Research Topics
| J D TobiasSummaryAffiliation: University of Missouri Country: USA Publications
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Publications
Intraoperative diagnosis of unsuspected methemoglobinemia due to low pulse oximetry valuesJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, Missouri 65212, USA
J Intensive Care Med 24:273-7. 2009....
Near-infrared spectroscopy identifies compartment syndrome in an infantJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
J Pediatr Orthop 27:311-3. 2007..The potential use of this modality in identifying compartment syndrome is reviewed...
An evaluation of acid-base changes following aortic cross-clamping using transcutaneous carbon dioxide monitoringJ D Tobias
Department of Anesthesiology, 3W4OH, University of Missouri, One Hospital Drive, Columbia, MO 65212, USA
Pediatr Cardiol 27:585-8. 2006..Appropriate treatment includes the provision of adequate minute ventilation to ensure CO2 removal and the use of sodium bicarbonate based on the degree of metabolic acidosis demonstrated by arterial blood gas analysis...
Anesthesia: looking back at the last century and forward to the nextJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, Mo. 65212, USA
South Med J 99:320-2. 2006
Cerebral oxygenation monitoring: near-infrared spectroscopyJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
Expert Rev Med Devices 3:235-43. 2006....
Anesthetic care during modified fontan procedure without cardiopulmonary bypassJoseph D Tobias
Department of Pediatrics, University of Missouri, Health Sciences Center, Columbia, MO 65212, USA
J Cardiothorac Vasc Anesth 19:612-9. 2005..The purpose of this study was to report the anesthetic care of patients during performance of a Fontan procedure without cardiopulmonary bypass (CPB)...
Sedation and analgesia in the pediatric intensive care unitJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
Pediatr Ann 34:636-45. 2005..quot; As the pediatric experience increases, it appears that there will be a role for newer agents such as dexmedetomidine...
Bispectral index monitoring during the administration of neuromuscular blocking agents in the pediatric intensive care unit patientJoseph D Tobias
Departments of Pediatrics and Anesthesiology, University of Missouri, Columbia, MO 665212, USA
J Intensive Care Med 20:233-7. 2005..Oversedation was more likely with propofol than midazolam. During the use of neuromuscular blocking agents, oversedation is a common occurrence. Physiologic parameters are not an accurate means of assessing the depth of sedation...
Sedation during mechanical ventilation in infants and children: dexmedetomidine versus midazolamJoseph D Tobias
Division of Pediatric Critical Care Pediatric Anesthesiology, Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
South Med J 97:451-5. 2004..We sought to compare the efficacy of midazolam versus dexmedetomidine for sedation during mechanical ventilation in infants and children...
Anaesthesia for neonatal thoracic surgeryJoseph D Tobias
The Division of Pediatric Critical Care Pediatric Anaesthesiology, The Department of Child Health, The University of Missouri, Columbia, MO, USA
Best Pract Res Clin Anaesthesiol 18:303-20. 2004....
A review of intrathecal and epidural analgesia after spinal surgery in childrenJoseph D Tobias
Departments of Child Health and Anesthesiology, The University of Missouri, Columbia, Missouri 65212, USA
Anesth Analg 98:956-65, table of contents. 2004....
Changes in transcutaneous carbon dioxide, oxygen saturation, and respiratory rate after interscalene blockJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
South Med J 97:21-4. 2004..We used transcutaneous (TC) carbon dioxide (CO2) monitoring to prospectively evaluate changes in respiratory status after interscalene anesthesia in 45 adults (40 successful and 5 unsuccessful blocks)...
Measurement of central venous pressure from a peripheral vein in infants and childrenJoseph D Tobias
Department of Child Health, The University of Missouri, Columbia 65212, USA
Pediatr Emerg Care 19:428-30. 2003..The current study prospectively compares CVP measurements from a central catheter and a peripheral catheter in infants and children...
Additional experience with dexmedetomidine in pediatric patientsJoseph D Tobias
Department of Child Health, University of Missouri, Columbia, MO 65212, USA
South Med J 96:871-5. 2003..This study evaluates the efficacy of dexmedetomidine in clinical scenarios other than sedation during mechanical ventilation...
