Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Most children with congenital heart disease can be man-aged safely if the pathophysiology of their lesion and the anaesthetic implications are understood. However, recent reviews of anaesthetic morbidity reveal a high incidence of anaesthetic-related adverse events in children with congenital heart disease.
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Randomized Controlled Trial Comparative Study Clinical Trial
Adequacy of caudal analgesia in children after penoscrotal and inguinal surgery using 0.5 or 1.0 ml.kg-1 bupivacaine 0.125%.
To determine the optimal volume of bupivacaine 0.125% for postoperative caudal analgesia, we compared the effectiveness of 0.5 ml.kg-1 and 1 ml.kg-1 of bupivacaine 0.125% with 1:200,000 epinephrine in 80 children undergoing penoscrotal and inguinal surgery. The adequacy of caudal analgesia and supplemental analgesic requirements did not differ between the two groups at any time during the first 12 hr after surgery. We conclude that 0.5 ml.kg-1 of bupivacaine 0.125% with 1:200,000 epinephrine is as effective as 1 ml.kg-1 of the same solution and recommend its use for penoscrotal surgery. The evidence for effectiveness of 0.5 ml.kg-1 of bupivacaine 0.125% for inguinal surgery, however, is inconclusive because of an insufficient number of patients studied.
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There have been many recent advances in the understanding and therapy of respiratory diseases. This review has attempted to cover some of the relevant new information about those disorders most likely to be encountered by anaesthetists. RéSUMé: Il y a de nombreux progrès récents dans la compréhension et la thérapie des maladies respiratoires. Cette revue a tenté de revoir l'information nouvelle et pertinente concernant les maladies les plus susceptibles d'être rencontrées par les anesthésistes.