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Reposted by Just Little Adults

Andrew Weatherall @andyweatherall.bsky.social · Sep 8

[New content klaxon sounds]. Yes. We put up new stuff about anaesthesia for CT scans in kids if that's your area of work. #ansky #pedsanes

Just Little Adults @justlittleadults.bsky.social · Sep 8

There is some new content up at the site - a quick bit on providing anaesthesia for CT scans in kids. You can find it nestled around here. www.justlittleadults.com/imagingandir #ansky #pedsanes

Just Little Adults @justlittleadults.bsky.social · Sep 8

There is some new content up at the site - a quick bit on providing anaesthesia for CT scans in kids. You can find it nestled around here. www.justlittleadults.com/imagingandir #ansky #pedsanes

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Reposted by Just Little Adults

Andrew Weatherall @andyweatherall.bsky.social · Aug 3

And I may like this thing even more - wise souls sharing the tips and tricks you can’t get elsewhere. #ansky #pedsanes

Just Little Adults @justlittleadults.bsky.social · Aug 3

But also a very practical set of tips and tricks from folks who put central lines in paediatric patients all the time made its way to the blog. #ansky #pedsanes Maybe use some of the ideas (or share your own). www.justlittleadults.com/topical-anae...

There are lots of things that are central to the identify of a paediatric anaesthetist. Most of us think children are pretty ace. We are generally not scared away by having to keep a close eye on pati...

Reposted by Just Little Adults

Andrew Weatherall @andyweatherall.bsky.social · Aug 3

I really dig this stuff we put up for those who look after kids all about central lines. Look just trust me it is niche but good. #pedsanes #ansky

Just Little Adults @justlittleadults.bsky.social · Aug 3

This week the site had a whole new range of good things on kids' central lines. Including practical stuff on line choice, positioning and the brachiocephalic approach. All at this spot right here. #ansky #pedsanes www.justlittleadults.com/central-veno...

The place to come for the good stuff on central venous access in paediatric patients

Just Little Adults @justlittleadults.bsky.social · Aug 3

But also a very practical set of tips and tricks from folks who put central lines in paediatric patients all the time made its way to the blog. #ansky #pedsanes Maybe use some of the ideas (or share your own). www.justlittleadults.com/topical-anae...

There are lots of things that are central to the identify of a paediatric anaesthetist. Most of us think children are pretty ace. We are generally not scared away by having to keep a close eye on pati...

Just Little Adults @justlittleadults.bsky.social · Aug 3

This week the site had a whole new range of good things on kids' central lines. Including practical stuff on line choice, positioning and the brachiocephalic approach. All at this spot right here. #ansky #pedsanes www.justlittleadults.com/central-veno...

The place to come for the good stuff on central venous access in paediatric patients

Reposted by Just Little Adults

Just Little Adults @justlittleadults.bsky.social · Jul 28

But wait, there’s more (because value for your no money is what we’re about)… on the link right here you can find resources on types of lines, positioning lines and the approach to brachiocephalic insertion. #ansky #pedsanes www.justlittleadults.com/central-veno...

The place to come for the good stuff on central venous access in paediatric patients

Reposted by Just Little Adults

Just Little Adults @justlittleadults.bsky.social · Jul 28

[New content klaxon sounds]
There is a whole new thing up with tips and tricks on central line insertion from folks who do them a bit. Hundreds of years of experience that you can kind of read in a few minutes. #ansky #pedsanes www.justlittleadults.com/topical-anae...

There are lots of things that are central to the identify of a paediatric anaesthetist. Most of us think children are pretty ace. We are generally not scared away by having to keep a close eye on pati...

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Reposted by Just Little Adults

Andrew Weatherall @andyweatherall.bsky.social · Jul 28

Look. There is new stuff up and hopefully it’s useful.

Just Little Adults @justlittleadults.bsky.social · Jul 28

[New content klaxon sounds]
There is a whole new thing up with tips and tricks on central line insertion from folks who do them a bit. Hundreds of years of experience that you can kind of read in a few minutes. #ansky #pedsanes www.justlittleadults.com/topical-anae...

