scholarly journals Anesthesia with mask free sleep inducing balloon in pediatric patients; A tertiary care hospital experience

2020 ◽  
Vol 39 (1) ◽  
pp. 19-23
Author(s):  
Abul Kalam Azad ◽  
Mozibul Haque ◽  
Aminul Islam
Keyword(s):  
Heart Rate ◽  
Oxygen Saturation ◽  
Behavioral Problems ◽  
Induction Time ◽  
Pediatric Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Function Of Sleep ◽  
Mean Heart Rate

Introduction: Children are habitually frightened and become combative during the induction of anesthesia. It is challenging for pediatric anesthesiologists to minimize psychological upset by reducing scaring environment of operating room and to facilitate a smooth induction of anesthesia. Use of force to handle severely anxious and scared children may lead to postoperative behavioral problems. Purpose: There is an immense need to develop a simple device to ensure mask free and stress-less induction for children. Sleep Inducing Balloon is the mask-free and stress-less anesthesia delivery system designed for children which is not only fulfilling the criteria of ideal breathing system but also replaces anxiety with amusement and fear with fun! Methods: A study was conducted among 100 children between 6 months to 7 years of age, during the period of Apr 2018 to Dec 2018 to find out the induction time of Sleep Inducing Balloon who were scheduled for elective short surgical procedure under general anaesthesia having ASA grading I and II. While doing so, children receive constant gas mixture of 5L oxygen mixed with 5% sevoflurane till fall asleep. Results: A total 100 patients were included in this study to record induction time, heart rate and oxygen saturation to validate the function of Sleep Inducing Balloon. Mean age of the children was 3.50±1.04 years, mean weight was 10.7±3.24 Kgs and mean heart rate was 120±8.3/min. Most of the children had ASA grade-I (96%) and oxygen saturation was 99%. Induction time was 60-80 seconds in 26% patients, and 81-100 seconds in 45% of the children. In 24% children the induction time was 101-120 seconds, 5% children took more than two minutes for induction. There was no failure and adverse events were easy to manage. Conclusion: Mask free sleep inducing balloon is a safe and successful way of anesthetic induction in pediatric patients. The procedure ensures a stress-free peaceful event in frightened children. J Bangladesh Coll Phys Surg 2021; 39(1): 19-23

Pediatric Drug-Related Problems in an Indian Tertiary Care Hospital

2021 ◽  
Vol 08 ◽  
Author(s):  
Qaiser Jahan ◽  
K. Pallavi ◽  
R. Hamshika ◽  
Varun Talla ◽  
Jupally Venkateshwar Rao ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Drug Related Problems ◽  
Cross Sectional ◽  
Pediatric Department ◽  
Root Cause ◽  
Patient Morbidity ◽  
Tertiary Care Hospitals

Background: Improper drug usages expose patients to drug-related problems (DRPs) and can be the cause of patient morbidity and even mortality, especially frequent in hospitalized patients and pediatric groups. Objective: The objective of the present study was to identify and assess the drug-related problems in the pediatric department of tertiary care hospitals. Methods: The cross-sectional, observational study was carried out for six months included pediatric in-patients of age ≤15 years of either gender in pediatric units of tertiary care hospitals of India. The enrolled pediatric patients were observed for any drug-related problem that were further recorded and classified using the DRP registration format taken from Cipolle et al. The assessment of therapy was done by using positional statements from standard organizations and guidelines. Main outcome measure: Incidences of drug-related problems and their assessment and root cause analysis. Results: A total of 970 DRPs were identified in 296 patients, with an overall incidence of 49.3%. The incidence of DRPs was maximum in the age group of 2-12 years of children (51.2%). Patients who took six or more drugs were around eight (OR:8.41 , 95% CI: 5.22 to 13.55) times more likely to have DRPs compared to those patients who took less than six drugs. The incidences of DRPs were more in patients who were hospitalized for ≥ 7 days. Conclusion: The present study revealed significantly higher incidences of DRPs in hospitalized pediatric patients necessitating the involvement of clinical pharmacists in the pediatric department of tertiary care hospitals.

scholarly journals Retrospective analysis of disease profile and percentage of COVID positivity among patients presenting to paediatric triage of a tertiary care hospital during COVID pandemic lockdown period

