Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2005
Case ReportsPrevention of aspiration under general anesthesia by use of the size 2 1/2 ProSeal laryngeal mask airway in a 6-year-old boy: a case report.
We report a case where use of the size 2 1/2 ProSeal laryngeal mask airway helped to prevent pulmonary aspiration of regurgitated gastric fluid. We describe the management of this case and discuss the potential advantages of this modified laryngeal mask airway for supraglottic airway management in pediatric patients.
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Paediatric anaesthesia · Oct 2005
Randomized Controlled Trial Comparative StudyA comparison of three methods for estimating appropriate tracheal tube depth in children.
Estimating appropriate tracheal tube (TT) depth following tracheal intubation in infants and children presents a challenge to anesthesia practitioners. We evaluated three methods commonly used by anesthesiologists to determine which one most reliably results in appropriate positioning. ⋯ Deliberate mainstem intubation most reliably results in appropriate TT depth in infants and children.
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Paediatric anaesthesia · Oct 2005
Randomized Controlled TrialRemifentanil versus fentanyl for short-term analgesia-based sedation in mechanically ventilated postoperative children.
Analgesia-based sedation techniques are becoming more established in the intensive care unit (ICU) setting. The aim of this study was to compare remifentanil and fentanyl infusions for postoperative analgesia in pediatric ICU patients. ⋯ We conclude that a remifentanil infusion provides clinically comparable analgesia with a fentanyl infusion in mechanically ventilated postoperative pediatric patients. These two drugs are suitable for short-term analgesia-based sedation in pediatric postoperative ICU patients.
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Paediatric anaesthesia · Oct 2005
Randomized Controlled TrialFacilitating coping behavior in children prior to dental general anesthesia: a randomized controlled trial.
The aim of this study was to establish the efficacy of two different preparation packages, a paper-based cartoon and an interactive computer, at facilitating coping behavior in children undergoing dental general anesthetic (DGA) tooth extraction. ⋯ The computer preparation package facilitated coping behavior in children undergoing DGA induction.
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Paediatric anaesthesia · Oct 2005
Case ReportsThree cases of PICU sedation with isoflurane delivered by the 'AnaConDa'.
Prolonged sedation in the pediatric intensive care unit may be difficult because of tolerance, drug dependence and withdrawal, drug interactions and unwanted drug effects. We present three patients sedated with isoflurane via the Anesthetic Conserving Device, AnaConDa. AnaConDa is a modified heat and moisture exchanger that allows evaporation and delivery of inhalational anesthetics without an anesthesia machine, vaporizer or adapted ventilator. ⋯ Intravenous sedatives could be reduced or discontinued during isoflurane sedation. Inhaled sedation of isoflurane with AnaConDa was effective in these patients. It may provide an alternative in difficult cases needing prolonged sedation and should be evaluated further.