Full Text Journal Articles by
Author Britta S von Ungern Sternberg

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Pediatric airway management.

Grace Hsu, Britta S von Ungern-Sternberg, Thomas Engelhardt,

<h4>Purpose of review</h4>Children are at risk of severe hypoxemia in the perioperative period owing to their unique anatomy and physiology. Safe and effective airway management strategies are therefore key to the practice of pediatric anesthesia. The goal of this review is to highlight recent publications (2019-2021) aimed to advance pediatric ... Read more >>

Curr Opin Anaesthesiol (Current opinion in anaesthesiology)
[2021, 34(3):276-283]

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Impact of a revised postoperative care plan on pain and recovery trajectory following pediatric tonsillectomy.

Claudia Lagrange, Catherine Jepp, Lliana Slevin, Thomas F E Drake-Brockman, Paul Bumbak, Haley Herbert, Britta S von Ungern-Sternberg, David Sommerfield,

<h4>Background</h4>A previous cohort of adenotonsillectomy patients at our institution demonstrated moderate-severe post-tonsillectomy pain scores lasting a median (range) duration of 6 (0-23) days and postdischarge nausea and vomiting affecting 8% of children on day 1 following surgery. In this subsequent cohort, we evaluate the impact of changes to our discharge ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2021, :]

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The impact of surgical cancellations on children, families, and the health system in an Australian paediatric tertiary referral hospital.

Thomas F E Drake-Brockman, Neil A Chambers, David Sommerfield, Britta S von Ungern-Sternberg,

<h4>Background</h4>Reasons for elective surgery cancelations and their impact vary from one institution to another. Cancelations have emotional and financial implications for patients and their families. Our service has a particularly broad and geographically diverse patient population; hence, we sought to examine these impacts in our service.<h4>Methods</h4>We identified families with procedural ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2021, 31(5):578-586]

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Prior administration of chocolate improves the palatability of bitter drugs: The Choc-with-Med study.

Shannon Truong, Edith Kai Yan Tang, R Nazim Khan, Minh Ngoc Nguyen, Britta S von Ungern Sternberg, Allen Wan Yan Yeo, Lee Yong Lim,

<h4>Aim</h4>The paediatric population has a low adherence and acceptance rate of unpalatable medicines. This study aimed to determine whether eating chocolate immediately prior to drug administration would help to mask the bitter taste of a drug. The difference in taste masking efficacy between white, milk and dark chocolate was a ... Read more >>

J Paediatr Child Health (Journal of paediatrics and child health)
[2021, :]

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Perioperative pediatric tonsillectomy analgesia: A single-center review of practice and cost-effectiveness analysis.

Justin Hii, Britta S von Ungern-Sternberg, Aine Sommerfield, David Sommerfield,

Paediatr Anaesth (Paediatric anaesthesia)
[2021, 31(4):497-498]

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Prenatal Exposure to General Anesthesia and Childhood Behavioral Deficit.

Caleb Ing, Ruth Landau, David DeStephano, Caleb H Miles, Britta S von Ungern-Sternberg, Guohua Li, Andrew J O Whitehouse,

<h4>Background</h4>Exposure to surgery and anesthesia in early childhood has been found to be associated with an increased risk of behavioral deficits. While the US Food and Drug Administration (FDA) has warned against prenatal exposure to anesthetic drugs, little clinical evidence exists to support this recommendation. This study evaluates the association ... Read more >>

Anesth Analg (Anesthesia and analgesia)
[2021, :]

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An observational study of hypoactive delirium in the post-anesthesia recovery unit of a pediatric hospital.

Paul F Lee-Archer, Britta S von Ungern-Sternberg, Michael C Reade, K C Law, Deborah Long,

<h4>Background</h4>Hypoactive delirium is present when an awake child is unaware of his or her surroundings, is unable to focus attention, and appears quiet and withdrawn. This condition has been well-described in the intensive care setting but has not been extensively studied in the immediate post-anesthetic period.<h4>Aim</h4>To determine if hypoactive emergence ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2021, 31(4):429-435]

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Gender Balance in Anesthesiology: Is a Change of Societal Mindset Needed?