Noninvasive carbon dioxide monitoring during one-lung ventilation: end-tidal versus transcutaneous techniquesJoseph D Tobias
Department of Anesthesiology and Pediatrics, The University of Missouri, Columbia, MO 65212, USA
J Cardiothorac Vasc Anesth 17:306-8. 2003..To compare transcutaneous CO(2) (TCCO(2)) and end-tidal CO(2) (ETCO(2)) monitoring during one-lung ventilation (OLV)...
Preliminary experience with the use of recombinant factor VIIa to treat coagulation disturbances in pediatric patientsJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
South Med J 96:12-6. 2003..This study evaluates the efficacy of recombinant factor VII (rVIIa) in the treatment of coagulation dysfunction in pediatric patients...
Cerebral oximetry monitoring provides early warning of hypercyanotic spells in an infant with tetralogy of FallotJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
J Intensive Care Med 22:118-20. 2007..Cerebral oximetry may provide a quicker identification of acute changes in the clinical status of infants and children by identifying hypoxemia before pulse oximetry...
Hemolytic-uremic syndrome and myocardial dysfunction in a 9-month-old boyJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
Paediatr Anaesth 17:584-7. 2007..Preoperatively, the routine evaluation of myocardial function may be indicated...
Helium insufflation with sevoflurane general anesthesia and spontaneous ventilation during airway surgeryJoseph D Tobias
Department of Anesthesiology, University of Missouri, 3W 27G HSC, One Hospital Drive, Columbia, MO 65212, USA
Can J Anaesth 56:243-6. 2009..We report a unique case regarding helium insufflation with sevoflurane anesthesia and spontaneous ventilation for airway surgery...
Transcutaneous carbon dioxide monitoring in infants and childrenJoseph D Tobias
Division of Pediatric Anesthesiology, Departments of Anesthesiology and Pediatrics, University of Missouri, 3W 27G HSC, One Hospital Drive, Columbia, MO 65212, USA
Paediatr Anaesth 19:434-44. 2009..To review the technology required for and the applications of transcutaneous carbon dioxide (TC-CO2) monitoring in infants and children...
Measurement of central venous pressure from a peripheral intravenous catheter in the prone position during spinal surgeryJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
South Med J 102:256-9. 2009..The current study evaluates the feasibility of measuring CVP from a peripheral intravenous (IV) cannula in the prone position...
Changes in delivered tidal volume with the addition of carbon dioxide to mechanical ventilationJoseph D Tobias
Department of Anesthesiology, Division of PediatricAnesthesiology, University of Missouri Columbia, MO 65212, USA
Paediatr Anaesth 19:240-3. 2009..To determine discrepancies in delivered tidal volumes induced by the addition of carbon dioxide (CO2) during mechanical ventilation...
Changes in near infrared spectroscopy during deep hypothermic circulatory arrestJoseph D Tobias
Department of Anesthesiology and Pediatrics, University of Missouri, Columbia, Missouri 65212, USA
Ann Card Anaesth 12:17-21. 2009..Future studies are needed to define the cerebral oxygenation value at which neurological damage occurs and if interventions to correct the decreased cerebral oxygenation will improve perioperative outcomes...
Cerebral oximetry monitoring with near infrared spectroscopy detects alterations in oxygenation before pulse oximetryJoseph D Tobias
Department of Anesthesiology, University of Missouri, One Hospital Drive, Columbia, MO 65212, USA
J Intensive Care Med 23:384-8. 2008..We anecdotally noted that monitoring cerebral oxygenation (rSO2) using near infrared spectroscopy may provide an earlier warning of changes in oxygenation than pulse oximetry...
Bradycardia during dexmedetomidine and therapeutic hypothermiaJoseph D Tobias
Department of Anesthesiology, University of Missouri, One Hospital Drive, Columbia, MO 65212, USA
J Intensive Care Med 23:403-8. 2008..The role of dexmedetomidine as a neuroprotective agent is explored as well as a review presented of previous reports of bradycardia related to dexmedetomidine...
Inhalational anesthesia: basic pharmacology, end organ effects, and applications in the treatment of status asthmaticusJoseph D Tobias
Departments of Anesthesiology and Pediatrics, University of Missouri, Columbia, Missouri 01199, USA
J Intensive Care Med 24:361-71. 2009....