There are lots of things that are central to the identify of a paediatric anaesthetist. Most of us think children are pretty ace. We are generally not scared away by having to keep a close eye on pati...

Just Little Adults @justlittleadults.bsky.social · Jul 28

But wait, there’s more (because value for your no money is what we’re about)… on the link right here you can find resources on types of lines, positioning lines and the approach to brachiocephalic insertion. #ansky #pedsanes www.justlittleadults.com/central-veno...

The place to come for the good stuff on central venous access in paediatric patients

Just Little Adults @justlittleadults.bsky.social · Jul 28

[New content klaxon sounds]
There is a whole new thing up with tips and tricks on central line insertion from folks who do them a bit. Hundreds of years of experience that you can kind of read in a few minutes. #ansky #pedsanes www.justlittleadults.com/topical-anae...

There are lots of things that are central to the identify of a paediatric anaesthetist. Most of us think children are pretty ace. We are generally not scared away by having to keep a close eye on pati...

1 1 2

Reposted by Just Little Adults

Association of Paediatric Anaesthetists @apagbi.org.uk · Jul 27

Registration is now open for the 2025 Link Network Meeting!
📍 This year we’re in Sheffield — just a stone’s throw from the stunning Peak District National Park.
Don’t miss out!
👉 www.apagbievents.co.uk/link-network...
#PaedsAnaes #LinkNetwork2025 #Sheffield #PaediatricAnaesthesia

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Just Little Adults @justlittleadults.bsky.social · Jul 27

There is a whole new thing up. Tips and tricks for central line insertion from those who do it plenty. #pedsanes #ansky www.justlittleadults.com/topical-anae...

There are lots of things that are central to the identify of a paediatric anaesthetist. Most of us think children are pretty ace. We are generally not scared away by having to keep a close eye on pati...

Error Traps in the Intrahospital Transport of Critically Ill and Anesthetized Children

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Reposted by Just Little Adults

pedsanesthesia.bsky.social @pedsanesthesia.bsky.social · Jul 14

Moving patients around the hospital is a big deal. Here is an #OpenAccess review on how to make it as brilliant as possible. #pedsanes #ansky onlinelibrary.wiley.com/doi/10.1111/...

Intrahospital transport of anesthetized and critically ill children is a routine event that carries myriad risks. Patients with a vast array of conditions are transported between the intensive care u...

onlinelibrary.wiley.com

Just Little Adults @justlittleadults.bsky.social · Jul 11

And for me (it’s AW on at the moment) when I had an elective CT scan list it was often surprising how even seemingly straightforward induction with easy FMV was associated with some gas in the stomach (which also —> nausea etc surely).

Just Little Adults @justlittleadults.bsky.social · Jul 11

In the more straightforward scenario it is pretty common practice either after initial care or if you have had to go back to bagging to use an NG to decompress as an interim step to aid re-oxygenation.

Just Little Adults @justlittleadults.bsky.social · Jul 11

Sounds like things got there?

In the meantime we noticed we had not mentioned the role of NG etc in these kids and will be updating the post to reflect that point.

Has some upsides. Can be an issue with seal if in for preoxygenation etc.

Just Little Adults @justlittleadults.bsky.social · Jul 11

And if you’re up for it this sounds like something we could maybe use to initiate a case chat style post (de-identified appropriately etc.) in the hope it generates useful chat.

Either message here or the bottom of each page on the site has an email link :)

Just Little Adults @justlittleadults.bsky.social · Jul 11

It’d be great to hear how things went for you (feel free to message or contact another way if you’d rather not here).

Just Little Adults @justlittleadults.bsky.social · Jul 11

Initiating treatment for the underlying cause for oedema might also help. Somewhat assuming other things like NIV were already being tried.

Just Little Adults @justlittleadults.bsky.social · Jul 11

Early use of second gen SGA in the hope of better oxygenation plus gastric port/seal might be considered if patient obtunded prior to paralysis….

Just Little Adults @justlittleadults.bsky.social · Jul 11

Broadly the tips for good face mask technique and a bit of head up seem reasonable. But this sounds pretty extreme.

But if paralysis working:
- Prompt intubation (noting there is a whole separate chat to be had about developing strategy in advance of the attempt to optimise oxygenation etc.)