Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2008
Randomized Controlled Trial Comparative StudyThe effects of 45 degree head up tilt on the lumbar puncture success rate in children undergoing spinal anesthesia.
There are few studies for procedural techniques of lumbar puncture (LP) for spinal anesthesia in children. There are no controlled studies on the effect of patient positioning. We designed this prospective, randomized study to compare the success rates of LP of the lateral decubitus and lateral decubitus position with a 45 degree head up tilt in children undergoing spinal anesthesia. ⋯ Because of higher success rate, lateral decubitus, knee-chest position with 45 degree head up tilt may be the preferred position for spinal anesthesia in infants.
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Paediatric anaesthesia · Dec 2008
ReviewExtracorporeal membrane oxygenation for postcardiotomy mechanical cardiovascular support in children with congenital heart disease.
Extracorporeal membrane oxygenation (ECMO) is increasingly used to support postcardiotomy cardiorespiratory failure in children with congenital heart disease. We report on survival outcomes and factors associated with survival for postcardiotomy ECMO patients.