Effects of dexmedetomidine on intraoperative motor and somatosensory evoked potential monitoring during spinal surgery in adolescentsJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
Paediatr Anaesth 18:1082-8. 2008..There are limited data regarding its effects on somatosensory (SSEPs) and motor evoked potentials (MEPs)...
Cerebral oximetry using near-infrared spectroscopy aids in the diagnosis of interrupted aortic archJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, Missouri 65212, USA
J Intensive Care Med 23:335-7. 2008..After stabilization and correction of metabolic abnormalities, the infant was taken to the operating room for repair of the interrupted aortic arch and placement of a pulmonary artery band...
Bispectral index monitoring documents burst suppression during pentobarbital comaJoseph D Tobias
Department of Anesthesiology and Department of Pediatrics, University of Missouri, Columbia, Missouri, USA
J Intensive Care Med 23:258-62. 2008..Bispectral index monitoring may be easier to perform and may require less technical expertise to interpret...
Therapeutic applications and uses of inhalational anesthesia in the pediatric intensive care unitJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO, USA
Pediatr Crit Care Med 9:169-79. 2008..To review the physical properties, end-organ effects, therapeutic applications, and delivery techniques of inhalational anesthetic agents in the pediatric intensive care unit...
Management of status epilepticus in infants and children prior to pediatric ICU admission: deviations from the current guidelinesJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
South Med J 101:268-72. 2008..The current study is a prospective observational evaluation of the care received by pediatric patients with SE before Pediatric Intensive Care Unit (PICU) admission...
Combined general and spinal anesthesia in an infant with single-ventricle physiology undergoing anorectoplasty for an imperforate anusJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
J Cardiothorac Vasc Anesth 21:873-5. 2007
B-type natriuretic peptide monitoring in the Pediatric ICU populationJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
Paediatr Anaesth 17:793-9. 2007....
Regional anaesthesia of the lower extremity in infants and childrenJoseph D Tobias
Departments of Child Health and Anesthesiology, The University of Missouri, 3W40H, One Hospital Drive, Columbia, MO 65212, USA
Paediatr Anaesth 13:152-63. 2003
Correction of a coagulopathy using recombinant factor VII before removal of an intra-aortic balloon pumpJoseph D Tobias
Department of Child Health, University of Missouri, Columbia, MO, USA
J Cardiothorac Vasc Anesth 16:612-4. 2002
Effects of rapacuronium on respiratory function during general anesthesia: a comparison with cis-atracuriumJ D Tobias
Department of Anesthesiology, The University of Missouri, Columbia, 65212, USA
Anesthesiology 95:908-12. 2001..The current study examines the airway effects of rapacuronium in tracheally intubated, anesthetized adults...
Venous air embolism during endoscopic strip craniectomy for repair of craniosynostosis in infantsJ D Tobias
Department of Anesthesiology, The University of Missouri, Columbia 65212, USA
Anesthesiology 95:340-2. 2001..The current study prospectively evaluated the incidence of VAF during endoscopic strip craniectomy...
Anaesthetic management and high frequency oscillatory ventilationJ D Tobias
Department of Child Health, The University of Missouri, M658 Health Sciences Center, One Hospital Drive, Columbia, MO 65212, USA
Paediatr Anaesth 11:483-7. 2001..The techniques of HFOV and previous reports of perioperative use are reviewed...
Nicardipine to control mean arterial pressure after cardiothoracic surgery in infants and childrenJ D Tobias
Division of Pediatric Critical Care Pediatric Anesthesiology and the Departments of Anesthesiology and Pediatrics, The University of Missouri, Columbia, MO, USA
Am J Ther 8:3-6. 2001..No adverse effects such as excessive hypotension were noted. Nicardipine is an effective agent for controlling MAP after cardiothoracic surgical procedures in infants and children...
Therapeutic applications of regional anaesthesia in paediatric-aged patientsJoseph D Tobias
Department of Child Health, The University of Missouri, Columbia, Missouri 65212, USA
Paediatr Anaesth 12:272-7. 2002
Controlled hypotension in children: a critical review of available agentsJoseph D Tobias
The Department of Child Health, Division of Pediatric Critical Care Pediatric Anesthesiology, University of Missouri, Columbia, Missouri 65212, USA
Paediatr Drugs 4:439-53. 2002..The pharmacologic profile of dexmedetomidine indicates that this drug has potential in controlled hypotension and clinical data are needed to define its role...
