Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2007
Comparative StudyNeonatal resuscitation courses for pediatric residents: comparison between Khartoum (Sudan) and Padova (Italy).
The efficacy of a Neonatal Resuscitation Program (NRP) has been previously evaluated in developed countries, but there is a lack of information regarding the impact of this teaching program in developing countries. Our aim was to compare the knowledge gained by University of Khartoum (Sudan) and University of Padova (Italy) pediatric residents following participation in the NRP course. ⋯ The trend of the knowledge attainment of both Sudanese and Italian pediatric residents was similar after NRP course participation. An NRP is effective in teaching neonatal resuscitation in developing countries.
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Paediatric anaesthesia · Jan 2007
Ultrasound-guided umbilical nerve block in children: a brief description of a new approach.
The most popular peripheral nerve blocks used in umbilical hernia repair are rectus sheath block and paraumbilical block. However, multiple anatomic variations have been described and some complications may occur. Ultrasonographic guidance of peripheral nerve blocks has reduced the number of complications and improved the quality of blocks. This case series describes a new ultrasound-guided puncture technique of the 10th intercostal nerve in pediatric umbilical surgery. ⋯ Ultrasound guidance enables performance of an effective umbilical block in the lateral edge of RM. Further studies should be carried on to visualize the intercostal nerve and to compare this technique with the classical ones.
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Paediatric anaesthesia · Jan 2007
Randomized Controlled Trial Comparative StudyPrevention of hypothermia in children under combined epidural and general anesthesia: a comparison between upper- and lower-body warming.
Children receiving combined epidural and general anesthesia may be at greater risk of hypothermia. Active warming should be undertaken to combat heat loss. With combined epidural and general anesthesia heat loss from the lower body may be greater than from the upper body because of shift of blood towards the vasodilated lower body. We assumed that application of the warming blanket to the lower body might provide better protection against hypothermia. To test this hypothesis, lower-body warming (LBW) was compared with upper-body warming (UBW) in a randomized comparative study. ⋯ Lower body warming is as effective as UBW in prevention of hypothermia in children subjected to combined epidural and general anesthesia.