Pediatric Anesthesia最新文献

{"title":"Documentation of Core Temperature in Pediatric Patients Undergoing General Anesthesia: A Quality Improvement Initiative to Increase Compliance.","authors":"Alexandra C Cates, Bradley J Curtis, Christy J Crockett","doi":"10.1111/pan.15099","DOIUrl":"https://doi.org/10.1111/pan.15099","url":null,"abstract":"<p><strong>Background: </strong>Children's body composition makes them highly susceptible to heat loss, which is further amplified by anesthetic-induced inhibition of thermoregulatory control. Perioperative hypothermia can lead to adverse outcomes, thus highlighting the importance of core temperature monitoring for pediatric patients undergoing general anesthesia. We launched and completed a quality improvement (QI) initiative at our institution starting in February 2023, with the SMART aim to increase the percentage of pediatric patients in our dental OR who receive a documented core temperature in the anesthetic record from 10% to 60% by October 2023.</p><p><strong>Methods: </strong>We referenced the Standards for Quality Improvement Reporting Excellence guidelines and used the Model for Improvement with interventions tested via Plan-Do-Study-Act cycles. We tested 5 interventions between February and October 2023. These included an educational email to all anesthesia professionals, a posted sign in the OR, a Morbidity and Mortality Conference regarding core temperature monitoring, and the development of an integrated pop-up reminder to measure core temperature in our electronic healthcare record.</p><p><strong>Results: </strong>With this QI initiative, the percentage of pediatric patients undergoing general anesthesia for more than an hour in our dental OR with documented core temperature monitoring increased from 10% to 60% by October 2023, and to 90% by January 2024.</p><p><strong>Conclusions: </strong>We successfully increased compliance with standard ASA monitoring guidelines. By January 2024, 90% of pediatric patients undergoing general anesthesia for more than an hour in our dental OR had documented core temperature monitoring in the anesthetic record.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In This Issue May 2025.","authors":"","doi":"10.1111/pan.15101","DOIUrl":"https://doi.org/10.1111/pan.15101","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hemodynamic Effects of Altering Tidal Volume During Positive Pressure Ventilation in the Fontan Circulation: A Randomized Crossover Trial.","authors":"Manchula Navaratnam, Alexander R Schmidt, Michelle Kaplinski, Elizabeth De Souza, Meaghan J Beattie, Echo V Rowe, Rajesh Punn, Chandra Ramamoorthy","doi":"10.1111/pan.15096","DOIUrl":"https://doi.org/10.1111/pan.15096","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Primary determinants of pulmonary blood flow in the Fontan circulation are low transpulmonary gradient and pulmonary vascular resistance (PVR). Changes in intrathoracic pressure during intermittent positive pressure ventilation can influence the transpulmonary gradient, PVR, pulmonary blood flow, and cardiac output. The aim of this study was to evaluate the effect of low (5 mL/kg) versus high (10 mL/kg) tidal volume (V&lt;sub&gt;T&lt;/sub&gt;) ventilation on Fontan circulation hemodynamics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;Postoperative patients with a Fontan circulation were enrolled in this single-center, randomized crossover trial. Patients, randomized to group 1 or 2, underwent a ventilation study sequence (baseline ventilation [7 mL/kg], then high V&lt;sub&gt;T&lt;/sub&gt; [10 mL/kg] or low V&lt;sub&gt;T&lt;/sub&gt; [5 mL/kg], then washout ventilation [7 mL/kg], followed by low [5 mL/kg] or high V&lt;sub&gt;T&lt;/sub&gt; [10 mL/kg]) in the operating room at the end of the cardiac surgical procedure. Respiratory, hemodynamic, and transesophageal (TEE) measurements were recorded after 5 min in each ventilation condition. The primary aim of this study was to evaluate the effect of low V&lt;sub&gt;T&lt;/sub&gt; ventilation (5 mL/kg) versus high V&lt;sub&gt;T&lt;/sub&gt; ventilation (10 mL/kg) on transpulmonary gradient (Fontan pressure minus left atrial pressure). The secondary aim was to compare TEE measurements of pulmonary blood flow, stroke volume, and Fontan flow between low and high V&lt;sub&gt;T&lt;/sub&gt; ventilation. We also compared standard hemodynamic and ventilation parameters for all ventilation conditions. Analysis was of paired data, calculating the between-treatment difference within participants across ventilation conditions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Eleven patients were included in the final data analysis with a median [IQR] age of 5 [4, 11] years and weight of 16.3 [13.8, 31.6] kg. The mean (±SD) peak inspiratory pressure during low and high V&lt;sub&gt;T&lt;/sub&gt; ventilation was 15.3 (±2.9) cmH&lt;sub&gt;2&lt;/sub&gt;O and 22.2 (±3.7) cmH&lt;sub&gt;2&lt;/sub&gt;O, respectively (difference -6.9, 