Variations on one-lung ventilationJ D Tobias
The Departments of Child Health and Anesthesiology, The Division of Pediatric Critical Care Pediatric Anesthesiology, The University of Missouri, Columbia, MO 65212, USA
J Clin Anesth 13:35-9. 2001..I describe four cases and provide suggestions for minor alterations in airway management that may be used to provide successful options for one-lung anesthesia...
Thoracoscopy in the pediatric patientJ D Tobias
Departments of Anesthesiology and Child Health, University of Missouri, Columbia, Missouri, USA
Anesthesiol Clin North America 19:173-86, viii. 2001....
Synthetic factor VIIa to treat dilutional coagulopathy during posterior spinal fusion in two childrenJoseph D Tobias
Department of Anesthesiology and Child Health, The University of Missouri, Columbia, Missouri 65212, USA
Anesthesiology 96:1522-5. 2002
A dual epidural catheter technique to provide analgesia following posterior spinal fusion for scoliosis in children and adolescentsJ D Tobias
Department of Anaesthesiology, The University of Missouri, M658 Health Sciences Center, One Hospital Drive, Columbia, MO 65212, USA
Paediatr Anaesth 11:199-203. 2001..The authors report their experience with the use of a dual epidural catheter technique in controlling pain following long posterior spinal fusion and instrumentation for scoliosis in children and adolescents...
Noninvasive ventilation using bilevel positive airway pressure to treat impending respiratory failure in the postanesthesia care unitJ D Tobias
Department of Pediatrics, and the Division of Pediatric Critical Care Pediatric Anesthesiology, The University of Missouri, Columbia, MO 65212, USA
J Clin Anesth 12:409-12. 2000..BiPAP improved respiratory function with a decreased respiratory rate, decreased PaCO2, and improved oxygenation in the three patients. The applications of these techniques and equipment required are reviewed...
Weak analgesics and nonsteroidal anti-inflammatory agents in the management of children with acute painJ D Tobias
Department of Pediatrics, University of Missouri, Columbia, USA
Pediatr Clin North Am 47:527-43. 2000..It should be considered as the primary route for pediatric patients in the treatment of mild to moderate pain, even in the hospital setting...
Acidosis following aortic cross-clamping: is it the acid or carbon dioxide?Joseph D Tobias
Departments of Anesthesiology and Child Health, The Division of Pediatric Critical Care Pediatric Anesthesiology, The University of Missouri, Columbia, MO 65212, USA
J Cardiothorac Vasc Anesth 16:73-4. 2002
Initial experience with dexmedetomidine in paediatric-aged patientsJoseph D Tobias
Department of Child Health, The University of Missouri, Columbia, Missouri 65212, USA
Paediatr Anaesth 12:171-5. 2002..Preliminary data from studies in the adult population, its physiological effects and potential applications in paediatric anaesthesia and critical care are discussed...
Tolerance during sedation in a pediatric ICU patient: effects on the BIS monitorJ D Tobias
Department of Child Health, The Division of Pediatric Critical Care Pediatric Anesthesiology, The University of Missouri, Columbia, MO 65212, USA
J Clin Anesth 13:122-4. 2001....
Effects of dexmedetomidine on propofol and remifentanil infusion rates during total intravenous anesthesia for spine surgery in adolescentsNkanyezi E Ngwenyama
University of Missouri School of Medicine, Columbia, MO 65212, USA
Paediatr Anaesth 18:1190-5. 2008..The current study investigated the propofol-sparing effects of the concomitant administration of the alpha(2)-adrenergic agonist, dexmedetomidine, during spinal fusion surgery in adolescents...
Hemodynamic and respiratory changes following dexmedetomidine administration during general anesthesia: sevoflurane vs desfluraneEric Deutsch
School of Medicine, University of Missouri, Columbia, MO 65212, USA
Paediatr Anaesth 17:438-44. 2007..The current study evaluates the hemodynamic and respiratory effects of dexmedetomidine (DEX) when administered to children anesthetized with sevoflurane (SEVO) or desflurane (DES)...
Subcutaneous administration of fentanyl and midazolam to prevent withdrawal after prolonged sedation in childrenJ D Tobias
Department of Child Health, University of Missouri, Columbia 65212, USA
Crit Care Med 27:2262-5. 1999..To determine the efficacy of switching to subcutaneous fentanyl with or without midazolam to prevent withdrawal after prolonged sedation in children in the pediatric intensive care unit (PICU)...
