New technologies in pediatric anesthesia

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

doi:10.1111/pan.12007

Cited by 35Hemodynamic Monitoring and TherapyHealthcare Technology and Patient MonitoringAnesthesia and Sedative Agents

New technologies in pediatric anesthesia

Holtby, Helen, Skowno, Justin J., Kor, Daryl J., Flick, Randall P., Uezono, Shoichi·2012·Pediatric Anesthesia

DOI 10.1111/pan.12007

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Abstract

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.

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EC has shown low bias when compared with TTE in infants postoperatively.
“Additionally, EC has shown low bias when compared with TTE in infants postoperatively [74].”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [74]

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“Additionally, EC has shown low bias when compared with TTE in infants postoperatively [74].”

Authors: Holtby, H., Skowno, J. J., Kor, D. J., Flick, R. P., & Uezono, S.
Affiliations: University of Toronto (CA)
The University of Sydney (AU)
Mayo Clinic (US)
Jikei University School of Medicine (JP)
Corresponding author: Uezono, Shoichi
ORCID: Skowno, Justin J.
Kor, Daryl J.
Uezono, Shoichi
Venue: Pediatric Anesthesia
Publisher: Wiley
Published: 2012-09-12
Volume: 22
Issue: 10
Pages: 952-961
ISSN: 1155-5645 (ISSN-L)
1460-9592
DOI: 10.1111/pan.12007
OpenAlex: W2022273963
Cited by: 35
References: 61
Citations by year: 2025: 1 · 2023: 2 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 7 · 2013: 1 · 2012: 2
FWCI: 0.86
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Pediatric Anesthesia (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
Keywords: continuous cardiac output monitoring, anesthesia information management systems, perioperative care, preterm infants, children with chronic illness, hemodynamic monitoring
MeSH terms: Adult, Anesthesiology, Cardiac Output, Child, Hemoglobinometry, Humans, Monitoring, Physiologic, Oximetry, Pediatrics, Technology, Monitoring, Intraoperative, Echocardiography, Transesophageal, Spectroscopy, Near-Infrared, Perioperative Care

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New technologies in pediatric anesthesia

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