Paediatric anaesthesia
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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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Paediatric anaesthesia · Oct 2003
Randomized Controlled Trial Clinical TrialOral high-dose midazolam premedication for infants and children undergoing cardiovascular surgery.
The purpose of this study was to determine whether oral midazolam 1.5 mg x kg(-1) is a safe and effective alternative to standard-dose midazolam (0.5-1.0 mg x kg(-1)) premedication for infants and children with congenital heart disease. ⋯ Oral midazolam 1.5 mg x kg(-1) is excellent for preanaesthetic medication for infants and children undergoing cardiovascular surgery.
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Paediatric anaesthesia · Oct 2003
Randomized Controlled Trial Clinical TrialLaryngeal mask insertion in children: a rational approach.
Various techniques of laryngeal mask airway (LMATM) insertion have been described in adults but only limited clinical trials have been conducted in children despite a varying range in success rate by the recommended method. ⋯ A partially inflated cuff inserted by the lateral route is a better method of insertion in children and grade 3 fibreoptic views can be associated with a significant build up of carbon dioxide in children breathing spontaneously.