BACKGROUND Mortality is a basic measure for quality and safety in anesthesia. There are few anesthesia-related mortality data available for pediatric practice. Our objective for this study was to determine the incidence of 24-hour and 30-day mortality after anesthesia and to determine the incidence and nature of anesthesia-related mortality in pediatric practice at a large tertiary institution....

BACKGROUND Neuronal cell death after general anesthesia has recently been documented in several immature animal models. Worldwide, volatile anesthetics are used in millions of young children every year during surgical procedures and imaging studies. The possibility of anesthesia-induced neurotoxicity during an uneventful anesthetic in neonates or infants has led to serious questions about the s...

The Italian Society of Pediatric Surgery (SICP) together with The Italian Society of Pediatric Anesthesia (SARNePI) through a systematic analysis of the scientific literature, followed by a consensus conference held in Perugia on 2015, have produced some evidence based guidelines on the feasibility of day surgery in relation to different pediatric surgical procedures. The main aspects of the pr...

Background: Anesthesia procedure is routinely performed for some painful pediatric oncologic procedures such as lumbar puncture (LP) and bone marrow examination (BME). Several studies mentioned that fentanyl remifentanyl are often used anesthetic agent of this procedure, but none them compare the recovery time both agent. This study aims to in patients undergoing methoterexate therapy. Subjects...

Background: Pediatric mastocytosis includes a rare spectrum of diseases characterized by abnormal mast cell infiltration in one or more organs. The cutaneous form (urticaria pigmentosa) is the most frequent pediatric clinical variant.1 Various stimuli may cause mast cell degranulation leading to mediator release. However, there have only been few reports of serious anesthesia-related complicati...

BACKGROUND The bispectral index (BIS) and A-line autoregressive index (AAI) are electroencephalogram-derived monitoring indices of anesthesia. This study evaluated the efficacy of BIS- and AAI-guided sevoflurane anesthesia in children receiving ambulatory urologic surgeries. METHODS One hundred sixty children (aged 3-12 years) undergoing ambulatory urologic surgery were randomized to receive ...

Prader-Willi syndrome (PWS) is a sporadic disorder of chromosome abnormalities with an estimated prevalence of 1 in 15,000. It mainly affects the central nervous system, and often involves the hypothalamus. Both general and regional anesthesia for these patients is difficult mainly due to morbid obesity. Other common problems include hypotonia, disturbance in thermoregulation, arrhythmia, cor p...

Hemophilia, among other bleeding disorders, raises concerns for dental service providers who routinely use sharp hand and rotary instruments, address highly vascular soft tissue and provide dental extractions. In pediatric dentistry, dealing with fearful or irritable children increases the possibility of trauma and subsequent bleeding risks in hemophilic pediatric dental patients. In the curren...

introduction citrullinemia is a defect in the urea cycle that causes ammonia to accumulate in the blood. we describe the anesthetic management of a patient with citrullinemia, who experienced an unexpected 10 day hospital admission. case presentation we anesthetized a 3.5 year-old boy with citrullinemia who was scheduled for a dentistry procedure. perioperative precautions included minimizing f...

Objective: Circumcision is the excision and removal of skin part that covers glans penis which called as prepicium, Dorsal penile nevre block (DPNB) used alone or in combination with general anesthesia for circumcision. Application a laryngeal mask (LMA) preferred especially pediatric age group because it requiresless anesthetic substance, doesn’t trigger reflexes. Our aim was to compare DPNB a...