Epidemiology, Morbidity and Mortality Associated With Anesthesia in Early Life: A Subgroup Analysis of the German NEonate and Children audiT of Anesthesia pRactice IN Europe (NECTARINE) Cohort Background The NEonate and Children audiT of Anesthesia pRactice IN Europe (NECTARINE) study, led by the ESAIC Clinical Trials Network, collected prospective data on 5609 children up to 60 weeks pos...

NECTARINE - not just a serious effort in study acronyms. An in this study on neonates and infants compares Germany to the broader European cohort. It suggests a difference in critical events and morbidity. But why might that be? onlinelibrary.wiley.com/doi/10.1002/... #ansky #pedsanes

Lung Volume Change Under Apnoeic Oxygenation With Different Flow Rates in Children: A Single‐Centre Prospective Randomized Controlled Non‐Inferiority Trial Background High-flow oxygen in children prolongs the apnea time. The exact mechanism remains unclear. Aims This study investigated whether low- and high-flow nasal oxygen are non-inferior to very ...

How about a little #openaccess research for a refreshing change? Lung volumes with high flow or low flow nasal oxygenation - a little to add to our understanding of apnoeic oxygenation. #ansky #pedsanes onlinelibrary.wiley.com/doi/10.1111/...

BIS Guided Titration of Sevoflurane in Pediatric Patients Undergoing Elective Surgery: A Randomized Controlled Trial Background In pediatric patients, the use of processed EEG monitoring may reduce the amount of anesthesia administered while maintaining adequate depth of anesthesia. Aims The primary aim of this .....

Perhaps today is the day you'd like to dive into BIS-guided use of sevoflurane with an #openaccess RCT actually in paediatric practice published in the journal. Yes, you. #ansky #pedsanes onlinelibrary.wiley.com/doi/10.1111/...

Error Traps in the Intrahospital Transport of Critically Ill and Anesthetized Children Intrahospital transport of anesthetized and critically ill children is a routine event that carries myriad risks. Patients with a vast array of conditions are transported between the intensive care u...

Moving patients around the hospital is a big deal. Here is an #OpenAccess review on how to make it as brilliant as possible. #pedsanes #ansky onlinelibrary.wiley.com/doi/10.1111/...

Retrospective Review of Intraoperative Hypotension and Perioperative Angiotensin Inhibitor Use in Pediatrics Background Perioperative management of angiotensin inhibitors is contentious in adults and understudied in children. Perioperative angiotensin inhibitor management in pediatrics cannot be extrapolat.....

There's an #openaccess read on the whether angiotensin inhibitors have an impact on hypotension around the operation. But this time it is specific to paediatrics. No more extrapolating from adults on this topic maybe. #ansky onlinelibrary.wiley.com/doi/10.1111/...

Propofol: A Medication That Changed Pediatric Anesthesia Practice The introduction of propofol changed our understanding of pediatric anesthesia pharmacology, research approaches for intravenous drug study, and led to infusion pump development for the maintenance p...

Today is the day we talk about every anaesthetists favourite white liquid that is not milk. Propofol and the change it brought to anaesthesia for children. #openaccess #ansky #pedsanes onlinelibrary.wiley.com/doi/10.1111/...

Find yourself a specialty with bubble-blowing RCTs. #pedsanes #ansky

I pity all the medical specialties that do not have bubble-blowing RCTs as core reading.

Editorial query: did the researchers adequately evaluate fun in the clinicians as an outcome? 🤔

The Effectiveness of Bubble‐Blowing as a Distraction Technique During Pediatric Intravenous Cannulation: A Randomized Controlled Trial Background Intravenous cannulation is a standard but potentially painful procedure. Distraction techniques can alleviate this discomfort by shifting attention from perceived pain. Bubble-blowing is .....

This core paediatric anaesthesia research is the most important RCT you will read this year. The effectiveness of bubble blowing as distraction during IV cannulation vs video watching. #pedsanes #openaccess onlinelibrary.wiley.com/doi/10.1111/...

[New editor-in-chief incoming alert]
The current EiC, Prof. Andrew Davidson, has been epic. The next, Dr Laszlo Vutskits will absolutely be up for the challenge of continuing to do great things.

When a negative finding is sort of a positive for your knowledge level. This #openaccess thing suggests no difference with IV lignocaine in a multimodal analgesia mix for scoliosis surgery. #pedsanes onlinelibrary.wiley.com/doi/10.1111/...

Flipping the Conditional: Why We Are Probably Wrong About Probabilities Flipping the conditional is an error of reasoning that occurs when we inadvertently transpose the terms in a conditional probability. A conditional probability arises when the probability of an event....

An interesting read on probabilities, why we sometimes think the wrong way about them and the prosecutor's fallacy. All #openaccess and relevant to what we do. #pedsanes onlinelibrary.wiley.com/doi/10.1111/...

Supervision of Pediatric Anesthesia After‐Hours: A Survey of Pediatric Anesthetists in Australia and New Zealand Background After-hours pediatric anesthesia may pose increased risks, with a heightened potential for sudden cardio-respiratory decline. While mortality rates are low in Australia and New Zealand, c.....

What is the right balance when you supervise trainees getting to grips with paediatric anaesthesia? An #openaccess paper with an Australian perspective. #pedsanes onlinelibrary.wiley.com/doi/10.1111/...

Intravenous lidocaine infusion therapy and intraoperative neurophysiological monitoring in adolescents undergoing idiopathic scoliosis correction: A retrospective study Background Posterior spinal instrumentation and fusion is an established surgical procedure for the correction of adolescent idiopathic scoliosis. Intraoperative neurophysiological monitoring is sta.....

This #OpenAccess article looks at the impact on spinal monitoring of adding IV lidocaine to your scoliosis anaesthetic. With the interest in this addition to multimodal analgesia, it is worth a look. #pedsanes onlinelibrary.wiley.com/doi/10.1111/...

Remember SARS-CoV-2? Here's an #openaccess article looking at perioperative respiratory issues after recent infection. Maybe it's lower respiratory symptoms that matter the most. #pedsanes onlinelibrary.wiley.com/doi/10.1111/...

Transthoracic Echocardiography for Central Venous Catheter Tip Positioning in Children: An Observational Study Using Transesophageal Echocardiography as Reference Method Background Children who need to have major surgery or are critically ill often require the insertion of a central venous catheter (CVC). To avoid serious complications, it is important to correctly ...

Another thing that ultrasound appears to do well - help you place a CVC. An #openaccess read on using TTE to confirm that central line. #pedsanes onlinelibrary.wiley.com/doi/10.1111/...

Error Traps in the Intrahospital Transport of Critically Ill and Anesthetized Children Intrahospital transport of anesthetized and critically ill children is a routine event that carries myriad risks. Patients with a vast array of conditions are transported between the intensive care u...

This #openaccess read steps through the traps to avoid when doing the critical work of moving your paediatric patient around the hospital. #pedsanes onlinelibrary.wiley.com/doi/full/10....

The Pediatric Anesthesia Journal has joined BlueSky. Seemed like time.