Britta S von Ungern-Sternberg, Aine Sommerfield,

Anesth Analg (Anesthesia and analgesia)
[2021, 132(1):270-274]

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First-attempt success rate of video laryngoscopy in small infants (VISI): a multicentre, randomised controlled trial.

Annery G Garcia-Marcinkiewicz, Pete G Kovatsis, Agnes I Hunyady, Patrick N Olomu, Bingqing Zhang, Madhankumar Sathyamoorthy, Adolfo Gonzalez, Siri Kanmanthreddy, Jorge A Gálvez, Amber M Franz, James Peyton, Raymond Park, Edgar E Kiss, David Sommerfield, Heather Griffis, Akira Nishisaki, Britta S von Ungern-Sternberg, Vinay M Nadkarni, Francis X McGowan, John E Fiadjoe, ,

<h4>Background</h4>Orotracheal intubation of infants using direct laryngoscopy can be challenging. We aimed to investigate whether video laryngoscopy with a standard blade done by anaesthesia clinicians improves the first-attempt success rate of orotracheal intubation and reduces the risk of complications when compared with direct laryngoscopy. We hypothesised that the first-attempt success ... Read more >>

Lancet (Lancet (London, England))
[2020, 396(10266):1905-1913]

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Assessment of different techniques for the administration of inhaled salbutamol in children breathing spontaneously via tracheal tubes, supraglottic airway devices, and tracheostomies.

Natalie Anderson, André Schultz, William Ditcham, Britta S von Ungern-Sternberg,

<h4>Background</h4>Perioperative respiratory adverse events account for a third of all perioperative cardiac arrests, with bronchospasm and laryngospasm being most common. Standard treatment for bronchospasm is administration of inhaled salbutamol, via pressurized metered dose inhaler. There is little evidence on the best method of attaching the pressurized metered dose inhaler to ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2020, 30(12):1363-1377]

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Fit testing of N95 or P2 masks to protect health care workers.

Adrian Regli, Britta S von Ungern-Sternberg,

Med J Aust (The Medical journal of Australia)
[2020, 213(7):293-295.e1]

Cited: 1 time

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Anaesthesia, pain and recovery profiles in children following dental extractions.

Natalie Akl, Aine Sommerfield, Lliana Slevin, Thomas Fe Drake-Brockman, Susan Wong, John C Winters, Britta S von Ungern-Sternberg, David Sommerfield,

The aim of this prospective cohort study was to describe the anaesthetic practices, rates of postoperative pain and the recovery trajectory of children having urgent dental extractions at our institution. Demographic, anaesthetic and surgical details of children undergoing dental extractions were obtained by case note review. Parent-proxy pain scores were ... Read more >>

Anaesth Intensive Care (Anaesthesia and intensive care)
[2020, 48(4):306-313]

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The plural of anecdote is not data, please mind the gap between virtual and real life.

James Peyton, Clyde T Matava, Britta S von Ungern-Sternberg,

Paediatr Anaesth (Paediatric anaesthesia)
[2020, 30(7):732-733]

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Desperate times breed desperate measures: About valiance or foolhardiness.

Paul A Baker, Britta S von Ungern-Sternberg, Thomas Engelhardt,

Paediatr Anaesth (Paediatric anaesthesia)
[2020, 30(6):634-635]

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Life is really simple, but we insist on making it complicated (Confucius).

Britta S von Ungern-Sternberg, Thomas Engelhardt,

Paediatr Anaesth (Paediatric anaesthesia)
[2020, 30(3):203]

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Laryngeal reflex responses in pediatric anesthesia.

Thomas O Erb, Daniel Trachsel, Britta S von Ungern-Sternberg,

Laryngeal and respiratory reflexes are vitally important defense mechanisms against foreign body aspiration, safeguarding airway patency, and ventilation. These highly preserved automatisms easily overrule external influences like willpower or (anesthetic) medication. Prevention and anticipation are, therefore, the essential strategies to avoid adverse events and damage, and treatment is most effective ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2020, 30(3):353-361]

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Volatiles or TIVA: Which is the standard of care for pediatric airway procedures? A pro-con discussion.

