AnatomyOrganismsDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPsychiatry and PsychologyPhenomena and ProcessesDisciplines and OccupationsAnthropology, Education, Sociology and Social PhenomenaTechnology, Industry, AgricultureInformation ScienceNamed GroupsHealth Care
Infant, NewbornAnesthesia, GeneralAnesthesiaAnesthesia, LocalAnesthesia, EpiduralAnesthesia, SpinalAnesthesia, InhalationAnesthesia, ConductionAnesthesia, IntravenousAnesthesia, ObstetricalAnesthesia Recovery PeriodAnesthesia, DentalInfant, PrematureAnesthetics, InhalationAnesthetics, IntravenousAdjuvants, AnesthesiaPropofolIsofluraneMethyl EthersAnesthesiologyAnesthetics, LocalAnesthetics, CombinedMonitoring, IntraoperativeNitrous OxideAnestheticsInfant, Premature, DiseasesInfant CareInfant FoodHalothaneLidocaineAnesthesia, Closed-CircuitFentanylAnesthetics, GeneralBupivacaineInfant FormulaPreanesthetic MedicationKetamineAmbulatory Surgical ProceduresNerve BlockThiopentalAnesthesia, CaudalInfant BehaviorIntubation, IntratrachealPentobarbitalAnesthetics, DissociativeInfant MortalityEnfluraneXylazineInfant, Newborn, DiseasesAnesthesia Department, HospitalSudden Infant DeathConscious SedationAnesthesia, IntratrachealIntraoperative ComplicationsPain, PostoperativeCesarean SectionInfant Nutritional Physiological PhenomenaIntraoperative PeriodProspective StudiesAnesthesia and AnalgesiaPrilocaineElectroencephalographyInfant, Very Low Birth WeightMethohexitalPregnancyInfant, Low Birth WeightHypnotics and SedativesConsciousnessAlfentanilMepivacaineTime FactorsDouble-Blind MethodSurgical Procedures, MinorNeuromuscular Nondepolarizing AgentsXenonEthersPostoperative Nausea and VomitingHemodynamicsMidazolamSurgical Procedures, OperativeEtherHeart RatePostoperative ComplicationsBreast FeedingChloraloseAnalgesics, OpioidInfant WelfareLaryngeal MasksSufentanilConsciousness MonitorsBlood PressurePain MeasurementNeuromuscular Blocking AgentsMedetomidineCarticaineIntraoperative AwarenessSuccinylcholineNeuromuscular BlockadeLaryngoscopyInfant, Extremely Low Birth Weight
Spinal anesthesiaNeonatesInfiltrationCompared to general anesthesiaAnalgesiaSedationAnestheticBupivacainePostoperative painPediatricGeneralPaediatricDurationPerioperativeUltrasoundCircumcisionSurgeryPretermCardiacChild'sPatientsDoseChildrenInjectionRetrospectiveNasalBlocksLocalCohortLidocaineMedicationPainAnestheticsPainfulEsophagealSyndromeConcentrationsTypicallyLower
Spinal anesthesia3
  • Pharmacokinetic simulation was used to characterize levobupivacaine disposition after regional anesthetic rescue for failed spinal anesthesia in neonates and infants. (smarttots.org)
  • The Spinal Injection Simulator is a valuable training and teaching aid allowing realistic demonstration and practice of all spinal injections.Spinal injection techniques include: spinal anesthesia spinal tap epidural analgesia caudal. (drwonganatomy.com)
  • The first report on paediatric spinal anesthesia was published by AUGUST BIER in 1899, when the technique was performed with cocaine in an 11 year old boy for ischium abscess drainage. (ispub.com)
Neonates10
  • Before the late 1980s and early 1990s, a common belief was that neonates experienced no pain or less pain than adults, children, or infants who underwent similar surgical procedures. (medscape.com)
  • Neonates who undergo lower-extremity, abdominal, or thoracic surgery are excellent candidates for regional anesthesia, whether they are undergoing inpatient or outpatient surgery. (medscape.com)
  • As in adults, coexisting pulmonary disease in neonates may be an excellent reason to consider regional anesthesia for postoperative pain management. (medscape.com)
  • 3 Serum protein binding is lower in neonates and in infants than in adults because of a low concentration of α 1 -acid glycoprotein. (silverchair.com)
  • Because the free drug concentration is considered to be the toxic moiety, it is highly plausible that neonates and infants may be more prone to the cardiotoxic effects of bupivacaine than older children and adults. (silverchair.com)
  • Specifically, caudal block under sedation has been considered effective in high-risk patients such as neonates and infants. (anesth-pain-med.org)
  • After nectarine: how should we provide anesthesia for neonates? (apagbi.org.uk)
  • Prediction of levobupivacaine concentrations in neonates and infants following neuraxial rescue blocks. (smarttots.org)
  • Population pharmacokinetics of levobupivacaine were estimated after spinal blockade in a cohort of neonates and infants (n = 25, postnatal age 5-18 weeks, gestation 21-41 weeks, weight 2.4-6 kg). (smarttots.org)
  • These results support the hypothesis that a specific temporal configuration of brief periods of geomagnetic activity can produce an increased incidence of nonvital fetuses, neonates, or infants. (researchgate.net)
