Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2005
Case ReportsIntravenous patient-controlled analgesia using remifentanil in a child with Axenfeld-Rieger syndrome.
Patient-controlled analgesia (PCA) using intravenous opioids is increasing in popularity for children aged 5 years and over. To our knowledge there are no reports on the use of PCA in children with remifentanil in the postoperative period. We report successful use of remifentanil for intravenous (IV) PCA in a child scheduled for suprasellar arachnoid cystectomy with Axenfeld-Rieger syndrome who needed good postoperative analgesia because of accompanying serious problems.
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Paediatric anaesthesia · Feb 2005
The Portex 'Soft Seal' single use laryngeal mask -- a preliminary study in pediatric anesthesia.
Portex have developed a single use pediatric laryngeal mask (LM), which is available in all sizes. ⋯ The Portex 'Soft Seal' LM performs satisfactorily in elective pediatric anesthesia.
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Paediatric anaesthesia · Feb 2005
Case ReportsNesiritide during extracorporeal membrane oxygenation.
Nesiritide is a recombinant formulation of B-type natriuretic peptide (BNP). Preliminary experience in the adult population has shown nesiritide to be an effective agent in the treatment of decompensated congestive heart failure (CHF) in adults. ⋯ In one patient, nesiritide in doses up to 0.09 microg.kg(-1).min(-1) were used to control mean arterial pressure while in the other patient, doses of 0.01-0.03 microg.kg(-1).min(-1) were used to augment urine output. The potential applications of nesiritide and dosing regimens for this agent in the ECMO population are discussed.