Paediatric anaesthesia
-
Paediatric anaesthesia · Oct 2006
Randomized Controlled TrialThe effect of capsicum plaster in pain after inguinal hernia repair in children.
Capsicum plaster at a classical Chinese acupoint is an alternative to acupuncture, which has been used as a supplemental therapy to opioid analgesics for pain control during the postoperative period. We investigated the postoperative analgesic efficacy of capsicum plaster at Zusanli (ST-36) points after pediatric hernia repair. ⋯ Placement of capsicum plaster at the Zusanli points reduces pain and postoperative opioid consumption in children undergoing inguinal hernia repair, but not in the first six postoperative hours.
-
Paediatric anaesthesia · Oct 2006
Randomized Controlled Trial Comparative StudyDoes tramadol wound infiltration offer an advantage over bupivacaine for postoperative analgesia in children following herniotomy?
It has been demonstrated that tramadol is an effective analgesic. We aimed to compare postoperative analgesic effects of wound infiltration with tramadol (T) or bupivacaine (B) and intramuscular tramadol (I) after herniotomy in children. ⋯ Wound infiltration with tramadol may be a good choice for postoperative analgesia in children having inguinal herniotomy.
-
Paediatric anaesthesia · Oct 2006
Randomized Controlled Trial Comparative StudyAnesthesia for pediatric gastroscopy: a study comparing the ProSeal laryngeal mask airway with nasal cannulae.
We tested the hypothesis that pediatric gastroscopy is more successful using the ProSeal laryngeal mask airway with the drain tube as a conduit to the stomach (ProSeal LMA group) than using nasal cannulae with conventional oral access to the stomach (NC group). ⋯ We conclude that pediatric gastroscopy is quicker and has fewer airway complications when performed through the ProSeal LMA than using nasal cannulae and a conventional approach by experienced users.
-
Paediatric anaesthesia · Oct 2006
Case ReportsIliac compartment block following ilioinguinal iliohypogastric nerve block.
Transient femoral nerve palsy is a known complication associated with percutaneous ilioinguinal iliohypogastric nerve block. Excess volume and higher concentrations of local anesthetic have been implicated for transient femoral nerve palsy. We encountered partial iliac compartment block involving lateral cutaneous nerve of the thigh and femoral nerve with a lower concentration (0.25%) of bupivacaine administered in the smallest indicated volume of 0.25 ml.kg-1 using a double-shot technique.
-
Paediatric anaesthesia · Oct 2006
Postoperative sleep disturbance in pediatric patients using patient-controlled devices (PCA).
Sleep disturbance has not been well quantified in pediatric postoperative management, yet has broad implications in pain management as well as upon the physical and psychological well-being of the young patient admitted for surgery. We aimed to describe sleep disturbance in this population using patient-controlled analgesia (PCA) and then identify the predictors of disturbed sleep. ⋯ Sleep disruption is common in children-prescribed PCA opioid analgesia. Older children and those receiving a background infusion were observed to experience less sleep. Other proposed predictors were not found to be reliable. Further investigation into the predictors of disturbed sleep in the postoperative patient is warranted.