2021 ◽  
Vol 8 (5) ◽  
pp. 867
Author(s):  
Gargi H. Pathak ◽  
Anuya Chauhan ◽  
Sunita Beniwal
Keyword(s):  
Critical Illness ◽  
Pediatric Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Attendance Rate ◽  
Icu Mortality ◽  
Vaccine Preventable Diseases ◽  
Immunization Rates ◽  
Testing Criteria

Background: Currently, limited reports analyze pediatric patients infected with SARS-Covid-19. We conducted this study with the purpose of assessing the disease profile and percentage of COVID positivity among pediatric patients presenting to our triage area.Methods: A retrospective quantitative observational study was conducted in the pediatric triage area, department of pediatrics, Civil hospital campus, Ahmedabad, India. Patients aged 0-12 years were included with the study period from 1stApril to 30th June, 2020. Patients fulfilling the ICMR testing criteria were considered as suspected COVID patients and tested for COVID. Remaining patients were triaged and managed either on OPD basis or admitted in PICU, NICU or pediatric ward. Also, data of OPD attendance rate and immunization rates of 3 months (April, May and June) of 2019 and 2020 were collected from pediatric OPD and vaccination center.Results: A total of 709 patients presented in the triage out of which 35.5% were neonates, 28.6% were between 1-12 month, 23.2%were between 1-5 years and 12.6% were between 5-12 years. 12 out of 97 suspected patients tested positive for COVID 19. Among COVID positive patients, 50% had uncomplicated illness or mild pneumonia, while 50 % had critical illness and were admitted in COVID ICU. Mortality among non COVID patients was 22.7%, and among COVID patients was 16.6%. A sharp fall was noted in the OPD attendance (10 times) and immunization rates (3 times) this year compared to last year.Conclusions: Incidence of COVID positivity was comparable to the studies done in other countries. Even during the pandemic peak, the major chunk of pediatric admissions still belonged to the non COVID conditions. The drastic fall in immunization rates can have implications in the form of re-emergence of vaccine preventable diseases in the coming times.

scholarly journals The Impact of a Pediatric Antibiotic Standard Dosing Table on Dosing Errors

2013 ◽  
Vol 18 (3) ◽  
pp. 220-226 ◽  
Author(s):  
Mohammed A. Aseeri
Keyword(s):  
Pediatric Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Patient Characteristics ◽  
Care Hospital ◽  
Implementation Phase ◽  
Before And After ◽  
The Impact ◽  
Standardization Policy ◽  
Antibiotic Dosing

OBJECTIVE The goal of this study was to compare the rate of dosing errors for antibiotic orders in pediatric patients before and after the implementation of an antibiotic standard dosing table with precalculated dosage for different weight ranges at a tertiary care hospital. METHODS A retrospective study of 300 antibiotic prescriptions for pediatric patients in three different settings (ambulatory care, inpatient, and emergency department) at a tertiary care hospital assessed the appropriateness of antibiotic dosing. The need for an antibiotic dosing standardization policy was identified after finding that more than 30% of patients experienced a dose variation of ±10% of the recommended daily dose. An antibiotic dosing standardization policy was implemented with an antibiotic standard dosing table for different weight ranges, and a hospital wide-education program was conducted to increase awareness of this new practice and its benefits. Three months after implementation, a random sampling of 300 antibiotic prescriptions collected from the same settings as the pre-intervention period was evaluated for compliance with the new policy and its effect on the number of antibiotic dosing errors. RESULTS Six hundred prescriptions were included in this study (300 in the pre-implementation phase and 300 in the post-implementation phase). Patient characteristics were similar in both groups in terms of sex, age, and weight. Physician compliance with the antibiotic dosing standardization policy after its implementation was 62%. The dosing standardization policy reduced the rate of dosing errors from 34.3% to 5.06% (p=0.0001), and weight documentation on the antibiotic prescription improved from 65.8% to 85.7% (p=0.0001). CONCLUSIONS Implementation of an antibiotic dosing standardization policy significantly reduced the incidence of dosing errors in antibiotics prescribed for pediatric patients in our hospital.

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