Applications of bispectral index monitoring in the pediatric intensive care unitRyan J Grindstaff
Department of Child Health, University of Missouri, Columbia, 65212, USA
J Intensive Care Med 19:111-6. 2004..Previous reports regarding the use of the BIS monitor in such scenarios and potential future applications are reviewed..
Cervical plexus block in adolescentsJ D Tobias
Department of Child Health, University of Missouri, Columbia 65212, USA
J Clin Anesth 11:606-8. 1999..The technique for cervical plexus block and its possible application in the practice of pediatric anesthesia are reviewed...
Rapacuronium administration to patients receiving phenytoin or carbamazepineJ D Tobias
The Department of Anesthesiology, The University of Missouri, Columbia, Missouri 65212, USA
J Neurosurg Anesthesiol 13:240-2. 2001..As has been reported with other neuromuscular blocking agents of the aminosteroid class, the clinical duration and the recovery index of rapacuronium are shortened in patients receiving either phenytoin or carbamazepine...
Apnea following spinal anaesthesia in two former pre-term infantsJ D Tobias
Department of Child Health, University of Missouri, Columbia 65212, USA
Can J Anaesth 45:985-9. 1998..To report the occurrence of apnea and bradycardia in two former pre-term infants who received spinal anaesthesia without inhalational or intravenous anaesthetic agents during inguinal herniorrhaphy...
Anaesthetic implications of LEOPARD syndromeJavier Torres
The Department of Child Health, The Division of Pediatric Critical Care/Pediatric Anesthesiology, The University of Missouri, Columbia, MO 65212, USA
Paediatr Anaesth 14:352-6. 2004..The potential perioperative implications of LEOPARD syndrome are discussed...
Noninvasive monitoring of carbon dioxide during mechanical ventilation in older children: end-tidal versus transcutaneous techniquesJ W Berkenbosch
Department of Child Health, Division of Pediatric Critical Care Pediatric Anesthesiology, University of Missouri, Columbia, 65212, USA
Anesth Analg 92:1427-31. 2001....
End-tidal carbon dioxide monitoring during sedation with a combination of midazolam and ketamine for children undergoing painful, invasive proceduresJ D Tobias
Department of Child Health and Anesthesiology, The University of Missouri, Columbia 65212, USA
Pediatr Emerg Care 15:173-5. 1999..The current study used both end-tidal carbon dioxide (ETCO2) monitoring and pulse oximetry to evaluate the respiratory effects of midazolam and ketamine...
Intraoperative administration of nitric oxideCassie C Dietrich
Department of Child Health, The University of Missouri, Columbia 65212, USA
J Intensive Care Med 18:146-9. 2003..The potential intraoperative applications and techniques for the intraoperative delivery of NO are presented...
Subcutaneous dexmedetomidine infusions to treat or prevent drug withdrawal in infants and childrenJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, USA
J Opioid Manag 4:187-91. 2008..It also offers the possibility of using dexmedetomidine in settings where peripheral venous access is not available such as home palliative care...
Rescue sedation with dexmedetomidine for diagnostic imaging: a preliminary reportDavid P Nichols
Department of Child Health, The University of Missouri, Columbia, MO 65212, USA
Paediatr Anaesth 15:199-203. 2005..Its potential application in this setting is discussed and other reports regarding its use in pediatric patients are reviewed...
Monitored anesthesia care with a combination of ketamine and dexmedetomidine during cardiac catheterizationRobert Mester
University of Missouri School of Medicine, Columbia, Missiouri 65212, USA
Am J Ther 15:24-30. 2008..Our preliminary data suggest that a combination of ketamine and dexmedetomidine provides effective sedation for cardiac catheterization in infants and children without significant effects on cardiovascular or ventilatory function...
Mechanical ventilation during pregnancy using a helium-oxygen mixture in a patient with respiratory failure due to status asthmaticusR George
Department of Child Health, The University of Missouri, Columbia, MO 65212, USA
J Perinatol 21:395-8. 2001..The physiologic basis for helium's potential beneficial effects on gas exchange are reviewed. Previous reports concerning the use of helium during mechanical ventilation as well as the techniques of delivery are discussed...