Infiltration5
  • Thus, researchers have investigated the efficacy of various analgesics, including bupivacaine, levobupivacaine, clonidine and naloxone, on post-herniorrhaphy pain in children administered at different times through various routes [ 6 , 7 ] such as caudal analgesia, inguinal nerve block, or local infiltration combined with a general anesthetic [ 8 ]. (ekja.org)
  • Bupivacaine hydrochloride injection USP is available in sterile isotonic solution for injection via local infiltration, peripheral nerve block, and caudal and lumbar epidural blocks. (nih.gov)
  • For the production of local or regional anesthesia by infiltration techniques such as percutaneous injection and intravenous regional anesthesia by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks. (illnesshacker.com)
  • used for infiltration anesthesia and for nerve block techniques including peripheral, sympathetic, epidural (including caudal), and spinal block anesthesia. (illnesshacker.com)
  • CARBOCAINE is indicated for production of local or regional analgesia and anesthesia by local infiltration, peripheral nerve block techniques, and central neural techniques including epidural and caudal blocks. (pfizermedicalinformation.com)
Compared to general anesthesia2
Analgesia2
  • Anesthesia in medically complex patients or those involving multiple stages of surgical intervention may include multimodal analgesia, various neuraxial or regional anesthetic block techniques in addition to general anesthesia and may require inpatient stays where postoperative acute pain services can be provided. (pediatricurologybook.com)
  • This confirms human newborn research that found that the failure to provide anesthesia or analgesia for newborn circumcision resulted not only in short-term physiologic perturbations but also in longer-term behavioral changes. (nysora.com)
Sedation10
  • We compared intraoperative variables for TF-TAVR patients that underwent conscious sedation versus general anesthesia. (beaumont.org)
  • Sub-umbilical surgery under caudal block in conjunction with sevoflurane sedation may be safe in terms of maintaining spontaneous breathing and avoiding complications associated with general anesthesia. (anesth-pain-med.org)
  • Forty children (aged 1-5 years) scheduled to undergo inguinal hernia repair under caudal block with sevoflurane sedation via a face mask were randomized into either the low-dose (1.0%) end-tidal sevoflurane concentration group (Group LS) or the high-dose (2.5%) end-tidal sevoflurane concentration group (Group HS). (anesth-pain-med.org)
  • Face-mask sedation with 1.0% sevoflurane in conjunction with caudal block may be more effective than that with 2.5% sevoflurane in preventing EA. (anesth-pain-med.org)
  • Most caudal blocks are performed as adjuvant procedures to general anesthesia with endotracheal intubation [ 1 ], but caudal block with sedation per se can be used as an alternative to general anesthesia [ 2 - 4 ]. (anesth-pain-med.org)
  • To date, no study has investigated EA caused by different sedation doses of sevoflurane in conjunction with caudal block. (anesth-pain-med.org)
  • Therefore, we aimed to investigate whether sevoflurane sedation with caudal block may be an alternative anesthetic technique in children undergoing inguinal hernia repair and to compare the incidence of EA in children administered two different doses of sevoflurane. (anesth-pain-med.org)
  • The SmartTots program is a multi-year collaborative effort designed to increase the safety of anesthetic and sedative drugs for the millions of children who undergo anesthesia and sedation each year. (smarttots.org)
  • Local nasal anesthesia, sedation, or light general anesthesia may be necessary for placement of a nasoesophageal/ nasogastric tube in dogs and cats. (vin.com)
  • If the patient does not tolerate passage of the tube, sedation or light general anesthesia may be required. (vin.com)
Anesthetic7
  • 5 Not surprisingly, this study caught the attention of the anesthesia community, as many of our anesthetic agents and sedatives act by one or both of these mechanisms. (apsf.org)
  • The dose and duration of anesthetic exposure in the animal models is considerably higher than what an infant is typically exposed to in the operating room. (apsf.org)
  • We monitored EA episodes at 5 and 30 min in the post-anesthetic care unit (PACU) by using the fourpoint agitation scale and the Pediatric Anesthesia Emergence Delirium (PAED) scale. (anesth-pain-med.org)
  • Caudal block is a common anesthetic option for pediatric patients undergoing sub-umbilical surgery. (anesth-pain-med.org)
