New technologies in pediatric anesthesia

Helen Holtby, Justin J. Skowno, Daryl J Kor, Randall Flick, Shoichi Uezono

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Summary This article reviews potential pediatric applications of 3 new technologies. (1) Pulse oximetry-based hemoglobin determination: Hemoglobin determination using spectrophotometric methods recently has been introduced in adults with varied success. This non-invasive and continuous technology may avoid venipuncture and unnecessary transfusion in children undergoing surgery with major blood loss, premature infants undergoing unexpected and complicated emergency surgery, and children with chronic illness. (2) Continuous cardiac output monitoring: In adults, advanced hemodynamic monitoring such as continuous cardiac output monitoring has been associated with better surgical outcomes. Although it remains unknown whether similar results are applicable to children, current technology enables the monitoring of cardiac output non-invasively and continuously in pediatric patients. It may be important to integrate the data about cardiac output with other information to facilitate therapeutic interventions. (3) Anesthesia information management systems: Although perioperative electronic anesthesia information management systems are gaining popularity in operating rooms, their potential functions may not be fully appreciated. With advances in information technology, anesthesia information management systems may facilitate bedside clinical decisions, administrative needs, and research in the perioperative setting.

Original languageEnglish (US)
Pages (from-to)952-961
Number of pages10
JournalPaediatric Anaesthesia
Volume22
Issue number10
DOIs
StatePublished - Oct 2012

Fingerprint

Management Information Systems
Cardiac Output
Anesthesia
Pediatrics
Technology
Hemoglobins
Phlebotomy
Oximetry
Operating Rooms
Premature Infants
Emergencies
Chronic Disease
Hemodynamics
Research
Therapeutics

Keywords

  • Anesthesia information management system
  • cardiac output monitoring
  • electric medical record
  • pulse CO-oximetry
  • total hemoglobin

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

New technologies in pediatric anesthesia. / Holtby, Helen; Skowno, Justin J.; Kor, Daryl J; Flick, Randall; Uezono, Shoichi.

In: Paediatric Anaesthesia, Vol. 22, No. 10, 10.2012, p. 952-961.

Research output: Contribution to journalArticle

Holtby, H, Skowno, JJ, Kor, DJ, Flick, R & Uezono, S 2012, 'New technologies in pediatric anesthesia', Paediatric Anaesthesia, vol. 22, no. 10, pp. 952-961. https://doi.org/10.1111/pan.12007
Holtby, Helen ; Skowno, Justin J. ; Kor, Daryl J ; Flick, Randall ; Uezono, Shoichi. / New technologies in pediatric anesthesia. In: Paediatric Anaesthesia. 2012 ; Vol. 22, No. 10. pp. 952-961.
@article{f907ba80c3d64992b2e40ba6e3cfa669,
title = "New technologies in pediatric anesthesia",
abstract = "Summary This article reviews potential pediatric applications of 3 new technologies. (1) Pulse oximetry-based hemoglobin determination: Hemoglobin determination using spectrophotometric methods recently has been introduced in adults with varied success. This non-invasive and continuous technology may avoid venipuncture and unnecessary transfusion in children undergoing surgery with major blood loss, premature infants undergoing unexpected and complicated emergency surgery, and children with chronic illness. (2) Continuous cardiac output monitoring: In adults, advanced hemodynamic monitoring such as continuous cardiac output monitoring has been associated with better surgical outcomes. Although it remains unknown whether similar results are applicable to children, current technology enables the monitoring of cardiac output non-invasively and continuously in pediatric patients. It may be important to integrate the data about cardiac output with other information to facilitate therapeutic interventions. (3) Anesthesia information management systems: Although perioperative electronic anesthesia information management systems are gaining popularity in operating rooms, their potential functions may not be fully appreciated. With advances in information technology, anesthesia information management systems may facilitate bedside clinical decisions, administrative needs, and research in the perioperative setting.",
keywords = "Anesthesia information management system, cardiac output monitoring, electric medical record, pulse CO-oximetry, total hemoglobin",
author = "Helen Holtby and Skowno, {Justin J.} and Kor, {Daryl J} and Randall Flick and Shoichi Uezono",
year = "2012",
month = "10",
doi = "10.1111/pan.12007",
language = "English (US)",
volume = "22",
pages = "952--961",
journal = "Paediatric Anaesthesia",
issn = "1155-5645",
publisher = "Wiley-Blackwell",
number = "10",

}

TY - JOUR

T1 - New technologies in pediatric anesthesia

AU - Holtby, Helen

AU - Skowno, Justin J.

AU - Kor, Daryl J

AU - Flick, Randall

AU - Uezono, Shoichi

PY - 2012/10

Y1 - 2012/10

N2 - Summary This article reviews potential pediatric applications of 3 new technologies. (1) Pulse oximetry-based hemoglobin determination: Hemoglobin determination using spectrophotometric methods recently has been introduced in adults with varied success. This non-invasive and continuous technology may avoid venipuncture and unnecessary transfusion in children undergoing surgery with major blood loss, premature infants undergoing unexpected and complicated emergency surgery, and children with chronic illness. (2) Continuous cardiac output monitoring: In adults, advanced hemodynamic monitoring such as continuous cardiac output monitoring has been associated with better surgical outcomes. Although it remains unknown whether similar results are applicable to children, current technology enables the monitoring of cardiac output non-invasively and continuously in pediatric patients. It may be important to integrate the data about cardiac output with other information to facilitate therapeutic interventions. (3) Anesthesia information management systems: Although perioperative electronic anesthesia information management systems are gaining popularity in operating rooms, their potential functions may not be fully appreciated. With advances in information technology, anesthesia information management systems may facilitate bedside clinical decisions, administrative needs, and research in the perioperative setting.

AB - Summary This article reviews potential pediatric applications of 3 new technologies. (1) Pulse oximetry-based hemoglobin determination: Hemoglobin determination using spectrophotometric methods recently has been introduced in adults with varied success. This non-invasive and continuous technology may avoid venipuncture and unnecessary transfusion in children undergoing surgery with major blood loss, premature infants undergoing unexpected and complicated emergency surgery, and children with chronic illness. (2) Continuous cardiac output monitoring: In adults, advanced hemodynamic monitoring such as continuous cardiac output monitoring has been associated with better surgical outcomes. Although it remains unknown whether similar results are applicable to children, current technology enables the monitoring of cardiac output non-invasively and continuously in pediatric patients. It may be important to integrate the data about cardiac output with other information to facilitate therapeutic interventions. (3) Anesthesia information management systems: Although perioperative electronic anesthesia information management systems are gaining popularity in operating rooms, their potential functions may not be fully appreciated. With advances in information technology, anesthesia information management systems may facilitate bedside clinical decisions, administrative needs, and research in the perioperative setting.

KW - Anesthesia information management system

KW - cardiac output monitoring

KW - electric medical record

KW - pulse CO-oximetry

KW - total hemoglobin

UR - http://www.scopus.com/inward/record.url?scp=84866251819&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84866251819&partnerID=8YFLogxK

U2 - 10.1111/pan.12007

DO - 10.1111/pan.12007

M3 - Article

VL - 22

SP - 952

EP - 961

JO - Paediatric Anaesthesia

JF - Paediatric Anaesthesia

SN - 1155-5645

IS - 10

ER -