95% CI -7.8, -5.9, p &lt; 0.001). The mean airway pressure during low and high V&lt;sub&gt;T&lt;/sub&gt; ventilation was 7.3 ± 0.8 and 8.7 ± 0.9 (difference -1.5, 95% CI -2.1, -0.8, p = 0.001) with a mean inspiratory time of 0.62 (±0.22) s and 1.21 (±0.55) s (difference -0.59, 95% CI -0.84, -0.34, p &lt; 0.001), respectively. During low V&lt;sub&gt;T&lt;/sub&gt; ventilation, the mean Fontan pressure was 13.3 (±1.8) mmHg compared to 12.3 (±2.5) mmHg for high V&lt;sub&gt;T&lt;/sub&gt; ventilation (difference 0.8, 95% CI -0.5, 2.1, p = 0.18). The mean transpulmonary gradient was 7.0 ± 1.3 mmHg compared to 6.8 ± 1.2 mmHg during low and high V&lt;sub&gt;T&lt;/sub&gt; ventilation, respectively (difference 0.2, 95% CI -0.2, 0.6, p = 0.21). We found no significant differences between low and high V&lt;sub&gt;T&lt;/sub&gt; ventilation in TEE measures of pulmonary blood flow, stroke volume, and Fontan flow.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This randomized, crossover pilot trial of Fo","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Perioperative Respiratory Adverse Events in Children Undergoing Surgery for Oropharyngeal Cleft Deformity: A Prospective Observational Study (PRAE-OPCD Study).","authors":"Usha Shenoy, Bijoy Chirayath, P V Narayanan, Avni Francis, Mariam Koshy Thomas, Rakesh Rajagopal","doi":"10.1111/pan.15100","DOIUrl":"https://doi.org/10.1111/pan.15100","url":null,"abstract":"<p><strong>Background and objectives: </strong>Children with oropharyngeal cleft deformity (OPCD) undergoing reconstructive surgery are at greater risk for perioperative respiratory adverse events (PRAEs). Predictors for PRAE specific to this population have not been investigated, despite it being the most common congenital malformation seen worldwide.</p><p><strong>Materials and methods: </strong>This single-center, prospective, observational study recruited 270 children under 2 years of age, undergoing elective cleft surgery from May 1, 2023, to June 30, 2024. The primary aim was to identify predictors of pre-determined PRAE (laryngospasm, bronchospasm, stridor, airway obstruction and desaturation). We also aimed to identify the more common PRAE in this patient population.</p><p><strong>Results: </strong>Of the 345 children who underwent cleft correction surgery, 270 were included in the study. There was a statistically increased incidence of PRAE in children with a positive history of upper airway obstruction and a history of feeding disorder in early infancy, Cormack Lehane (CL) grade ≥ 3, and COLDS score ≥ 15. A significant association was found between the COLDS score (odds ratio [OR]: 0.005, 95% confidence interval [CI]: 0.001-0.049), CL grade ≥ 3 (OR: 0.008, 95% CI: 0.001-0.078) and PRAE.COLDS score ≥ 15 (p = 0.046; adjusted OR [AOR]: 18.07, 95% CI: 1.06-308.45) and CL grade ≥ 3 (p = 0.007; AOR: 41.79, 95% CI: 2.74-636.40) were associated with PRAEs in the multivariate regression. The overall incidence of PRAE was 1.85%, laryngospasm being the most common.</p><p><strong>Conclusion: </strong>Children with OPCD with higher COLDS scores and/or those with a CL grade view ≥ 3 are more likely to develop PRAE following corrective surgery. The limited data indicate the increased possibility of PRAE in children with a positive history of airway obstruction and/or feeding disorder in early infancy. The relatively low incidence of PRAE restricts the generalizability.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence, Risk Factors, and Outcomes of Non-Extubation in the Operating Room Following Elective Pediatric Neurosurgery-A Prospective Observational Study.","authors":"Amruta Nirale, Suparna Bharadwaj, Sangeetha R Palaniswamy, Dhaval P Shukla, Dhritiman Chakrabarti, Kamath Sriganesh","doi":"10.1111/pan.15095","DOIUrl":"https://doi.org/10.1111/pan.15095","url":null,"abstract":"<p><strong>Background: </strong>Studies on non-extubation after elective pediatric neurosurgery are limited. As non-extubation can contribute to adverse patient outcomes, there is a need to understand this problem better. We aimed to assess the incidence, risk factors, and impact of non-extubation in the operating room (OR) after elective pediatric neurosurgery.</p><p><strong>Methods: </strong>This was a single-center, prospective, observational study conducted at a university hospital from February 2022 to November 2023 after ethics approval and study registration. We included patients aged below 18 years undergoing elective neurosurgery under general anesthesia. Non-extubation was defined as retention of the tracheal tube before leaving the OR. Data collected included age, gender, body mass index, American Society of Anesthesiologists (ASA) physical status, neurosurgical diagnosis, surgical procedure, comorbidities, presence of preoperative lower cranial nerve palsy, Cormack-Lehane grade, surgery duration, patient position, intraoperative complications, transfusion of blood products and colloids, fluid balance, neurological decline, in-hospital mortality, and durations of postoperative stay in the intensive care unit (ICU) and hospital.