The final session of the NEPAN / NCSN Joint Regional Meeting in April 2015 was the Clinical Conundrums session. Delegates were invited to submit questions in advance to be put to a panel of Clinical Experts, and discussed before opening the questions to the floor.
The panel consisted of:
Mr. Julian Roberts, Consultant Paediatric Surgeon, Sheffield & Chair of the National Clinical Reference Group for Paediatric Surgery
Dr. Sarah Bell, Consultant Paediatric Anaesthetist, Great North Children’s Hospital
Dr. Reema Nandi, Consultant Paediatric Anaesthetist, Great Ormond Street Hospital
Mr. Steven Powell, Consultant Paediatric ENT Surgeon, GNCH
Dr. David McColl, Consultant Anaesthetist and Lead for Paediatric Anaesthesia, Cumberland Infirmary
The first annual NEPAN educational meeting was held on the 14th November 2013. One of the most successful components of the meeting was the Clinical Conundrums discussion. In this two, expert paediatric anaesthetists discussed their suggested management of a series of paediatric anaesthetic scenarios.
The new BTS guidelines mandate two group & save samples taken at separate times before cross-matched blood can be issued. How would the panel suggest this should be tackled for paediatric practice?
A 3kg 23 day old baby presents to A&E; in a DGH with a history and examination findings suggestive of bronchiolitis. She is having hypoxic episodes with frequent apnoeas and bradycardic episodes. Following review by the Consultants in Paediatrics, Anaesthesia and Intensive Care, a decision is made that she requires…
A 6 year old boy presents on a Saturday afternoon to A&E; at a remote DGH (which has A&E; facilities and inpatient Paediatrics, but no out-of-hours / emergency operating). He has a painful, swollen hemi-scrotum and a presumed diagnosis of testicular torsion is made. The local surgeon and anaesthetist are…
My hospital has a large, rural catchment area. Should we be imposing maximum travel times or distances when agreeing to day-case surgery for children? Should we consider this for certain age-groups, perhaps under-1s or under-5s?