Comparison of end-tidal and transcutaneous measures of carbon dioxide during general anaesthesia in severely obese adultsJ Griffin
Departments of Anesthesiology and Surgery, The University of Missouri, Columbia, Missouri, USA
Br J Anaesth 91:498-501. 2003..3) kPa for TC vs arterial carbon dioxide and -0.7 (0.4) kPa for FE' vs arterial carbon dioxide. CONCLUSIONS: Transcutaneous carbon dioxide monitoring provides a better estimate of Pa(CO(2)) than FE'(CO(2)) in patients with severe obesity...
Noninvasive monitoring of carbon dioxide in infants and children with congenital heart disease: end-tidal versus transcutaneous techniquesJohn Wilson
University of Missouri School of Medicine, Columbia, MO 65212, USA
J Intensive Care Med 20:291-5. 2005..0001) and in patients < or = 1 year of age versus patients > or = 1 year of age (6 +/- 3 mm Hg vs 4 +/- 2, P = .008). In infants and children with CHD, TC monitoring provides a more accurate estimation of Pa(CO2) than ET monitoring...
Monitored anesthesia care with a combination of ketamine and dexmedetomidine during magnetic resonance imaging in three children with trisomy 21 and obstructive sleep apneaNathan Luscri
University of Missouri School of Medicine, University of Missouri, Columbia, MO, USA
Paediatr Anaesth 16:782-6. 2006..Given the preliminary success noted in our three patients, prospective trials evaluating the efficacy of a dexmedetomidine-ketamine combination appears warranted...
Intraoperative jet ventilation during aortic coarctation repair in an infantThomas Cotter
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
J Cardiothorac Vasc Anesth 18:207-9. 2004
Anesthetic care for the child with Morquio syndrome: general versus regional anesthesiaJ D Tobias
Department of Child Health, University of Missouri, Columbia 65212, USA
J Clin Anesth 11:242-6. 1999..General anesthesia was used in one case, whereas continuous spinal anesthesia, which was used in the second case, is reported for the first time in a child with mucopolysaccharidoses...
Transcutaneous monitoring of carbon dioxide tension after cardiothoracic surgery in infants and childrenJ D Tobias
Department of Child Health, The University of Missouri, Columbia 65212, USA
Anesth Analg 88:531-4. 1999....
Popliteal fossa block for postoperative analgesia after foot surgery in infants and childrenJ D Tobias
General Hospital in Pereira, Columbia, South America
J Pediatr Orthop 19:511-4. 1999..Eight patients required no analgesic agents during the first 12 postoperative hours. The duration of the analgesia varied from 8 to 12 hours. PFB provides effective analgesia after foot and ankle surgery in children...
Anaesthetic implications of Costello syndromeKelly Katcher
Department of Anesthesiology, The University of Missouri, Columbia, MO 65212, USA
Paediatr Anaesth 13:257-62. 2003..The perioperative implications of the syndrome are discussed...
Measurement of central venous pressure from a peripheral intravenous catheter following cardiopulmonary bypass in infants and children with congenital heart diseaseLaura Baty
School of Medicine, University of Missouri, Columbia, MO, USA
J Intensive Care Med 23:136-42. 2008....
The cannabinoid receptor agonists, anandamide and WIN 55,212-2, do not directly affect mu opioid receptors expressed in Xenopus oocytesGeorge R Kracke
Department of Anesthesiology and Perioperative Medicine, University of Missouri Columbia, Columbia, MO 65212, USA
Naunyn Schmiedebergs Arch Pharmacol 376:285-93. 2007..We conclude that neither anandamide nor WIN 55,212-2 directly activate or modulate mu opioid receptor function in oocytes and that interactions of cannabinoids with mu opioid receptors are likely to be indirect...
Dexmedetomidine for sedation during electroencephalographic analysis in children with autism, pervasive developmental disorders, and seizure disordersTheresa Ray
University of Missouri School of Medicine, Columbia, MO 65212, USA
J Clin Anesth 20:364-8. 2008..To assess the efficacy of dexmedetomidine in providing sedation during electroencephalographic (EEG) analysis in children with autism, seizure disorders, or pervasive developmental disorders (PDDs)...