  • The duration of anesthesia is significantly longer with bupivacaine than with any other commonly used local anesthetic. (nih.gov)
  • Repeat application of local anesthetic to ensure adequate anesthesia of the nasal mucous membrane. (vin.com)
  • The painful collision of babies with doctors continues today in neonatology, infant surgery without anesthetic, aggressive obstetrics and genital modification of newborn males. (drmomma.org)
Bupivacaine2
Postoperative pain1
  • We hypothesize that narcotics are unnecessary in the majority of infants for postoperative pain control. (beaumont.org)
Pediatric3
General11
  • The Effect of General Anesthesia on the Developing Brain: Is it Time to Temper the Concern? (apsf.org)
  • Recently, the issue of anesthesia-related neurotoxicity has been in the media limelight, and parents are appropriately fearful about the effects of general anesthesia on their child's brain development. (apsf.org)
  • It is no wonder parents are frightened about the effects of general anesthesia on the developing brain. (apsf.org)
  • As anesthesia professionals, what are our responsibilities to the parents in discussing the risks of general anesthesia? (apsf.org)
  • In general, the progression of anesthesia is related to the diameter, myelination, and conduction velocity of affected nerve fibers. (nih.gov)
  • General anesthesia is used to perform the procedure. (bestbizlistingsever.com)
  • Most clinics can perform the procedure with general anesthesia. (bestbizlistingsever.com)
  • Options include regional, local, and general anesthesia. (msdmanuals.com)
  • particularly with debilitated cats), administer 1 to 2 mg/kg of ketamine intravenously to obtain light general anesthesia. (vin.com)
  • Against a back of general (scientific) ignorance of infant behavior, experiments were undertaken as early as 1917 at Johns Hopkins University to observe newborn tears, smiles, reactions to having blood drawn, infections lanced, and to a series of pin-pricks on the wrist during sleep. (drmomma.org)
  • The operation was performed under general anesthesia with endotracheal intubation. (csurgeries.com)
Paediatric1
  • This tutorial will summarise the safety of regional anaesthesia in children, paediatric local anaesthetic toxicity, the use of ultrasound in paediatric regional anaesthesia, and an in-depth discussion on ultrasound-guided caudal epidural techniques and its related anatomy. (wfsahq.org)
Duration1
Perioperative1
  • Our anesthesia team was consulted for perioperative management of this patient during her surgical repair. (stanford.edu)
Ultrasound1
  • The landmark technique for caudal epidural in children has a high success rate but ultrasound can aid caudal epidural performance by helping identify aberrant anatomy, localising the dural sac, and reducing the rate of dural or intravascular perforation. (wfsahq.org)
Circumcision3
  • 3. In a 2010 study published in the Journal Thymos estimates that In the United States each year around 117 male infants die as a result of their circumcision in the neonatal period (within 28 days of birth). (viafin-atlas.com)
  • This means that every three days in United States an Infant dies from circumcision. (viafin-atlas.com)
  • The number of deaths from circumcision outnumbers the amount of infants who die in automobile accidents, from suffocation, and from Sudden Infant Death Syndrome. (viafin-atlas.com)
Surgery5
  • The current state of knowledge on timing of surgery and anesthesia is also discussed. (bvsalud.org)
  • To compare the incidence of EA in children undergoing sub-umbilical surgery under caudal block with two different doses of sevoflurane. (anesth-pain-med.org)
  • Anesthesia plans may vary to include anesthesia for same-day outpatient surgery procedures in healthy patients with an isolated urologic concern or they may be more involved and complex. (pediatricurologybook.com)
  • These parents can typically be reassured that they will speak to an anesthesia provider on the day of surgery, or they can be provided with the anesthesia group's contact information for further questions. (pediatricurologybook.com)
  • Topics: Airway management in COVID-19 patients, multisystem inflammatory syndrome, NMBAs use in difficult airway management, impact of clear fluid fasting on aspiration, early surgery and anesthesia in early childhood, melatonin for anaesthetic indications, prolonged opiod use, preop iron for scoliosis surgery. (apagbi.org.uk)
Preterm1
  • Approximately 10 percent of infants born preterm in the United States are diagnosed with gastroesophageal reflux disease (GERD). (pediatricsnationwide.org)
Cardiac1
  • This two-month-old male infant was also affected by cardiac anomalies including patent ductus arteriosus (PDA) and ventricular septal defect. (wikipedia.org)
