- Pediatric Pain Management Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Neurotoxicity Research
- Medical History and Innovations
- Anesthesia and Sedative Agents
- Anesthesia and Pain Management
- Cardiac Arrest and Resuscitation
- Airway Management and Intubation Techniques
- Cardiac Ischemia and Reperfusion
- Childhood Cancer Survivors' Quality of Life
- Cardiac Structural Anomalies and Repair
- Family and Patient Care in Intensive Care Units
- Infant Development and Preterm Care
- Pulmonary Hypertension Research and Treatments
- Musculoskeletal pain and rehabilitation
- Pain Management and Opioid Use
- Congenital Heart Disease Studies
- Nausea and vomiting management
- Cardiac and Coronary Surgery Techniques
- Respiratory and Cough-Related Research
- Blood transfusion and management
- Health, psychology, and well-being
- Voice and Speech Disorders
- Lysosomal Storage Disorders Research
- Intramuscular injections and effects
Royal Children's Hospital
2011-2024
Murdoch Children's Research Institute
2013-2021
The University of Melbourne
2011-2013
Pfizer (United States)
2009
Melbourne Clinic
1996-1999
In Brief BACKGROUND: Mortality is a basic measure for quality and safety in anesthesia. There are few anesthesia-related mortality data available pediatric practice. Our objective this study was to determine the incidence of 24-hour 30-day after anesthesia nature practice at large tertiary institution. METHODS: Children ≤18 years old who had an anesthetic between January 1, 2003, August 30, 2008, Royal Children's Hospital, Melbourne, Australia, were included study. Data analyzed by merging...
The efficacy of psychological treatments emphasising a self-management approach to chronic pain has been demonstrated by substantial empirical research. Nevertheless, high drop-out and relapse rates low or unsuccessful engagement in rehabilitation programs have prompted the suggestion that people vary their readiness adopt pain. Pain Stages Change Questionnaire (PSOCQ) was developed assess patient's Preliminary evidence supported PSOCQ's psychometric properties. current study designed...
To describe the pain assessment and management practices documented by health professionals within a tertiary-level Children's Cancer Centre to evaluate how these were compared with international recommendations.Children cancer are vulnerable due intensity of antineoplastic therapy. Therefore, it is imperative ensure that current provided paediatric oncology inpatients high quality.A single-site cross-sectional audit.A 24-hour period pain-related care in randomly selected an Australian was...
Children undergoing hematopoietic stem cell transplantation (HSCT) are vulnerable to pain due the intensity and toxicity of this treatment. An instrumental case study design two qualitative phases was conducted examine experiences hospitalized children during HSCT therapy how contextual factors related pediatric environment influenced their experience pain. The Social Communication Model Pain provided conceptual framework for study. In Phase 1, semi-structured interviews were with parents a...
The protein S100B is a marker of brain injury. Early after cardiopulmonary bypass (CPB), serum levels are artefactually high. We investigated whether delayed (48 h) rise in may have role detecting injury CPB.Data from 43 children were analysed this study. Samples collected at preincision and 30 min, 24 48 h postbypass then by using commercially available radioimmunoassay (Sangtec100). Charts reviewed 3-5 months for evidence neurological injury.S100B high preoperatively neonates universally...
Children's fear of a procedure, including the anesthetic, is common issue that operating theatre staff face. This generally mitigated by preesthetic preparation and information sharing. Last-minute refusal procedure creates unique difficulties for anesthetist proceduralist. Refusal raises issues whether dissent binding, if not, how best to get child without creating moral injury. In this case review young adolescent who refuses go theatre, we explore practical ethical options resolve...
To ascertain from paediatricians and child psychiatrists their views regarding the aetiology, assessment, diagnosis of attentional difficulties in children, prescribing stimulant medication for such difficulties.Using a questionnaire devised by authors, 465 444 were surveyed.The overall response rate was 73%. Some 94% 29% routinely dealt with difficulties. Views on classification, varied. More than 60% both groups prepared to prescribe without formal being made. Comorbid conduct disorder...
Summary Background: Topical local anesthesia of the airway anaesthetized children has many potential benefits. In our institution, lignocaine is topically instilled blindly into back mouth with expectation that it will come contact larynx. The volume and method application varies between clinicians. There no published evidence to support plausibility this technique. Aim: To determine whether technique instillation results in anesthetic coming key laryngeal structures influenced by or...
The aim of the present study was to test hypothesis that adjunctive local anaesthesia decreases postoperative pain, vomiting or length stay in children having strabismus repairA prospective, randomized, triple-armed clinical trial involving a treatment comparison between topical amethocaine, sub-conjunctival bupivacaine and, as placebo, normal saline performed. All treatments were given at end surgery before emergence from anaesthetic.Overall, there no statistically significant difference...
BTDi BSJIO=RAL 927 various untoward influences.In granular kidney it responds first by athero-sclerosis of its intimate intervisceral twigs; secondly, at a later period, when not these vessels but the-sstemic trunks suffer under another influence, the stress, that is, excessive pressures, again make only response which they are capable; theyexpress their reaction to different injury also in similar terms arterio-solerosis.Leaving now disease and turning series Huchard calle "' Presclerosis...
ABSTRACTCoordinated systems of care are required to improve access reperfusion therapies in paediatric stroke. A conceptual model was developed map the process-of-care from symptom onset confirmation diagnosis. Value-Focused Process Engineering with event-driven process modelling used identify barriers and enablers timely accurate stroke Stakeholder interviews were conducted inform design, development, demonstration validation. Barriers included: (i) ambulance dispatcher failure allocate...