Preliminary experience with dexmedetomidine for monitored anesthesia care during ENT surgical proceduresTamra Busick
Departments of Anesthesiology, University of Missouri, Columbia, MO, USA
Am J Ther 15:520-7. 2008..The end-organ effects of dexmedetomidine and previous reports of its use during MAC are reviewed...
Noninvasive carbon dioxide monitoring during neurosurgical procedures in adults: end-tidal versus transcutaneous techniquesD Scott McBride
Department of Child Health, University of Missouri, Columbia 65212, USA
South Med J 95:870-4. 2002..007. Linear regression analysis of TC-CO2 versus PaCO2 revealed a slope of 1.17 +/- 0.008. CONCLUSION: Transcutaneous CO2 monitoring provides a more accurate estimate of PaCO2 than ET-CO2 monitoring during neurosurgical procedures...
Cerebral oxygenation monitoring using near infrared spectroscopy during controlled hypotensionTorin Shear
School of Medicine, University of Missouri, Columbia, MO 65212, USA
Paediatr Anaesth 15:504-8. 2005..CONCLUSIONS: Our preliminary data with a measurement of cerebral oxygenation demonstrates the safety of CH within the accepted mean blood pressure recommendations of 55-65 mmHg...
Bradycardia during methadone therapy in an infantAdam D Wheeler
Department of Anesthesiology, University of Missouri, Columbia, MO, USA
Pediatr Crit Care Med 7:83-5. 2006..Although there were no deleterious physiologic effects related to the bradycardia in our patient, methadone should be used cautiously in patients who may not tolerate alterations in heart rate...
The correlation of the bispectral index monitor with clinical sedation scores during mechanical ventilation in the pediatric intensive care unitJohn W Berkenbosch
Department of Child Health, University of Missouri Columbia, Columbia, Missouri 65212, USA
Anesth Analg 94:506-11; table of contents. 2002..The bispectral index monitor correlated with clinically assessed sedation levels and was useful for differentiating adequate from inadequate sedation, which would be of value when the clinical examination is unavailable...
Cerebral salt wasting syndrome following brain injury in three pediatric patients: suggestions for rapid diagnosis and therapyJohn W Berkenbosch
Department of Child Health, The University of Missouri Columbia, Columbia, MO 65212, USA
Pediatr Neurosurg 36:75-9. 2002..We report three cases of CSWS in acutely brain-injured children and comment on the role that early quantitation of urine volume and urine sodium concentration had in rapidly establishing the correct diagnosis...
Tetralogy of Fallot, hypertrophic cardiomyopathy, and Down's syndrome: a rare and challenging combinationYurong Y Wheeler
Department of Pathology and Anatomical Sciences, University of Missouri Columbia, One Hospital Drive, Columbia, MO 65212, USA
Pediatr Dev Pathol 9:307-11. 2006..Our experience with treating this patient, although ultimately unsuccessful, may provide useful information in any future cases...
Dexmedetomidine to treat opioid withdrawal in infants following prolonged sedation in the pediatric ICUJoseph D Tobias
Department of Anesthesiology, University of Missouri, Columbia, USA
J Opioid Manag 2:201-5. 2006..We conclude that dexmedetomidine offers a viable option for such issues in the pediatric intensive care unit (PICU) setting...
Sedation and analgesia in paediatric intensive care units: a guide to drug selection and useJ D Tobias
Department of Child Health, University of Missouri, Columbia 65212, USA
Paediatr Drugs 1:109-26. 1999..Consequences of and treatment strategies for long term problems with prolonged sedation including tolerance, physical dependency, and withdrawal are reviewed...
Shock in children: the first 60 minutesJ D Tobias
Department of Child Health, Pediatric Critical Care Anesthesia, University of Missouri, Columbia 65212, USA
Pediatr Ann 25:330-8. 1996..Fluids and inotropic agents are chosen based on the underlying pathology and the associated cardiovascular parameters...
Initial experience with octreotide in the pediatric populationJ C Lam
Department of Child Health, Division of Pediatric Critical Care/Pediatric Anesthesiology, University of Missouri, One Hospital Drive, Columbia, MO 65212, USA
Am J Ther 8:409-15. 2001..Additionally, previous experiences with octreotide in pediatric patients, dosing regimens, and the potential role of the drug in other disease processes are discussed...
