediatric Anesthesiologist

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The “Not-so-educated Hand” of the Pediatric Anesthesiologist

Anesthesiology ◽

10.1097/00000542-199110000-00001 ◽

1991 ◽

Vol 75 (4) ◽

pp. 556-556 ◽

Cited By ~ 1

Keyword(s):

Pediatric Anesthesiologist

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Complex neonatal airway surgery. Case report

Colombian Journal of Anesthesiology ◽

10.5554/22562087.e941 ◽

2020 ◽

Author(s):

Daniel Martínez Catalá ◽

Francisco Javier Escribá Alepuz ◽

Pilar Argente Navarro

Keyword(s):

Case Report ◽

Adverse Events ◽

Tracheal Stenosis ◽

Extracorporeal Circulation ◽

Anesthetic Management ◽

Congenital Tracheal Stenosis ◽

Significant Challenge ◽

Pediatric Anesthesiologist ◽

The Face ◽

Challenging Situation

Airway-related pathology poses a significant challenge to the pediatric anesthesiologist. This case report involves a 28-day-old neonate diagnosed with congenital tracheal stenosis who underwent a slide tracheoplasty intervention with extracorporeal circulation. The anesthetic management is described, together with our experience in the face of a challenging situation, including adverse events during surgery.

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Exploratory Laparotomy for Necrotizing Enterocolitis

10.1093/med/9780190678333.003.0046 ◽

2018 ◽

Author(s):

Karla E. K. Wyatt ◽

Olutoyin A. Olutoye

Keyword(s):

Risk Factors ◽

Necrotizing Enterocolitis ◽

Premature Infants ◽

Neonatal Intensive Care ◽

Exploratory Laparotomy ◽

Anesthesia Care ◽

Comorbid Conditions ◽

Surgical Interventions ◽

Pediatric Anesthesiologist ◽

Inflammatory Bowel

Necrotizing enterocolitis (NEC) is a severe inflammatory bowel disease that commonly affects premature infants. The pathogenesis is multifactorial and poorly understood, although certain risk factors have been identified. This disease, more commonly detected in premature infants with accompanying cardiac and pulmonary comorbid conditions, is associated with increased morbidity and mortality. Multiorgan system homeostasis becomes critical for the pediatric anesthesiologist when approaching medical and surgical interventions for affected patients. This chapter focuses on the population at risk for developing necrotizing enterocolitis, medical and surgical management, providing anesthesia care in the neonatal intensive care unit, as well as perioperative considerations and complications.

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