Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2004
Randomized Controlled Trial Comparative Study Clinical TrialCaudal analgesia in children: S(+)-ketamine vs S(+)-ketamine plus clonidine.
The aim of this study was to evaluate postoperative analgesia provided by caudal S(+)-ketamine and S(+)-ketamine plus clonidine without local anesthetic. ⋯ Caudal S(+)-ketamine 1 mg x kg(-1) and S(+)-ketamine 0.5 mg x kg(-1) plus clonidine 1 microg x kg(-1) are safe and provide effective postoperative analgesia in children without adverse effects.
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Paediatric anaesthesia · Oct 2004
Randomized Controlled Trial Clinical TrialPostoperative behavioral changes following anesthesia with sevoflurane.
Behavioral disturbance following hospitalization is a relatively frequent event, some children still having negative behavioral changes (NBC) 1 month following their operation. Sevoflurane has a propensity to induce 'excitement' during induction of anaesthesia, and delirium in the immediate postoperative phase. The aim of this study was to evaluate whether this translates into prolonged behavioral change. ⋯ Children anesthetized with sevoflurane exhibit more immediate postoperative distress than those anesthetized with halothane. This difference is not carried over into the longer posthospital period. Negative behavioral changes occur more frequently with decreasing age.
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Paediatric anaesthesia · Oct 2004
Comment Randomized Controlled Trial Clinical TrialEarly intravenous cannulation in children during sevoflurane induction.
It has been shown that early placement of an intravenous line in children anesthetized with halothane is equally safe compared with later placement. Whether this is true of sevoflurane is not known. ⋯ Following an inhalation induction with sevoflurane in children, movement with intravenous placement was greater, and the incidence of laryngospasm was higher, when the intravenous access was attempted 30 s rather than 120 s following loss of lid reflex. We recommend waiting two min following the loss of lid reflex before attempting intravenous placement in children receiving an inhalation induction with sevoflurane.
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Paediatric anaesthesia · Oct 2004
Randomized Controlled Trial Clinical TrialEffects of low dose ketamine before induction on propofol anesthesia for pediatric magnetic resonance imaging.
We aimed to investigate effects of low dose ketamine before induction on propofol anesthesia for children undergoing magnetic resonance imaging (MRI). ⋯ Intravenous administration of low dose ketamine before induction and maintenance with propofol preserves hemodynamic stability without changing the duration and the quality of recovery compared with propofol alone.
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Paediatric anaesthesia · Oct 2004
Comment Letter Case ReportsCardiac arrest in a patient with Larsen syndrome under sevoflurane anesthesia.