Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2006
Randomized Controlled Trial Comparative StudyRandomized controlled trial comparing the laryngeal tube and the laryngeal mask in pediatric patients.
The laryngeal tube (LT) is a supraglottic ventilatory device used in adults. However, there is limited information about LT use in pediatric patients. This randomized controlled study compares LT with laryngeal mask (LMA) for airway management during spontaneous or assisted ventilation and during fiberoptic laryngoscopy in children. ⋯ The LT is less effective than the LMA to allow adequate spontaneous or assisted ventilation and for fiberoptic evaluation of the airway in children under 10 years old.
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Paediatric anaesthesia · Mar 2006
Randomized Controlled Trial Comparative StudyThe efficacy of morphine and Entonox analgesia during chest drain removal in children.
Morphine is commonly used for chest drain removal pain, although a few studies in adults suggest that inhalation agents may be effective for this procedure. Little is known about chest drain removal pain and its management in children. ⋯ Morphine or Entonox alone are unlikely to provide adequate analgesia for chest drain removal pain in children. More research is needed to determine the most effective interventions for this procedure.
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Paediatric anaesthesia · Mar 2006
Case ReportsAnesthetic management of staged separation of craniopagus conjoined twins.
We present a case of successful separation of craniopagus conjoined twins. The procedure was staged to permit each child to develop adequate independent cerebral venous drainage and to prevent deleterious, perioperative cerebral edema. Surgical hemorrhage, blood product delivery, and hemodilution were minimized.
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Paediatric anaesthesia · Mar 2006
Case ReportsUse of dexmedetomidine in awake craniotomy in adolescents: report of two cases.
Awake craniotomy is a key tool in resection of lesions near critical functional regions, particularly the speech area. Craniotomy with an awake portion for mapping may be performed in carefully selected adolescents and preteenaged children. A number of different regimens may be used for sedation and anesthesia in these cases. We describe two adolescent patients in whom awake craniotomy was performed using an intravenous anesthesia technique with dexmedetomidine and without need for airway instrumentation.
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Paediatric anaesthesia · Mar 2006
Case ReportsUltrasound-guided interscalene brachial plexus block in a child with femur fibula ulna syndrome.
Ultrasound-guided interscalene brachial plexus block is described in a 7-year-old child with femur fibula ulna syndrome. It is suggested that ultrasound is a useful tool in situations where nerve stimulation for nerve localization cannot be used.