Journal of clinical anesthesia
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of EMLA cream versus nitrous oxide for pediatric venous cannulation.
To compare the analgesic and anxiolytic effects of nitrous oxide (N2O) when inhaled by face mask with those of a cutaneous application of a eutectic mixture of local anesthetics (EMLA) cream with lidocaine and prilocaine during pre-operative venous cannulation in children. ⋯ N2O administered by face mask appears to provide greater anxiolysis and attendant superior analgesia for pediatric venous cannulation than a cutaneous application of EMLA cream.
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Randomized Controlled Trial Clinical Trial
Factors that influence an anesthesiologist's decision to cancel elective surgery for the child with an upper respiratory tract infection.
To examine factors that anesthesiologists consider when making decisions regarding elective surgery cancellation of the pediatric patient with an upper respiratory infection (URI). ⋯ The results of this survey demonstrate a wide range of opinions and approaches to this enduring clinical dilemma. However, it appears that the practice of cancelling elective surgery for children with URIs may be changing over time, since younger anesthesiologists appear to cancel less often than their more experienced counterparts. It is hoped that this information will be useful to practioners in their evaluation and management of children with colds and will stimulate further investigation into this important clinical problem.
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Randomized Controlled Trial Clinical Trial
A post-anesthetic discharge scoring system for home readiness after ambulatory surgery.
To evaluate the validity and reliability of an objective scoring system, the Post-Anesthetic Discharge Scoring System (PADSS), which was compared against existing Clinical Discharge Criteria in the ambulatory surgery unit of our hospital. ⋯ We have found PADSS to have superior measurement scaling and diagnostic properties.
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Randomized Controlled Trial Clinical Trial
Postoperative hemodynamic and thermoregulatory consequences of intraoperative core hypothermia.
To evaluate the postoperative hemodynamic and thermoregulatory consequences of intraoperative core hypothermia. ⋯ These data confirm that the effects of intraoperative hypothermia on postoperative HR and BP are modest in relatively young, generally healthy patients. In contrast, intraoperative hypothermia caused substantial postoperative thermal discomfort, and full recovery from hypothermia required many hours. Delayed return to care normothermia apparently resulted largely from postoperative thermoregulatory impairment.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of sevoflurane and halothane anesthesia in children undergoing outpatient ear, nose, and throat surgery.
To compare the induction, maintenance, and recovery characteristics of sevoflurane and halothane in pediatric ambulatory patients undergoing adenoidectomy with or without myringotomies (BMTs). To compare the hemodynamic effects of the two drugs. ⋯ Sevoflurane provides a faster anesthetic emergence and recovery than halothane in premedicated patients but it does not expedite meeting current home discharge criteria.