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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > December, 2005 Vol. VI, No. 12

Challenging 4 Myths of Pediatric Anesthesia

Evidence that may change your thinking on NPO, respiratory infections, preemies and parental induction.

Zeev N. Kain, MD, MBA

Practice in a specialized area such as pediatric anesthesia should be the least reliant on myths, yet myths stubbornly persist, even in the face of hard data. I'm going to try to debunk four such myths by laying out the facts and figures you need to make evidence-based practice decisions.

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Categories: Anesthesia
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1 No fluids for at least two hours pre-op; 2 Automatically cancel for upper respiratory illness; 3 Premature infants can only be operated on at 60 weeks post-conceptual age; 4 Parents should be present during anesthesia induction; On the Web; Yes, but why?; American Society; Anesthesiology; Automatically; Carefully; Children; Court; Critics; Delay; Evidence Suggests No; Handle; Hardy; Illinois Supreme Court; Liquid Remaining; NPO; Now Myth New Evidence Suggests No; Operate; PACU; PE; Parents; Perioperative; Plourde; Post-op; Practical; Practice; Premature; Purely; Remaining; Research; Risk; Se... show all keywords
1 No fluids for at least two hours pre-op; 2 Automatically cancel for upper respiratory illness; 3 Premature infants can only be operated on at 60 weeks post-conceptual age; 4 Parents should be present during anesthesia induction; On the Web; Yes, but why?; American Society; Anesthesiology; Automatically; Carefully; Children; Court; Critics; Delay; Evidence Suggests No; Handle; Hardy; Illinois Supreme Court; Liquid Remaining; NPO; Now Myth New Evidence Suggests No; Operate; PACU; PE; Parents; Perioperative; Plourde; Post-op; Practical; Practice; Premature; Purely; Remaining; Research; Risk; Sethi; Simply; Society; Suggests No; Supreme Court; Then, Now Myth New Evidence Suggests No; URI; URI. Carefully; URI? Practical; URIs; Water; Web For; absorbed; accept; accompany; acid; acknowledging; active; addressed; admitted; adverse; age; airflow; airway; amount; anecdotal; anesthesia; anesthesiologists; anesthetics; answer; anxiety; apnea; apologizing; area; aspirate; aspiration; assess; asthma; authors; average; avoidance; aware; bargaining; based; basis; behaviors; believed; benefits; breast; breath; breathing; bringing; bronchopulmonary; cancel; cardiorespiratory; carefully; case; case-controlled; cases; cat; cell; central; cereal; challenge; change; child; children; clear; clinical; commands; common; complete; compliance; complication; conclude; conditions; congestion; consent; conservative; considered; content; controlled; coping; counterproductive; criticism; crowds; damage; data; days; debunk; decide; decrease; define; delay; demonstrates; dependent; depress; desaturation; design; develop; developing; development; dinner; directly; discussing; disease; disrupts; distraction; drive; due; duty; dysplasia; early; elective; eleven-fold; emergency; empathic; emphasize; emptying; endotracheal; engage; episodes; equally; evacuate; event's; evidence; evidence-based; examine; face; factors; facts; fainted; fall; fasting; figures; finding; fluid; follow; formula; found; frequently; full; gastric; general; good; greater; guidelines; hard; he'd; head; healthcare; heavy; herniorrhaphy; higher; history; hope; hospital; hours; hypnotics; illness; illustration; impact; implement; important; incarceration; incidence; included; increase; induction; infant; informed; inguinal; injury; intake; interests; intubation; investigation; invite; involved; involving; issue; lab; lack; laryngospasm; lasting; laying; leaves; legal; letting; light; likelihood; liquids; list; literature; longer; lose; low; lung; make; making; mark; maximal; maximum; meal; medical; mentioned; methods; mild; milk; minimal; minor; minutes; ml/kg; model; monitoring; monkey; morbidity; mother; movements; myths; nasal; necessarily; needed; non-human; non-patient; non-productive; nostrils; number; operated; oxygen; page; parent; parental; parents; party; passive; passively; patient; patients; pediatric; percent; perform; performed; period; perioperative; personnel; place; placement; post-conceptual; post-operative; postpone; potentially; practice; pre-operative; preliminary; premature; preparation; presence; present; presents; primate; procedure; procedures; proceed; process; produce; prolongs; protect; published; pulmonary; purely; question; randomized; range; reaches; reactions; reactive; reactivity; realize; reason; reasoning; reassurance; recent; recently; recommendations; recovered; recovering; reduced; reflect; regard; regurgitate; regurgitation; reliant; reluctant; rely; remains; replace; require; reschedule; research; residual; respiratory; responsibility; results; rethink; reveals; review; rhesus; rice; risk; routine; scheduled; sedative; semi-elective; sensitive; separation; set; sevenfold; show; sickle; sign; significant; significantly; simply; solids; son; sore; specialized; start; stated; stomach; stresses; stubbornly; studies; study; suffered; suffering; suggested; suggests; supported; surgeries; surgery; surgical; takes; talk; temperature; tests; therapeutic; time; today; tout; traditional; treated; treatment; trials; tube; turbulent; twofold; ultrasonographic; undergo; unnecessarily; unpreventable; upper; varies; ventilatory; volume; vomited; vomiting; water; weeks; work; written; year; younger

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