Gillian R Lauder, Mark Thomas, Britta S von Ungern-Sternberg, Thomas Engelhardt,

Anesthesia for pediatric airway procedures constitutes a true art form that requires training and experience. Communication between anesthetist and surgeon to establish procedure goals is essential in determining the most appropriate anesthetic management. But does the mode of anesthesia have an impact? Traditionally, inhalational anesthesia was the most common anesthesia ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2020, 30(3):209-220]

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A prospective journey of the peripherally inserted central catheter service, at a tertiary paediatric centre in Western Australia.

Neil D Hauser, Yu-Ping Chen, Britta S von Ungern-Sternberg,

BACKGROUND:To document the evolution of the Peripherally Inserted Central Catheter service at Princess Margaret Hospital, now Perth Children's Hospital. METHODS:Between January 2012 and June 2013 patients referred to Anaesthesia for a Peripherally Inserted Central Catheter were prospectively followed up. A repeat audit was conducted between January 2015 and June 2016, ... Read more >>

Acta Anaesthesiol Scand (Acta anaesthesiologica Scandinavica)
[2020, 64(5):635-640]

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Preoperative identification of children at high risk of obstructive sleep apnea.

Mon Ohn, Peter Eastwood, Britta S von Ungern-Sternberg,

Obstructive sleep apnea is a common childhood disorder which can lead to serious health problems if left untreated. Enlarged adenoid and tonsils are the commonest causes, and adenotonsillectomy is the recommended first line of treatment. Obstructive sleep apnea poses as an anesthetic challenge, and it is a well-known risk factor for ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2020, 30(3):221-231]

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Albuterol and Pediatric Perioperative Respiratory Complications-Reply.

Britta S von Ungern-Sternberg, David Sommerfield, Graham L Hall,

JAMA Pediatr (JAMA pediatrics)
[2019, 173(11):1107-1108]

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If you think you can do it, that's confidence: If you do it that's competence-Where are we in pediatric anesthesia?

James Peyton, Britta S von Ungern-Sternberg,

Paediatr Anaesth (Paediatric anaesthesia)
[2019, 29(10):981-982]

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Author's Reply.

Thomas Fe Drake-Brockman, Britta S von Ungern-Sternberg,

Anaesth Intensive Care (Anaesthesia and intensive care)
[2019, 47(5):477]

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A framework for the management of the pediatric airway.

Thomas Engelhardt, John E Fiadjoe, Markus Weiss, Paul Baker, Stephanie Bew, Piedad Echeverry Marín, Britta S von Ungern-Sternberg,

Critical airway incidents in children are a frequent problem in pediatric anesthesia and remain a significant cause of morbidity and mortality. Young children are at particular risk in the perioperative period. Delayed management of airway obstruction can quickly lead to serious complications due to the short apnea tolerance in children. ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2019, 29(10):985-992]

Cited: 2 times

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An update on allergy and anaphylaxis in pediatric anesthesia.

Bojana Stepanovic, David Sommerfield, Michaela Lucas, Britta S von Ungern-Sternberg,

Childhood allergy is common, and increasing. Many children are incorrectly labeled as having allergy or adverse drug reactions. This can pose a dilemma for anesthetists and lead to a change in practice or drug selection. We review the pathophysiology of hypersensitivity reactions and the implications for anesthesia of food allergy, ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2019, 29(9):892-900]

Cited: 1 time

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Effect of Albuterol Premedication vs Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies: The REACT Randomized Clinical Trial.

Britta S von Ungern-Sternberg, David Sommerfield, Lliana Slevin, Thomas F E Drake-Brockman, Guicheng Zhang, Graham L Hall,

<h4>Importance</h4>Tonsillectomy is a common pediatric procedure for the treatment of sleep-disordered breathing and chronic tonsillitis. Up to half of children having this procedure experience a perioperative respiratory adverse event.<h4>Objective</h4>To determine whether inhaled albuterol sulfate (salbutamol sulfate) premedication decreases the risk of perioperative respiratory adverse events in children undergoing anesthesia for ... Read more >>

JAMA Pediatr (JAMA pediatrics)
[2019, 173(6):527-533]

Cited: 1 time

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