Agnes Suah Bwee Ng
Boston Children's Hospital
AirwayCardiac outputSurgeryVisual analogue scaleMagnetic resonance imagingRetrospective cohort studyRandomized controlled trialIntensive care medicinePhysical therapyPediatricsRadiological weaponEmergency medicineMedical recordAuditClinical endpointObservational studyPsychological interventionBiopsySurvival rateSittingLocal anesthesiaSedationExtracorporeal membrane oxygenationOutpatient surgeryRespiratory failureLaryngoscopyVital signsInhalationGeneral anaesthesiaNerve blockInguinal canalTracheal intubationResuscitationFontanellePremedicationEpiglottisIntubationCardiopulmonary bypassLocal anestheticHerniaAbdominal distensionPatient safetyHeart soundsMEDLINERenal replacement therapyEar canalApnea of prematurityClinical PracticeObserver (special relativity)LidocaineHypoplasiaLarynxPrilocaineEmergence deliriumKetamineAnalgesicMandibleStridorFentanylApneaPain scaleSevofluranePopulationAnesthesia Recovery PeriodReporting rateFine lineSalivary cortisolPediatric anesthesiaPaediatric resuscitationLiaison committeePaediatric anaesthesiaTechnical performanceTeaching hospitalPatient demographicsStress levelSimulation basedPerioperativeAnesthesiaIncidence (epidemiology)Medical simulationMedical emergencyMedicineSocial psychologyFight-or-flight responseWorkgroup
Publications 11
#1Challa Satish Kumar Reddy (Boston Children's Hospital)H-Index: 1
#2Daniel Li Khai Phang (SGH: Singapore General Hospital)H-Index: 1
Last. Ah Moy Tan (Boston Children's Hospital)H-Index: 1
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INTRODUCTION: Children with anterior mediastinal mass (AMM) need general anaesthesia (GA) or deep sedation for diagnostic procedures more often than adult patients. Anaesthetic management to prevent such complications includes maintenance of spontaneous ventilation (SV) and prebiopsy corticosteroid/radiotherapy. METHODS: We reviewed the medical records of children with AMM who were brought to the operating theatre for diagnostic procedures (prior to chemotherapy) between 2001 and 2013. Our aim w...
1 CitationsSource
#1Gene Yong-Kwang Ong (Boston Children's Hospital)H-Index: 9
#2Irene Lai Yeen Chan (Boston Children's Hospital)H-Index: 1
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: We present the revised 2016 Singapore paediatric resuscitation guidelines. The International Liaison Committee on Resuscitation's Pediatric Taskforce Consensus Statements on Science and Treatment Recommendations, as well as the updated resuscitation guidelines from the American Heart Association and European Resuscitation Council released in October 2015, were debated and discussed by the workgroup. The final recommendations for the Singapore Paediatric Resuscitation Guidelines 2016 were deriv...
3 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
Introduction: Extracorporeal membrane oxygenation (ECMO) is a cardiopulmonary bypass technique (CPB) which provides life-saving support in patients with refractory cardiorespiratory failure until cardiopulmonary recovery or organ replacement. Materials and Methods: This is a single centre retrospective study reporting the largest series of paediatric patients in Singapore who received ECMO support over an 11-year period from January 2002 to December 2012. The objective is to describe the charact...
2 Citations
#1Wan S (Boston Children's Hospital)H-Index: 1
#1Sharon Wan (Boston Children's Hospital)H-Index: 1
Last. Agnes Suah Bwee NgH-Index: 6
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INTRODUCTION: This study reports our experience of audit and critical incidents observed by paediatric anaesthetics from 2000 to 2010 at a paediatric teaching hospital in Singapore. METHODS: Data pertaining to patient demographics, practices and critical incidents during anaesthesia and in the perioperative period were prospectively collected via an audit form and retrospectively analysed thereafter. RESULTS: A total of 2,519 incidents were noted at the 75,331 anaesthetics performed during the s...
14 CitationsSource
Paediatric anaesthesia presents unique challenges. Highrisk patients, premature babies, neonates, infants, small toddlers and children with multiple congenital anomalies are included in this group of patients. Infants and neonates are more at risk of an adverse incident perioperatively and also suffer higher morbidity and mortality than older children. Centralisation of tertiary paediatric services and reduced working and training hours present a challenge to the training and maintenance of paed...
#1Sze Y. ThongH-Index: 1
#2Suan L. LimH-Index: 1
Last. Agnes Suah Bwee NgH-Index: 6
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Summary Objectives and aims: We examine the efficacy and complications of general anesthesia with ilioinguinal-iliohypogastric nerve block performed on ex-premature neonates undergoing inguinal herniotomy. Background: The ex-premature neonate has many co-morbidities and is at risk of postoperative apnea and bradycardia. Anesthesia techniques aimed to provide good surgical conditions include general anesthesia and central neuroaxial techniques. There are still significant complications after thes...
3 CitationsSource
#1Choon Looi Bong (Boston Children's Hospital)H-Index: 11
#2Agnes Suah Bwee Ng (Boston Children's Hospital)H-Index: 6
BACKGROUND: Emergence delirium (ED) is a common problem in children recovering from general anesthesia. ED causes disruption in the postanesthetic care unit, making nursing and monitoring more difficult, and is potentially dangerous to the child. The greatest hindrance to understanding ED was the lack of a standardized tool to assess it. The Pediatric Anesthesia Emergence Delirium (PAED) Scale was recently described to measure the degree of ED in children. In this prospective observational study...
56 CitationsSource
#1Agnes Suah Bwee Ng (Boston Children's Hospital)H-Index: 6
7 CitationsSource
#1Hwan-Ing Hee (Boston Children's Hospital)H-Index: 2
#2R.W.L. Goy (Boston Children's Hospital)H-Index: 16
Last. Agnes Suah Bwee Ng (Boston Children's Hospital)H-Index: 6
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Background: EMLA cream is the current technique of choice to reduce pain during venous cannulation in most paediatric practice. Its use is limited by logistic arrangements and failure to improve cooperation and allay anxiety. Nitrous oxide (N 2 O) would appear to be an effective alternative. A combination technique may be useful in selected patients. Methods: One hundred and twenty unpremedicated ASA 1 and 2 day surgery patients, aged 8-15 years were randomized into group 1 (EMLA + air/O 2 ), gr...
59 CitationsSource