Choon Looi Bong
Boston Children's Hospital
Biomedical engineeringSurgeryRetrospective cohort studyRandomized controlled trialPediatricsPropofolSedationGeneral anaesthesiaAnestheticInguinal hernia surgeryIntubationExtravasationEmergence deliriumDexmedetomidineSevofluraneAnesthesiaIncidence (epidemiology)Confidence intervalAnxietyMedicine
Publications 20
#1Ruiqi LimH-Index: 4
#2Ramona DamalerioH-Index: 4
Last. Ming-Yuan ChengH-Index: 14
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Extravasation is a complication of intravenous (IV) cannulation in which vesicant drugs leak from a vein into the surrounding subcutaneous tissue. The severity of extravasation depends on the type, concentration, and volume of drugs that accumulate in the subcutaneous tissue. Rapid detection of extravasation can facilitate prompt medical intervention, minimizing tissue damage, and preventing adverse events. In this study, we present two portable sensor patches, namely gold- and carbon-based sens...
#1Lydia W. Li (NUS: National University of Singapore)H-Index: 1
Last. Choon Looi Bong (Boston Children's Hospital)H-Index: 11
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BACKGROUND Immobilisation in radiotherapy treatment is especially important as many paediatric tumours are located near critical organs. Although the external beam radiotherapy treatment process itself is painless, the immobilization devices used may cause anxiety and discomfort in children who are too young to understand and co-operate. Hence, anaesthesia or sedation is unavoidable in such cases. This descriptive study aims to evaluate the demographics, methods and outcomes of paediatric radiot...
#1Choon Looi Bong (Boston Children's Hospital)H-Index: 11
#2Josephine S.K. Tan (Boston Children's Hospital)H-Index: 4
Last. Woon-Puay Koh (NUS: National University of Singapore)H-Index: 72
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Abstract Background Neonates and infants undergoing general anaesthesia for hernia surgery are at risk of perioperative cardiorespiratory adverse events. The use of regional anaesthesia with dexmedetomidine preserves airway tone and may potentially avoid these complications. This study compares the perioperative conditions and adverse events between dexmedetomidine sedation with caudal block and general anaesthesia with caudal block for inguinal hernia surgery in infants. Methods A randomised co...
6 CitationsSource
#1J. H. Koh (NUS: National University of Singapore)H-Index: 1
#2P. Daniel (NUS: National University of Singapore)H-Index: 1
Last. C. L. Bong (Boston Children's Hospital)H-Index: 1
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: Several studies have investigated the effects of general anaesthesia on neurodevelopment in children, with conflicting results. The potential for early general anaesthesia exposure to impact neurodevelopment in children may cause significant concern for parents. Administering a questionnaire in 200 parents, we aimed to explore their knowledge, concerns and perceptions, and determine factors which influence parents' willingness for their children to participate in relevant research studies. A s...
3 CitationsSource
#1Peter Szmuk (UTSW: University of Texas Southwestern Medical Center)H-Index: 33
#2Dean B. Andropoulos (Boston Children's Hospital)H-Index: 36
Last. Andrew Davidson (Royal Children's Hospital)H-Index: 36
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Background: Concern over potential neurotoxicity of anesthetics has led to growing interest in prospective clinical trials using potentially less toxic anesthetic regimens, especially for prolonged anesthesia in infants. Preclinical studies suggest that dexmedetomidine may have a reduced neurotoxic profile compared to other conventional anesthetic regimens; however, coadministration with either anesthetic drugs (eg, remifentanil) and/or regional blockade is required to achieve adequate anesthesi...
15 CitationsSource
#1Choon Looi Bong (Boston Children's Hospital)H-Index: 11
#2Su Min Lee (Boston Children's Hospital)H-Index: 2
Last. Arpana R. Vidyarthi (NUS: National University of Singapore)H-Index: 19
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Active ‘hands-on’ participation in the ‘hot-seat’ during immersive simulation-based training (SBT) induces stress for participants, which is believed to be necessary to improve performance. We hypothesized that observers of SBT can subsequently achieve an equivalent level of non-technical performance as ‘hot-seat’ participants despite experiencing lower stress. We randomized 37 anaesthesia trainees into two groups to undergo three consecutive SBT scenarios. Eighteen ‘hot-seat’ trainees actively ...
20 CitationsSource
#1Choon Looi Bong (Boston Children's Hospital)H-Index: 11
#2Josephine S.K. Tan (Boston Children's Hospital)H-Index: 4
#1Choon Looi Bong (Boston Children's Hospital)H-Index: 11
#2Angela S. H. Yeo (Boston Children's Hospital)H-Index: 1
Last. Josephine S.K. Tan (Boston Children's Hospital)H-Index: 4
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SummaryBackground Recent concerns regarding possible long-term effects of early anesthesia exposure on neurodevelopment in children have provided an impetus to explore alternative anesthetic techniques using potentially neuroprotective agents. Dexmedetomidine has not been implicated in anesthesia-induced neurotoxicity and has been shown to be neuroprotective in preclinical studies. We describe a case series of 50 neonates and infants who received dexmedetomidine sedation with caudal anesthesia i...
14 CitationsSource
May 1, 2016 in ECTC (Electronic Components and Technology Conference)
#1Ming-Yuan Cheng (Agency for Science, Technology and Research)H-Index: 14
#2Ramona Damalerio (Agency for Science, Technology and Research)H-Index: 4
Last. Swee Kim TanH-Index: 1
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Intravenous (IV) cannulation is a routine procedure for hospital patients for drug or fluid administration. Successful delivery of drugs and fluids depends on the cannula remaining in the vein at all times. Extravasation is a complication of IV cannulation and refers to the accidental leakage of drugs or fluids from the vein to the surrounding tissues when the IV cannula moves out of the vein. The incidence of extravasation in neonates is up to 15%. Extravasation is frequently detected late when...
3 CitationsSource
#1Choon Looi Bong (NUS: National University of Singapore)H-Index: 11
#1Choon Looi Bong (NUS: National University of Singapore)H-Index: 2
Last. Denis Oriot (University of Poitiers)H-Index: 19
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Simulation-based education (SBE) has all the requisite elements for a stressful experience: being novel, unpredictable, imparting a sense of lack of control, and potentially threatening the participant’s ego. Indeed, SBE has been shown to evoke a physiological stress response in learners, which can be measured objectively using physiological or biological means, or subjectively using self-report questionnaires. The interaction between stress and cognitive load on performance and learning in the ...
12 CitationsSource