Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2003
Case ReportsA long-term continuous infusion via a sciatic catheter in a 3-year-old boy.
We describe the case of a 3-year-old boy with a subtotal amputation of the right foot who received treatment for pain via a peripheral catheter positioned at the level of the sciatic nerve (lateral approach). We administered a continuous infusion of 0.2% ropivacaine, 0.4 mg x kg(-1) x h(-1) plus clonidine 0.12 microg x kg(-1) x h(-1) for 21 days. Pain relief was complete and the patient did not require any further rescue analgesia throughout the period even during medications and surgical treatment in our intensive care unit. We discuss the safety and efficacy of the use of a peripheral continuous infusion in children compared with other techniques of analgesia.
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Paediatric anaesthesia · Oct 2003
Case ReportsSystemic embolism in an infant following haemangioma embolization: a two-step process.
A case is presented of therapeutic embolization of a hypervascular hamartoma of the liver, in a term baby. During the procedure signs of pulmonary embolism occurred and the baby subsequently died from myocardial ischaemia. Potential intrathoracic shunts of the newborn together with changes associated with the vascular tumour are thought to have allowed systemic embolization of the embolic material.
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Paediatric anaesthesia · Oct 2003
Randomized Controlled Trial Comparative Study Clinical TrialRemifentanil vs alfentanil in the total intravenous anaesthesia for paediatric abdominal surgery.
Our aim was to investigate whether total intravenous anaesthesia (TIVA) with remifentanil and alfentanil would ensure appropriate analgesia and recovery conditions in anaesthesia for children undergoing abdominal surgery. ⋯ Remifentanil provides a more rapid recovery and adequate postoperative analgesia after TIVA for paediatric abdominal surgery, compared with alfentanil.
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The aim of this study was to assess whether a noninvasive imaging technique such as ultrasound could visualize an epidural catheter in the epidural space in children. ⋯ This study shows that it is possible to visualize an epidural catheter in the epidural space in children under 6 months of age using ultrasound.