Child's2
Patients1
  • Medically complex patients may benefit from a visit to the pre-anesthesia or pre-surgical optimization clinic to ensure that all follow-up information is up to date (e.g., echocardiogram and cardiology clearance in patients with congenital heart disease) and to allow for timely completion of any necessary laboratory work or imaging. (pediatricurologybook.com)
Dose1
  • Predicted concentrations after either a repeat spinal or a caudal rescue dose of levobupivacaine 1.5 mg kg -1 1 h after spinal levobupivacaine administration are below the neurotoxic concentration threshold. (smarttots.org)
Children5
  • A quick Google search of this very question yields over 400,000 results, with attention grabbing headlines such as, "Anesthesia May Harm Children's Brains" (WebMD) 3 and "Researchers Warn on Anesthesia, Unsure of Risk to Children" (NY Times) . (apsf.org)
  • compared a similar cohort of children exposed to anesthesia prior to age 2 to unexposed matched controls. (apsf.org)
  • Caudal epidural anaesthesia accounts for over half of regional techniques performed in children. (wfsahq.org)
  • Infants, preverbal children, and children between the ages of 2 and 7 years may be unable to describe their pain or their subjective experiences. (nysora.com)
  • Lidocaine viscous is not recommended by the FDA to treat teething pain in children and infants. (illnesshacker.com)
Injection1
Retrospective1
  • Numerous retrospective observational studies were published that suggested anesthesia exposure early in life was a risk factor for learning disabilities later in life. (apsf.org)
Nasal1
Blocks1
  • In this series, we report our experience combining caudal blocks with a non-narcotic postoperative pathway as a means of completely eliminating postoperative narcotics following infant robotic pyeloplasty. (beaumont.org)
Local3
Cohort1
  • reviewed test scores of language, cognition, motor skills, and behavior in a cohort of three hundred 10-year-olds who were exposed to anesthesia before age 3. (apsf.org)
Lidocaine2
  • een anesthetische pleister voor lokale toepassing, die per pleister 70 mg lidocaine en 70 mg tetracaine bevat, verwerkt in een warmteproducerende patch. (richtlijnendatabase.nl)
  • In een dubbelblinde gerandomiseerde studie werden bij het inbrengen van een 16 Gauge katheter bij volwassenen het analgetisch van een lidocaine 70mg/ tetracaine 70 mg zonder en met warmteproducerend effect vergeleken. (richtlijnendatabase.nl)
Medication1
  • Therefore, we administer an oral anxiolytic (such as midazolam oral liquid, 0.5-0.75 mg/kg) in the pre-operative holding area 15-30 minutes prior to inhalational anesthesia induction to allow optimal timing of medication effect. (pediatricurologybook.com)
Pain4
  • Good pre-operative communication between the surgical and anesthesia teams is ideal and may include any special peri-operative needs, anticipated post-operative admission or pain issues. (pediatricurologybook.com)
  • During the 20th Century, when medicine rose to dominate childbirth in developed countries, it brought with it a denial of infant pain based on ancient prejudices and 'scientific' dogmas that can no longer be supported. (drmomma.org)
  • This presentation, given in San Francisco on May 2, 1991 includes an historical review of empirical findings on infant pain, some the reasons for physicians' indifference, and speculations about the negative consequences of violence to infants. (drmomma.org)
  • Over the years, doctors paid increasing attention to the pain of mothers but not to the pain of infants. (drmomma.org)
Anesthetics1
Painful2
  • In this paper, I reflect on the painful impact of medicine on infants over the last century. (drmomma.org)
  • Actually birth become more painful for infants. (drmomma.org)
Esophageal1
  • A 3 day-old full-term infant weighing 3.7 kg presents for thoracotomy for repair of esophageal atresia. (pedspainmedicine.org)
Syndrome2
  • Another feature identified with Malpuech syndrome is a caudal appendage. (wikipedia.org)
  • Baller-Gerold syndrome (BGS) can be suspected at birth in an infant with craniosynostosis and upper limb abnormality. (beds.ac.uk)
Concentrations1
  • The upper (97.5% prediction) for peak concentrations after rescue caudal levobupivacaine were 1.5 mg kg -1 , 2 mg kg -1 , and 2.5 mg kg -1 was 2.05 mg L -1 , 2.5 mg L -1 , and 2.9 mg L -1 respectively. (smarttots.org)
Typically1
  • In the 20th Century, infants have had a head-on collision with physicians, typically male physicians. (drmomma.org)
Lower1
  • Subsequent studies to learn how well infants could feel were directed at the big toe, [10] calf, [11] head, trunk, upper and lower extremities. (drmomma.org)