Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2007
Clinical TrialDexmedetomidine for the treatment of postanesthesia shivering in children.
Shivering is a common postanesthesia adverse event with multiple etiologies and multiple suggested prophylactic and abortive treatment regimens. Dexmedetomidine, a centrally acting alpha(2)-adrenergic agonist, has been used as a sedative agent and is known to reduce the shivering threshold. We hypothesized that children with postanesthesia shivering would reduce shivering behavior following a single bolus dose of dexmedetomidine. ⋯ This study demonstrates the efficacy of dexmedetomidine in the treatment of postanesthesia shivering.
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Paediatric anaesthesia · Apr 2007
Clinical TrialChanges of bispectral index during recovery from general anesthesia with 2% propofol and remifentanil in children.
The bispectral (BIS) index is a pharmacodynamic measure of the effect of anesthesia on the central nervous system. The aim of this study was to investigate the relationship between BIS index and predicted plasma concentration of propofol delivered by target controlled infusion (TCI) during emergence in children. ⋯ In preschool children, BIS moderately correlated with the predicted plasma concentration of propofol.
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Paediatric anaesthesia · Apr 2007
Randomized Controlled Trial Comparative StudyProSeal as an alternative to endotracheal intubation in pediatric laparoscopy.
The increasing use of laparoscopic surgery in children mandates a leak-free airway device during carboperitoneum for which tracheal tubes (TT) have been traditionally used. The pediatric ProSeal is a recent introduction to the laryngeal mask airway (LMA) family. The ProSeal LMA (PLMA) has been successfully used in adult laparoscopic procedures. We hypothesized that the ProSeal can be equally effective in achieving adequate oropharyngeal seal and pulmonary ventilation during elective laparoscopic procedures in children. ⋯ The pediatric PLMA and TT have comparable ventilatory efficacy for elective short laparoscopic procedures.