Perioperative opioids in high-risk children undergoing tonsillectomy - A single institution experience.

Background: Patients undergoing tonsillectomy/ adenotonsillectomy (T/AT) can experience substantial postoperative pain. The aims of this study are to assess perioperative pain management in high-risk children (children with severe obstructive sleep apnea and other complex medical comorbidities or age younger than 2 years) undergoing T/AT, and the impact on oxygen levels and pain during extended Post-Anesthesia Care Unit (PACU) admission.

Methods: A retrospective case series study at a tertiary care children's hospital.

Operating Room Recycling: Opportunities to Reduce Carbon Emissions Without Increases in Cost.

Background: The healthcare industry is a major contributor to greenhouse gas emissions. Within the hospital, operating rooms are responsible for the largest proportion of emissions due to high resource utilization and waste generation. Our aim was to generate estimates of greenhouse gas emissions avoided and cost implications following implementation of a recycling program across operating rooms at our freestanding children's hospital.

Environmental Impact and Cost Savings of Operating Room Quality Improvement Initiatives: A Scoping Review.

Background: Operating rooms are major contributors to a hospital's carbon footprint due to the large volumes of resources consumed and waste produced. The objective of this study was to identify quality improvement initiatives that aimed to reduce the environmental impact of the operating room while decreasing costs.

Study Design: A literature search was performed using PubMed, Scopus, CINAHL, and Google Scholar and included broad terms for "operating room," "costs," and "environment" or "sustainability.

The pharmacokinetics of intravenous ketorolac in children aged 2 months to 16 years: A population analysis.

Background: Intravenous ketorolac is commonly administered to children for the control of postoperative pain. An effect site EC for analgesia of 0.37 mg L is described in adults.