</p><p><strong>Results: </strong>A total of 738 children were included in the study. The incidence of non-extubation was 13.01% (96/738). The predictors of non-extubation were higher ASA grade (odds ratio [OR] 2.86, 95% confidence interval [CI] 1.78-4.69, p < 0.001), preoperative lower cranial nerve palsy (OR 2.35, CI 1.23-4.43, p = 0.010), prolonged surgery (OR 1.45, CI 1.26-1.68, p < 0.001), occurrence of intraoperative complications (OR 4.89, CI 2.69-8.89, p < 0.001), and higher intraoperative blood transfusion rates (OR 2.46, CI 1.37-4.5, p = 0.002). Non-extubation in the OR was associated with postoperative neurological deterioration, higher in-hospital mortality, and prolonged ICU and hospital stay.</p><p><strong>Conclusions: </strong>A significant proportion of children are not extubated immediately after elective pediatric neurosurgery. Higher ASA grade, lower cranial nerve palsy, prolonged surgery, intraoperative complications, and higher blood transfusion increase the risk of delayed extubation. Non-extubation in the OR is associated with poor postoperative outcomes of neurological decline, in-hospital mortality, and longer duration of hospital stay.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Point-Of-Care Coagulation Device Quantra With the TEG-5000 for Congenital Cardiac Surgery-A Pilot Study.","authors":"Dominik Ochocinski, Manchula Navaratnam, Amy Babb, Elizabeth De Souza, Komal Kamra, Justin R Sleasman, Tristan Day Margetson, Jyoti K Bhamidipati, Chandra Ramamoorthy, Alexander R Schmidt","doi":"10.1111/pan.15097","DOIUrl":"https://doi.org/10.1111/pan.15097","url":null,"abstract":"<p><strong>Background: </strong>Congenital cardiac surgery with cardiopulmonary bypass (CPB) alters patients' hemostasis. Viscoelastic testing is a modern technology identifying coagulation abnormalities. A new device, the Quantra-QPlus System (HemoSonics LLC, Charlottesville, VA) has not yet been investigated during congenital cardiac surgery.</p><p><strong>Aim: </strong>This prospective observational pilot study investigated the correlation of Quantra and TEG-5000 in children undergoing cardiac surgery at Stanford Medicine Children's Health (SMCH).</p><p><strong>Methods: </strong>Patients (0-8 years) undergoing cardiac surgery with CPB were included after parental consent. Per standard of care at SMCH, a TEG-5000 and Clauss Fibrinogen were measured on CPB during rewarming (T1) as well as after administration of blood components and coagulation factors (T2). For the study purpose, Quantra measurements were performed simultaneously at T1 and T2. Quantra results were correlated with TEG-5000 results and Clauss Fibrinogen. In addition, the agreement for normal and abnormal results was calculated, and a post hoc simulated transfusion algorithm using TEG-5000 and Quantra thresholds was compared to patients' clinical management.</p><p><strong>Results: </strong>From October 2022 to May 2023, 289 congenital cardiac surgeries were performed, 97 met inclusion criteria, 63 patients were consented, and 40 patients (12 females [30%] 28 males [70%]) included in the analysis. Median age and weight were 0.5 years and 6.33 kg, respectively. Correlation of Quantra/Clauss Fibrinogen was \"moderate\" and correlation of Quantra/TEG-5000 parameters ranged from \"weak\" to \"very strong\" Levels of agreement ranged from 15% to 97%. The post hoc simulated transfusion algorithm for TEG-5000 showed an agreement of 56% for FFP, 56% for Fibrinogen, and 95% for platelets and for Quantra, it was 40% for FFP, 87.5% for Fibrinogen, and 98% for platelets.</p><p><strong>Conclusions: </strong>Despite weaknesses in correlation and agreement both VET devices suggested appropriate coagulation management based on the simulated transfusion algorithms. Quantra and TEG-5000 are not interchangeable and none of them can be considered as \"the gold standard\".</p><p><strong>Trial registration: </strong>NTC 05295693.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent Satisfaction With Pediatric Anesthesia-A Cross-Sectional, Multicenter Study in Norway.","authors":"Ann-Chatrin Linqvist Leonardsen, Berit Taraldsen Valeberg, Annette Danielsen, Cecilia Jonth, Ingrid Marie Brunborg, Endre Dingstad Jørgensen","doi":"10.1111/pan.15094","DOIUrl":"https://doi.org/10.1111/pan.15094","url":null,"abstract":"<p><strong>Background: </strong>Parental satisfaction with anesthetic care is utilized as a proxy for child satisfaction. The evidence base regarding parent satisfaction with pediatric anesthesia care is limited. The aim of the current study was to assess (1) parent satisfaction with pediatric anesthesia in three hospitals, (2) potential differences across hospitals, and (3) potential associations between parent satisfaction and the child's age, surgical specialty, hospital, whether the parent previously had followed a child to surgery, and relation to the patient.