Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2009
Randomized Controlled Trial Comparative StudyComparison of topical lignocaine gel and fentanyl for perioperative analgesia in children undergoing cataract surgery.
Opioids continue to remain the primary analgesics in children undergoing ophthalmic surgery, and their use may be associated with adverse effects like vomiting and respiratory depression. Topical anesthesia avoids these adverse effects and also complications of regional blocks. We designed this study to verify whether topical anesthesia with lignocaine gel is a feasible alternative to intravenous (IV) fentanyl for pediatric cataract surgery. ⋯ Topical lignocaine gel is an effective analgesic and may be used as an adjunct to fentanyl during cataract surgery in children.
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Paediatric anaesthesia · Apr 2009
Randomized Controlled Trial Comparative StudyA comparison of Truview infant EVO2 laryngoscope with the Miller blade in neonates and infants.
The Truview EVO2 laryngoscope is a recently introduced device with a unique blade that provides a wide and magnified laryngeal view at 46 degrees anterior refracted angle. An infant blade of the laryngoscope has recently become available. ