Paediatric anaesthesia
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Paediatric anaesthesia · Jan 1997
Case ReportsA fibreoptic intubation technique for children with mucopolysaccharidoses using the laryngeal mask airway.
Children with mucopolysaccharidoses present the anaesthetist with both a difficult airway and often an impossible intubation using conventional techniques. A technique for airway management and tracheal intubation is described utilizing the Brain laryngeal mask airway, the fibreoptic bronchoscope, a guide wire and a ureteral dilator. Two case reports of children with mucopolysaccharidoses are presented who were managed successfully with this technique. The advantages of the technique are discussed.
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Paediatric anaesthesia · Jan 1997
An audit of paediatric day care surgery in a district general hospital.
At a 620 bed District General Hospital, questionnaires were issued to the patients of 142 consecutive paediatric day surgery cases and the nurses involved in the care of these children. Most of the children were not upset by day case surgery, although nearly a quarter were distressed by changing into a theatre gown. Postoperatively, pain was more of a problem than nausea and vomiting. ⋯ The majority of the 93 parents who replied were happy with the overall care of their child. They valued being present for induction of anaesthesia and would have liked to be present in recovery when their child was awake, although the nurses felt this would not have been helpful. Nonclinical matters also influenced their assessment of the quality of care.