</p><p><strong>Methods: </strong>The Norwegian version of the \"pediatric anesthesia parent satisfaction survey\" questionnaire (NPAPS) was used. Descriptive statistics, Kruskal-Wallis test and linear regression analysis were used to analyze the data.</p><p><strong>Results: </strong>In total, 234 parents responded. Most respondents agreed that their child had received the highest quality care during the surgical experience (96.4%-97.4%). Nearly all respondents agreed that their questions were responded to (94.6%-97.6%), information was understandable (96.4%-97.4%), the amount of information was appropriate (96.4%-97.4%), the child's integrity was respected (94.6%-97.4%), the child was treated respectfully and professionally (96.45%-97.6%), and that personnel paid attention to the parent's concerns (93.8%-94.7%). Respondents disagreed with being explained how the child might feel physically and emotionally after anesthesia (9.5%-10.5%) and also disagreed with being satisfied with the way the child fell asleep and woke up from anesthesia (5.3%-7.1%). No factors were associated with the level of parent satisfaction, and there were few differences between hospitals.</p><p><strong>Conclusion: </strong>Even if parents are overall satisfied with anesthesia care, improvement areas regarding the preparation of parents and control of postoperative symptoms were detected.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Last-Minute Cancellations in Pediatric Ambulatory and Day Surgeries in Italy: Prevalence and Risk Factors.","authors":"Alessandro Vittori, Rajeev S Iyer, Marco Cascella, Riccardo Tarquini, Elisa Francia, Ilaria Mascilini, Cecilia M Pizzo, Franco Marinangeli, Roberto Pedone, Giuliano Marchetti, Sergio G Picardo","doi":"10.1111/pan.15093","DOIUrl":"https://doi.org/10.1111/pan.15093","url":null,"abstract":"<p><strong>Background: </strong>Cancellation of pediatric day and ambulatory surgeries on the day of the procedure poses a significant challenge, impacting hospital resources and patient care. In Italy, ambulatory surgery is defined as a surgical/diagnostic procedure without hospitalization, and day surgery is defined as a surgical/diagnostic procedure with daytime hospitalization.</p><p><strong>Aims: </strong>To measure the rate and causes of cancellations on the day of the procedure in a tertiary pediatric hospital in Italy.</p><p><strong>Methods: </strong>We collected the data retrospectively from the electronic health record between January 2020 and March 2022 at Ospedale Pediatrico Bambino Gesù in Rome, Italy. The number of case cancellations were captured. The reasons for cancellation were categorized into three different buckets: anesthetic reasons, surgical reasons, and non-adherence to protocol. The reasons under each of these categories were further explored. We analyzed the difference in the rate of last-minute cancellations between ambulatory surgery and day surgeries to examine if different pathways produce different results.</p><p><strong>Results: </strong>A total of 4,600 procedures were scheduled and 183 were canceled (3.9% of total procedures). Surgical reasons contributed to most cancellations (49%), followed by anesthesia reasons (42%) and non-adherence to protocols (9%). Surgical reasons, including the need for post-operative hospitalization, were the primary causes for cancellation, often due to mismatches between pre-operative evaluations and the final decision-making process. Younger patients, particularly those prone to respiratory tract infections, were more likely to experience cancellations. Anesthetic reasons were also a significant factor but less prevalent than surgical ones.</p><p><strong>Conclusions: </strong>Using standardized treatment and diagnosis pathways can reduce the number of canceled procedures and optimize resources. A telephone re-assessment before the procedure and telemedicine can be useful strategies to further reduce the cancellation rate.</p><p><strong>Clinical implications: </strong>The use of pediatric day surgery has significant advantages: minimizing last-minute canceled procedures means increasing patient comfort and reducing healthcare costs. Identifying the causes of cancellations on the day of the procedure allows one to improve the organizational system of the operating room.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Global Pediatric Anesthesia-Anglo West Africa Perspective\".","authors":"","doi":"10.1111/pan.15092","DOIUrl":"https://doi.org/10.1111/pan.15092","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opioid-Free Anesthesia for a Child With Patau Syndrome With External Oblique Intercostal Fascial Plane Blocks.","authors":"Dhari Alrashed, Sinead Harte, Brano Mislovic","doi":"10.1111/pan.15052","DOIUrl":"10.1111/pan.15052","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"249-250"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}