Time for another podcast and a chance to introduce a new guest. Dr David Kinchington has things to share about bread and butter paeds anaesthesia – Ts and As. Dr Andrew Weatherall took the chance to pick his brains.
Ts and As represent the sort of work that can challenge paediatric anaesthetists working in a variety of settings. David Kinchington has spent more than a bit of time thinking about this stuff and this conversation is a quick run through things that should be useful to any anaesthetist. I think in the actual thing this gets called the 6th podcast on here. Whoops.
Anyway, here it is…
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Of course any quick chat is the very start of wrestling with this topic. Following is a bunch of links for further reading for the anaesthetist finding the way to deliver periop care for these patients that works best in their hands.
Walker P, whitehead B, Rowley M. Role of paediatric intensive care following adenotonsillectomy for severe obstructive sleep apnoea: criteria for elective admission. J Laryngology Otology. 2013;127(suppl 1): S26-9.
Theilhaber M, Arachchi S, Armstrong DS, Davey MJ, Nixon GM. Routin post-operative intensive care is not necessary for children with obstructive sleep apnea at high risk after adenotonsillectomy. Int J Pediatr Otorhinolaryngology. 2014;78:744-7.
Hill CA, Litvak A, Canapari C, et al. A pilot study to identify pre- and peri-operatic risk factors for airway complications following adenotonsillectomy for treatment of severe pediatric OSA. Int J Pediatr Otorhinolaryngology. 2011;75:1385-90.
Hullet B, Salman S, O’Halloran SJ, et al. Development of a Population Pharmacokinetic Model for Parecoxib and Its Active Metabolite Valdecoxib After Parenteral Parecoxib Administration in Children. 2012;116:1124-33.
De Oliveira GS, Almeida MD, Benzon H, McCarthy RJ. Perioperative Single Dose Systemic Dexamethasone for Postoperative Pain: A Meta-Analysisis of Randomised Controlled Trials. Anesthesiol. 2011;115:575-88.
Riggin L, Ramakrishna J, Sommer DD, Karen G. A 2013 updated systematic review and meta-analysis of 36 randomised controlled trials; no apparent effects of non-steroidal anti-inflammatory agents on the risk of bleeding after tonsillectomy. Clinical Otol. 2013;38:115-29.
Dorkham MC, Chalkiadis GA, von Ungern Sternberg BS, Davidson AJ. Effective postoperative pain management in children after ambulatory surgery, with a focus on tonsillectomy: barriers and possible solutions. Pediatr Anesth. 2014;24:239-48.
Right. Well there’s a little light reading. Did you get this far? Maybe you should take a moment to listen to 2000 marbles playing music (with some guy I guess).
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