Determination of death by neurological criteriaJohn D Morenski
Division of Neurological Surgery, University of Missouri Columbia 65212, USA
J Intensive Care Med 18:211-21. 2003..The authors review the issue of death by neurological criteria in light of current guidelines and recent advances...
Dexmedetomidine in the treatment of withdrawal syndromes in cardiothoracic surgery patientsKrishna Baddigam
Department of Anesthesiology, University of Missouri, Columbia, Missouri 65212, USA
J Intensive Care Med 20:118-23. 2005..Previous reports regarding the use of dexmedetomidine to treat withdrawal and its potential application in this clinical arena are reviewed...
Anaesthetic care during minimally invasive neurosurgical procedures in infants and childrenJoel O Johnson
Department of Anesthesiology, The University of Missouri, Columbia 65212, USA
Paediatr Anaesth 12:478-88. 2002
Nesiritide during extracorporeal membrane oxygenationTodd Smith
Department of Anesthesiology, University of Missouri, Columbia, MO 65212, USA
Paediatr Anaesth 15:152-7. 2005..01-0.03 microg.kg(-1).min(-1) were used to augment urine output. The potential applications of nesiritide and dosing regimens for this agent in the ECMO population are discussed...
Use of a remifentanil-propofol mixture for pediatric flexible fiberoptic bronchoscopy sedationJohn W Berkenbosch
Department of Child Health, The University of Missouri Columbia, Columbia, MO 65212, USA
Paediatr Anaesth 14:941-6. 2004..However, delivery of these agents as a combined, single infusion has not been described...
Chylothorax following apparently spontaneous central venous thrombosis in a patient with septic shockJohn W Berkenbosch
Department of Child Health, University of Missouri, Columbia, Missouri 65212, USA
Pediatr Pulmonol 35:230-3. 2003....
Sugar solution analgesia: the effects of glucose on expressed mu opioid receptorsGeorge R Kracke
Department of Anesthesiology and Perioperative Medicine, University of Missouri School of Medicine, Columbia, MO 65212, USA
Anesth Analg 101:64-8, table of contents. 2005..We conclude that glucose does not directly interact with MOR-1 in an in vitro expression system and that the purported interaction between glucose and the opioid system may be an indirect one, involving release of endogenous opioids...
Dexmedetomidine in the treatment of cyclic vomiting syndromeJoseph D Tobias
Paediatr Anaesth 15:709-10. 2005
Noninvasive intraoperative monitoring of carbon dioxide in children: endtidal versus transcutaneous techniquesMace A Nosovitch
Departments of Child Health and Anesthesiology, The University of Missouri, Columbia, MO 65212, USA
Paediatr Anaesth 12:48-52. 2002....
Dexmedetomidine for the treatment of postanesthesia shivering in childrenR Blaine Easley
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institute, Baltimore, MD, USA
Paediatr Anaesth 17:341-6. 2007..We hypothesized that children with postanesthesia shivering would reduce shivering behavior following a single bolus dose of dexmedetomidine...
Strategies for minimizing blood loss in orthopedic surgeryJoseph D Tobias
Department of Child Health, Division of Pediatric Critical Care, University of Missouri, Columbia, MO, 65212, USA
Semin Hematol 41:145-56. 2004....
Recombinant activated factor VII for cerebral injury-induced coagulopathy in pediatric patients. Report of three cases and review of the literatureJohn David Morenski
Division of Neurological Surgery and Department of Clinical Child Health and Anesthesiology, University of Missouri, Columbia, Missouri 65212, USA
J Neurosurg 98:611-6. 2003..may require repeated doses of significant volume for the pediatric patient, and may ultimately fail. Preliminary data indicated that rFVIIa provides a rapid and successful correction of coagulopathy in the head-injured patient...
Pro: dexmedetomidine should be used for infants and children undergoing cardiac surgeryR Blaine Easley
Departments of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institute, Baltimore, MD 21287, USA
J Cardiothorac Vasc Anesth 22:147-51. 2008
Recombinant activated factor VII (rFVIIa) treatment in infants with hemorrhageKenneth M Brady
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institute, Baltimore, MD 21287, USA
Paediatr Anaesth 16:1042-6. 2006..In addition to its FDA-approved uses in hemophiliac patients, this drug has a potential role in the treatment of life-threatening hemorrhage from multiple causes...
