OK. So we would like there to be more than one way this site interacts with the big wide world of people providing perioperative care (and sometimes just critical care) for kids. So here’s a go at a podcast. Before getting into it, there are some standard “I’m a rookie” podcast apologies to make:

• This episode was recorded a bit opportunistically. So we will try to progressively get better at the sound quality.
• Thanks to the fact this room wasn’t in a bunker there are a couple of points where some outside noise creeps in. You’ll be able to spot them as the bits where you think “wait, is this joint haunted?”
• Yes we’ve submitted it to iTunes but it is not on the store yet.

[Wait, stop the press: the iTunes stuff has come through. You can search for it in the store or just go here or even think about a review or feedback.]

So here it is:
Right click and choose save as to download the podcast. (That’s control-click if you’re on a trusty Mac.)

Or the rss feed is here.

This first episode features Justin Skowno chatting about TIVA for kids. It can’t be completely exhaustive and there are a couple of bits where I wish there’d been another person to bounce the ideas around a little more. Regardless, I think there’s stuff in there.

We’re trying to take a look at things lots of different ways.

Now to the notes. If you want some useful reading on TIVA in kids (and we always recommend going back to the source because this stuff is not a substitute for the literature) you could start about here (wiht the Pubmed links – regrettably none are open access):

Costi D, Ellwood J, Wallace A, Ahmed S, Waring L, Cyna A. Transition to propofol after sevoflurane anesthesia to prevent emergence agitation: a randomized controlled trial. Anderson B, editor. Pediatric Anesthesia. 2015; 25:517-23. 

Total intravenous anesthesia will supercede inhalational anesthesia in pediatric anesthetic practice – Pediatr Anesth. 2015;25:52-64.

Shen X, Hu C-B, Ye M, Chen Y-Z. Propofol-remifentanil intravenous anesthesia and spontaneous ventilation for airway foreign body removal in children with preoperative respiratory impairment. Pediatric Anesthesia. 2012;22:1166–70. 

Wong GLS, Morton NS. Total intravenous anesthesia (TIVA) in pediatric cardiac anesthesia. Pediatric Anesthesia. 2011;21:560–6.

Rigby-Jones AE, Sneyd JR. Propofol and children–what we know and what we do not know. Pediatric Anesthesia. 2011;21:247–54. 

Sammartino M, Garra R, Sbaraglia F, De Riso M, Continolo N. Remifentanil in children. Pediatric Anesthesia. 2010;20:246–55. 

Mani V, Morton NS. Overview of total intravenous anesthesia in children. Pediatric Anesthesia. 2010;20:211–22. 

And this is the briefly mentioned bit where we reported on using ketofol in an aid trip setting.

Weatherall A, Venclovas R. Experience with a propofol-ketamine mixture for sedation during pediatric orthopedic surgery. Pediatr Anesth. 2010;20:1009-16.

The very generous Podington Bear allowed use of the music here.

That image is via Flickr Creative Commons and is unchanged from the post by Stuart Richards.

And of course please provide excellent thoughts, feedback, discussion and comments. That’s how we’ll get better. (Oh, and if you like it, maybe think of following.)