Editor's Note A quality improvement protocol at the University of Colorado Anschutz Medical campus resulted in a 48.8% decrease in the number of pediatric urology patients returning to the emergency department (ED) unnecessarily within 30 days of surgery. According to a December 2 university report, the initiative has significantly reduced…

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Editor's Note Non-operative management (NOM) with antibiotics for pediatric uncomplicated appendicitis is both less expensive and slightly more effective than urgent laparoscopic appendectomy over a one-year period, according to a study published November 19 in the Journal of the American College of Surgeons. The findings support the viability of NOM…

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Editor's Note A recent study presented at the American Society of Anesthesiologists’ 2024 meeting reveals that a computerized mental health assessment, KCAT, may effectively identify anxiety and depression in pediatric surgical patients. According to an October 20 report in Anesthesiology News, the single-center pilot study involved 65 children aged 7…

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Editor's Note The story of how the perioperative team at Ann & Robert H. Lurie Children's Hospital responded to a recent cyber event revealed insights about resilience, communication, team-building, and preparedness in one of the concluding sessions of this week’s OR Manager Conference in Las Vegas. The session was presented…

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Editor's Note Boston Children's Hospital uses digital twins of patients' hearts to improve cardiac surgery precision and ensure positive outcomes, according to an October 15 report in The Washington Post. Digital twins—computerized replications of physical objects and systems—enable surgeons to simulate complex procedures on virtual 3D heart models before making…

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Editor's Note The first clinical guidance for prescribing opioids to children recommend combining the drugs with nonopioid medications like acetaminophen or ibuprofen rather than as monotherapy, according to a September 30 report in Healio. Released by The American Academy of Pediatrics (AAP), the guidance also specifies that naloxone should also…

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Editor's Note Evidence is mounting for the use of antibiotics as a valid alternative to surgery for acute appendicitis, including in pediatric cases, the Washington Post reported August 17. The article details how this treatment—described as a “dark secret” by one expert testifying to its use in the 1950s, prior…

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Editor's Note A needle-based technique that blocks sensory and motor function below the chest without intubation or general anesthesia makes surgery safer for pediatric patients, according to a July 15 report in Michigan Medicine. The University of Michigan's pediatric spinal anesthesia program, also implemented at University of Michigan-Sparrow Health Center,…

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Editor's Note New findings show that compared to standard anesthetic methods, a new high-flow oxygen technique is just as safe as during tubeless upper airway surgery in children.  Published in The Lancet Respiratory Medicine, the University of Queensland research-- the High-Flow Oxygen for Children's Airway Surgery (HAMSTER) trial—was the focus of…

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Editor's Note Measuring gene activity in blood samples could help determine whether a child is at risk of sepsis and organ failure, according to findings published March 18 in The Lancet Child & Adolescent Health.  It is often difficult for clinicians to diagnose sepsis because the symptoms are similar to…

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