Pocket app for pocket sized patients

Pedi Safe is a rapid resource for pediatric medications, their doses, and airway equipment intended to be referenced in emergency situations. This resource is not all encompassing, nor did the developer intend it to be. 

Editor's Rating

Editor's Rating

Pedi Safe Logo.GIF
Featured screenshot of pedi safe iOS app

Featured screenshot of pedi safe iOS app

REVIEW

The Pedi Safe app offers a wide variety of information to the practicing anesthetist. Upon opening the app, the user is offered a menu consisting of numerical kilogram weights (with accompanying weights in pounds) with their correlating Broselow color.  After selecting the weight-of-choice, the following information is provided: normal vital signs, airway equipment, pretreatment medications, induction medications, paralytic medications, sedation maintenance, fluid resuscitation, cardiovascular support and cardiovascular resuscitation.  The provided information is largely accurate; in that it correlates with current practice guidelines. Each category of information then offers subcategories of medications or airway equipment.  Some of the medications/equipment offer further detail or rationale.  For example, in the category "Pretreatment Medications", the medication Fentanyl has the additional comment "sympathetic block of laryngoscopy."

The app is advertised as a resource for emergency situations; however, after researching the apps previous reviews, it was apparent that many users would prefer it to be an all-inclusive resource. With this being said, important anesthetic categories are missing. Examples of missing categories are: preoperative anxiolytics, intraoperative and postoperative analgesics, antiemetics, and total intravenous anesthetics (TIVAs).  Mitigating the excluded categories, the app provides an accurate fluid resuscitation category.  This category displays hourly maintenance fluid, NPO deficit correction, and estimated blood volume. The fluid management suggestions provide  essential guidelines to the anesthetist performing a pediatric general anesthetic.  The suggested ETT diameters are the high-end of current practice guidelines. I would caution anesthetist to solely base their ETT size selections from those suggested on this app. The app does not offer the ability to predict a weight formulated from the pediatric patient's age. This is unfortunate because typically the age of a  pediatric patient is acquired prior to obtaining their weight (as provided on surgical case schedules or provided to emergency departments from first responders). Therefore, the app offers minimal benefit to the anesthetist if the patient's weight is unknown.  

COMMENT

In summary, the Pedi Safe app offers a wide range of pediatric emergency information in a user-friendly platform.  While not an all-inclusive resource for practicing anesthetists, the app provides a good foundation to begin providing care to the pediatric population. I have yet to encounter a performance issue with this app. The Pedi Safe app's clinical applicability is undeniable, with optimal functioning in the clinical setting.  For the anesthesia provider who "rarely" or "sometimes" delivers pediatric anesthetics, the Pedi Safe app is recommended.

PROS:

  • Easy to access
  • Sufficient medication variety
  • ACLS/PALS protocol
  • Airway equipment suggestion

CONS:

  • Lacks anagesics
  • Lacks antiemetics
  • Lacks kg weight estimation formula, 2(age)+4
  • Debatable ETT diameter

APPLICATION SPECS:

  • Date of review: 11/03/2013
  • Requires: iOS 3.1.3 or greater, Android 1.6 or greater
  • Platform: iPhone, iPad and Android
  • Current iOS version: 2.0 (iPad 1.0), Android 3.3
  • Developer: iAnesthesia LLC
  • Price: $2.99 iOS, $5.99 Android

Ken Taylor, DNP, MSN, CRNA