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Perioperative Pain Management in Newborns

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Factor X Deficiency Management for Elective Cesarean Delivery in a Pregnant Patient.

Mirna Krkovic, Andrea Koosova Gajic, Janja Tarčuković, Vlatka Sotosek, Tea Stimac, Sanja Balen, Boban Dangubic, Igor Grubjesic,

BACKGROUND Congenital factor X deficiency is a rare inherited coagulopathy. Pregnancies in women with this disorder are often associated with adverse outcomes, including miscarriage, premature labor, and hemorrhage during pregnancy and in the peripartum period. The literature on this disorder is sparse and shows a limited number of successful pregnancies ... Read more >>

Am J Case Rep (The American journal of case reports)
[2020, 21:e920685]

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Non-Operating Room Anesthesia: Patient Selection and Special Considerations.

Timothy Wong, Paige L Georgiadis, Richard D Urman, Mitchell H Tsai,

Non-operating room anesthesia (NORA) represents a growing field of medicine with an increasing trend in the number of cases performed over the previous decade. As a result, anesthesia providers will need to enhance their familiarity with the resources, personnel, and environment outside of the operating room. Anesthesia delivery in NORA ... Read more >>

Local Reg Anesth (Local and regional anesthesia)
[2020, 13:1-9]

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Current state of science in machine learning methods for automatic infant pain evaluation using facial expression information: study protocol of a systematic review and meta-analysis.

Dan Cheng, Dianbo Liu, Lisa Liang Philpotts, Dana P Turner, Timothy T Houle, Lucy Chen, Miaomiao Zhang, Jianjun Yang, Wei Zhang, Hao Deng,

INTRODUCTION:Infants can experience pain similar to adults, and improperly controlled pain stimuli could have a long-term adverse impact on their cognitive and neurological function development. The biggest challenge of achieving good infant pain control is obtaining objective pain assessment when direct communication is lacking. For years, computer scientists have developed ... Read more >>

BMJ Open (BMJ open)
[2019, 9(12):e030482]

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Airway Management for Neonates Requiring Ex Utero Intrapartum Treatment (EXIT).

Shazia Mohammad, Olutoyin Olutoye,

In-utero congenital malformations in the fetus can occasionally lead to an obstructed airway at birth accompanied by hypoxic injury or peripartum demise, without intervention. Ex Utero Intrapartum Treatment (EXIT) may help reduce morbidity and mortality associated with challenging airways by providing extra time on uteroplacental circulation to secure the airway. ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2020, :]

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Pediatrics: An Evolving Concept for the 21st Century.

Consolato M Sergi,

Pediatrics is rapidly evolving, and the diagnostic tools are expanding the spectrum of diagnoses that can be identified at the bedside [...]. ... Read more >>

Diagnostics (Basel) (Diagnostics (Basel, Switzerland))
[2019, 9(4):]

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Beyond Anesthesia Toxicity: Anesthetic Considerations to Lessen the Risk of Neonatal Neurological Injury.

Mary Ellen McCann, Jennifer K Lee, Terrie Inder,

Infants who undergo surgical procedures in the first few months of life are at a higher risk of death or subsequent neurodevelopmental abnormalities. Although the pathogenesis of these outcomes is multifactorial, an understanding of the nature and pathogenesis of brain injury in these infants may assist the anesthesiologist in consideration ... Read more >>

Anesth. Analg. (Anesthesia and analgesia)
[2019, 129(5):1354-1364]

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Factors Associated with the Development of Postnatal Depression After Cesarean Delivery: A Prospective Study.

Carolyn Li-Jen Chan, Chin Wen Tan, Jason Ju In Chan, Rehena Sultana, Tze-Ern Chua, Helen Yu Chen, Alex Tiong Heng Sia, Ban Leong Sng,

PurposePre-operative association factors (pain and psychological vulnerability) could significantly contribute to post-Cesarean pain; however, limited information is available on the development of postnatal depression (PND). We aimed to investigate the development of PND and its association with pain vulnerability and psychological vulnerability factors.Patients and MethodsWomen undergoing Cesarean delivery under spinal ... Read more >>

Neuropsychiatr Dis Treat (Neuropsychiatric disease and treatment)
[2020, 16:715-727]

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Neurologic Injury and Brain Growth in the Setting of Long-Gap Esophageal Atresia Perioperative Critical Care: A Pilot Study.

Samuel S Rudisill, Jue T Wang, Camilo Jaimes, Chandler R L Mongerson, Anne R Hansen, Russell W Jennings, Dusica Bajic,

We previously showed that infants born with long-gap esophageal atresia (LGEA) demonstrate clinically significant brain MRI findings following repair with the Foker process. The current pilot study sought to identify any pre-existing (PRE-Foker process) signs of brain injury and to characterize brain and corpus callosum (CC) growth. Preterm and full-term ... Read more >>

Brain Sci (Brain sciences)
[2019, 9(12):]

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Implementation Effectiveness of a Parent-Directed YouTube Video ("It Doesn't Have To Hurt") on Evidence-Based Strategies to Manage Needle Pain: Descriptive Survey Study.

