Paediatric anaesthesia
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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 Trial Comparative StudyThe comparative effect of single dose mivacurium during sevoflurane or propofol anesthesia in children.
We aimed to randomly compare intubating conditions, recovery characteristics and neuromuscular effects of single dose of mivacurium (0.2 mg.kg(-1)) during sevoflurane vs. propofol anesthesia in 60 healthy children, undergoing inguinal surgery. ⋯ Our results indicate that when compared with propofol group, the sevoflurane group had an accelerated onset and a delayed recovery of neuromuscular block induced by mivacurium in children.
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Paediatric anaesthesia · Oct 2005
Randomized Controlled Trial Comparative StudyCentral venous catheterization in infants and children--small caliber audio-Doppler probe versus ultrasound scanner.
Ultrasound guidance for cannulation of the internal jugular vein has been shown to increase the success rate and reduce the incidence of complications in infants and children. We compared the use of a small caliber audio-Doppler probe with an ultrasound scanner for cannulation of a central venous (CV) line via the right internal jugular vein in infants and children. ⋯ We conclude that application of both the audio-Doppler and the ultrasound scanner is useful in children over 1 year of age for access to the internal jugular vein. However, in infants and neonates, the ultrasound scanner would be more useful than the audio-Doppler.
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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.