Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2005
Using a nasopharyngeal airway during fiberoptic intubation in small children with a difficult airway.
Induction of anesthesia and tracheal intubation in small children with a difficult airway is a challenging task. We report the experience with a procedure based on sevoflurane inhalation via a nasopharyngeal airway inserted early during induction before airway obstruction occurs. A pediatric fiberscope is used to perform a nasotracheal intubation via the opposite nostril. ⋯ The combination of nasopharyngeal airway and fiberoptic guided tracheal intubation seems to be a reliable and safe procedure for managing the difficult airway in small 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.