Christine T Chambers, Justine Dol, Jennifer A Parker, Line Caes, Kathryn A Birnie, Anna Taddio, Marsha Campbell-Yeo, Scott A Halperin, Jennifer Langille,

BACKGROUND:Despite the availability of high-quality evidence and clinical practice guidelines for the effective management of pediatric pain, this evidence is rarely used in practice for managing children's pain from needle procedures such as vaccinations. Parents are generally unaware of pain management strategies they can use with their children. OBJECTIVE:This study ... Read more >>

JMIR Pediatr Parent (JMIR pediatrics and parenting)
[2020, 3(1):e13552]

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Anesthesia Practice: Review of Perioperative Management of H-Type Tracheoesophageal Fistula.

Bret Edelman, Bright Jebaraj Selvaraj, Minal Joshi, Uday Patil, Joel Yarmush,

Tracheoesophageal fistula (TEF) is a rare congenital developmental anomaly, affecting 1 in 2500-3000 live births. The H-type TEF, consisting of a fistula between the trachea and a patent esophagus, is one of the rare anatomic subtypes, accounting for 4% of all TEFs. The presentation and perioperative management of neonates with ... Read more >>

Anesthesiol Res Pract (Anesthesiology research and practice)
[2019, 2019:8621801]

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Anaesthetic concerns in preterm and term neonates.

Rajeshwari Subramaniam,

Anaesthesia for neonates is a composite of good knowledge of neonatal and transitional physiology combined with skill in airway maintenance and vascular access. When the newborn is a preterm, the complexities of management increase due to the small size and accompanying issues such as bronchopulmonary dysplasia and apnoea. World over, ... Read more >>

Indian J Anaesth (Indian journal of anaesthesia)
[2019, 63(9):771-779]

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Perioperative fluid therapy and intraoperative blood loss in children.

Neerja Bhardwaj,

Fluid and blood administration are required during surgery in children. The type, amount and tonicity of the intravenous fluids is an important aspect to be considered during anaesthesia management. The physiological differences between adults and children regarding the body water and blood volume needs to be understood. We performed a ... Read more >>

Indian J Anaesth (Indian journal of anaesthesia)
[2019, 63(9):729-736]

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The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period.

Joseph P Cravero, Rita Agarwal, Charles Berde, Patrick Birmingham, Charles J Coté, Jeffrey Galinkin, Lisa Isaac, Sabine Kost-Byerly, David Krodel, Lynne Maxwell, Terri Voepel-Lewis, Navil Sethna, Robert Wilder,

Opioids have long held a prominent role in the management of perioperative pain in adults and children. Published reports concerning the appropriate, and inappropriate, use of these medications in pediatric patients have appeared in various publications over the last 50 years. For this document, the Society for Pediatric Anesthesia appointed a ... Read more >>

Paediatr Anaesth (Paediatric anaesthesia)
[2019, 29(6):547-571]

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Laparoscopic surgery for non-obstetric acute abdomen in pregnancy: A retrospective case series review.

Sameer Ashok Rege, Chiranjeev Roshan, Vairagar Siddhant, Surpam Shrinivas, Rewatkar Ajinkya,

Background:Laparoscopic techniques have been used during pregnancy by obstetricians since the 1970's, primarily to diagnose and treat ectopic and heterotopic pregnancies. Pregnancy was considered as an absolute contraindication to laparoscopy by surgeons as recently as 1991, and a few still doubt the safety of minimal access in gravid patients. When ... Read more >>

J Minim Access Surg (Journal of minimal access surgery)
[2020, 16(1):54-58]

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Preoperative anxiety can cause convulsion and severe hypotension immediately after spinal anaesthesia for caesarean delivery: a case report.

Eun-Jin Moon, Yoonju Go, Gil Woo, Hyungseok Seo, Bong-Jae Lee,

J. Int. Med. Res. (The Journal of international medical research)
[2019, 47(10):5323-5327]

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Anesthetic management of a patient with Sheehan's syndrome and twin pregnancy while undergoing a cesarean section.

G Arora, N Sahni,

Sheehan's syndrome (SS) is caused by infarction of the pituitary gland usually precipitated by hypotension due to massive uterine hemorrhage during the peripartum period. Once SS develops, it becomes a major comorbidity for the young females and predisposes them to further medical, obstetric, and anesthetic complications. Herein, we report the ... Read more >>

J Postgrad Med (Journal of postgraduate medicine)
[2020, 66(1):51-53]

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Neonatal functional brain maturation in the context of perioperative critical care and pain management: A case report.

