Just Little Adults

Hey I did this thing and thought I would share it just in case kids anaesthesia is your thing? (Also, remember sharing your blog posts on the socials? Wild throwback … Wednesday now I guess.) #ansky

The Pointy End of the Needle - Anaesthesia and IR — Just Little Adults This is a written version of a talk delivered by Dr Andrew Weatherall for the Society of Pediatric Interventional Radiology conference held in Sydney, Australia in October 2025. The task for this t...

It has been a bit but we have * new stuff *. It’s a written version of a talk about speaking the same language with the interventional radiology gurus. #ansky #pedsanes www.justlittleadults.com/topical-anae...

Ji et al. assessed whether the combination of dexmedetomidine and remifentanil, by reducing sevoflurane exposure, has any differential effect on neurodevelopmental outcomes in young children compared with sevoflurane alone. Read the new cover study: ow.ly/btn050WU27p

Important horse content.

[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

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

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

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

Central (Line) Station — Just Little Adults 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...

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...

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

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...

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

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...

Central (Line) Station — Just Little Adults 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...

[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...

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

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

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...

Central (Line) Station — Just Little Adults 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...

[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...

Excellent thread on the process for consent from @ncglasses.bsky.social.

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

Central (Line) Station — Just Little Adults 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...

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...

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

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/...

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).

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.

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.

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 :)

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).

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

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….

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.)

Wow that sounds tough and scary.

A few options come to mind quickly (and noting ‘collapsing’ might be aided by a little more definition).
….
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Retrospective Review of Intraoperative Hypotension and Perioperative Angiotensin Inhibitor Use in Pediatrics Background Perioperative management of angiotensin inhibitors is contentious in adults and understudied in children. Perioperative angiotensin inhibitor management in pediatrics cannot be extrapolat.....

There's an #openaccess read on the whether angiotensin inhibitors have an impact on hypotension around the operation. But this time it is specific to paediatrics. No more extrapolating from adults on this topic maybe. #ansky onlinelibrary.wiley.com/doi/10.1111/...

Legit excellent. We’re kind of international now.