Paediatric anaesthesia
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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.
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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
Clinical TrialEarly administration of surfactant in spontaneous breathing with nCPAP: feasibility and outcome in extremely premature infants (postmenstrual age
Spontaneous breathing supported by nasal continuous positive airway pressure (nCPAP) is thought to have some advantages compared with mechanical ventilation in extremely premature infants. In addition, early or prophylactic surfactant administration has been shown to be superior to delayed use. A strategy to combine these two principles was tested in our neonatal intensive care unit (NICU). The aim of this feasibility study was to describe the procedure and compare short-term results with a historical control. ⋯ Surfactant administration during nCPAP is feasible. First results indicate that early complications are rare. This warrants a prospective randomized trial.
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Paediatric anaesthesia · Apr 2007
Case ReportsA combination of total intravenous anesthesia and thoracic epidural for thymectomy in juvenile myasthenia gravis.
Juvenile myasthenia gravis is the acquired form of the disease in children and presents with ocular signs, fatigability, weakness and bulbar problems. The majority of patients demonstrate thymic hyperplasia and have been shown to benefit from thymectomy. ⋯ Two cases of thymectomy are presented where anesthesia was provided using a combination of TIVA and thoracic epidural analgesia. Both patients tolerated the technique well and had an uncomplicated perioperative course.