Duncan Jack Hodkinson, Chandler Rebecca Lee Mongerson, Russell William Jennings, Dusica Bajic,

Introduction:Remarkable plasticity during the first year of life imparts heighted vulnerability of the developing infant brain. Application of resting-state functional magnetic resonance imaging (rs-fMRI) in infants may contribute to our understanding of neuroplastic changes associated with therapeutic interventions and/or brain insults. In addition to showing clinically relevant incidental brain MRI ... Read more >>

Heliyon (Heliyon)
[2019, 5(8):e02350]

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Enhanced recovery after surgery in pediatric gastrointestinal surgery.

Ruyue Gao, Heying Yang, Yanan Li, Lingbing Meng, Yaping Li, Beibei Sun, Guofeng Zhang, Ming Yue, Fei Guo,

J. Int. Med. Res. (The Journal of international medical research)
[2019, 47(10):4815-4826]

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Bilateral lung transplantation after caesarean section in pregnancy with severe pulmonary arterial hypertension: A case report.

Jia Ye, Jing-Yu Chen, Na Xu, Bo Wu, Zhi-Ping Wang, Hong-Yang Xu, Jin-Qi Ma,

RATIONALE:Pulmonary arterial hypertension (PAH) can lead to an increase in right ventricular load and subsequently heart failure, making severe PAH a contraindication for pregnancy. In addition, PAH may worsen during pregnancy and puerperium, which requires high-quality critical care. This report is the first instance in which a patient with severe ... Read more >>

Medicine (Baltimore) (Medicine)
[2019, 98(47):e18109]

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Microcirculatory Changes in Experimental Models of Stroke and CNS-Injury Induced Immunodepression.

Sarah Lunardi Baccetto, Christian Lehmann,

Stroke is the second-leading cause of death globally and the leading cause of disability in adults. Medical complications after stroke, especially infections such as pneumonia, are the leading cause of death in stroke survivors. Systemic immunodepression is considered to contribute to increased susceptibility to infections after stroke. Different experimental models ... Read more >>

Int J Mol Sci (International journal of molecular sciences)
[2019, 20(20):]

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Retrospective Cohort Study on the Optimal Timing of Orogastric Tube/Nasogastric Tube Insertion in Infants With Pyloric Stenosis.

Lisa K Lee, Rebekah A Burns, Rajvinder S Dhamrait, Harmony F Carter, Marissa G Vadi, Tristan R Grogan, David A Elashoff, Richard L Applegate, Marc Iravani,

BACKGROUND:Hypertrophic pyloric stenosis in infants can cause a buildup of gastric contents. Orogastric tubes (OGTs) or nasogastric tubes (NGTs) are often placed in patients with pyloric stenosis before surgical management to prevent aspiration. However, exacerbation of gastric losses may lead to electrolyte abnormalities that can delay surgery, and placement has ... Read more >>

Anesth. Analg. (Anesthesia and analgesia)
[2019, 129(4):1079-1086]

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Evaluation of Percutaneous Electrical Nerve Stimulation of the Auricle for Relief of Postoperative Pain Following Cesarean Section.

Murali Chakravarthy, Anitha Prashanth, Antony George,

Objective: Percutaneous electrical nerve stimulation is a nonpharmacologic modality of analgesia. This study was conducted to evaluate such a technology (ANSiStim™, DyAnsys Inc., San Mateo, CA) prospectively, in conjunction with standard analgesia per patient demand, for managing postoperative pain following lower-segment cesarean section. Materials and Methods: One hundred parturients were ... Read more >>

Med Acupunct (Medical acupuncture)
[2019, 31(5):281-288]

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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,

Importance: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. Objective:To determine whether inhaled albuterol sulfate (salbutamol sulfate) premedication decreases the risk of perioperative respiratory adverse events in children undergoing anesthesia ... Read more >>

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

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Experience Is the Teacher of All Things: Prior Participation in Anesthesiology OSCEs Enhances Communication of Treatment Options With Simulated High-Risk Patients.

Fei Chen, Tekuila B Carter, David P Maguire, Erin E Blanchard, Susan M Martinelli, Robert S Isaak,

Background:The objective of this study was to investigate whether previous experiences within an anesthesiology-based Objective Structured Clinical Examination (OSCE) assessing communication and professionalism skills was associated with improved performance in a subsequent anesthesiology-based OSCE scenario. Methods:This retrospective multi-center study used the performance data of 44 Post Graduate Year 4 clinical ... Read more >>

J Educ Perioper Med (The journal of education in perioperative medicine : JEPM)
[2019, 21(3):E626]

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A Meta-Analysis of the Utility of Preoperative Intravenous Paracetamol for Post-Caesarean Analgesia.

Qin Xiang Ng, Wayren Loke, Wee Song Yeo, Kelvin Yong Yan Chng, Chin How Tan,

Background and objectives: Worldwide, the number of caesarean sections performed has increased exponentially. Some studies have reported better pain control and lower postoperative requirements for opioids when intravenous (IV) paracetamol was administered preoperatively. This meta-analysis thus aimed to investigate the utility of preoperative IV paracetamol for post-caesarean analgesia. Materials and ... Read more >>

Medicina (Kaunas) (Medicina (Kaunas, Lithuania))
[2019, 55(8):]

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