Harshad G Gurnaney

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BACKGROUND This is an audit of the continuous peripheral nerve blockade (CPNB) program that was implemented at our institution to provide postoperative analgesia after orthopedic procedures in children. METHODS We reviewed the departmental regional anesthesia registry and the medical records of consecutive children who received CPNB for postoperative(More)
medical practice. Ultrasonography can confirm endotracheal intubation, assess vocal cord function, detect endobronchial intubation and diagnose pneumothorax. We present a novel use of real time ultrasound to guide tracheal intubation in a series of 25 children. This new technique is called Ultrasound Guided Tracheal Intubation (UGTI). It is kinesthetically(More)
To the Editor: H ara et al 1 have provided more evidence of unintentional intraneural injections while performing peripheral nerve blocks on the sciatic nerve. We have a few queries and comments, which we hope the authors can address. The authors have mentioned that it was not easy in some cases to obtain quality images of the sciatic nerve. It is(More)
Manual incident reports significantly under-report adverse clinical events when compared with automated recordings of intraoperative data. Our goal was to determine the reliability of AIMS and CQI reports of adverse clinical events that had been witnessed and recorded by research assistants. The AIMS and CQI records of 995 patients aged 2–12 years were(More)
BACKGROUND Intubation in children is increasingly performed using video laryngoscopes. Many pediatric studies examine novice laryngoscopists or describe single patient experiences. This prospective randomized nonblinded equivalence trial compares intubation time for the GlideScope Cobalt® video laryngoscope (GCV, Verathon Medical, Bothell, WA) with direct(More)
BACKGROUND Bradycardia is a complication associated with inhaled induction of anesthesia with halothane in children with Down syndrome. Although bradycardia has been reported after anesthetic induction with sevoflurane in these children, the incidence is unknown. OBJECTIVES In this study we compared the incidence and characteristics of bradycardia after(More)
The indications for surgery on the knee in children and adolescents share some similarity to adult practice in that there are an increasing number of sports-related injuries requiring surgical repair. In addition, there are some unique age-related conditions or congenital abnormalities that may present as indications for orthopedic intervention at the level(More)
OBJECTIVE Studies of acute otitis media indicate that deferring antibiotics in selected patients is a valid option. This study sought to determine the effects of a multifaceted educational intervention on disease management and treatment attitudes in practitioners caring for acute otitis media (AOM). METHODS An expert committee composed of clinical and(More)
BACKGROUND The use of interscalene catheters is an effective treatment strategy for children and adolescents undergoing shoulder surgery. Although placement of interscalene catheters in the awake child is challenging, some have cautioned against performing regional anesthesia in the patient under general anesthesia. We present a case series of 154(More)
STUDY OBJECTIVE To review the anesthetic management and perioperative course of children with an anterior mediastinal mass. DESIGN Retrospective review. SETTING University-affiliated children's hospital. MEASUREMENTS The records of 46 children presenting with an anterior mediastinal mass between October 1, 1998 and October 1, 2006 were studied.(More)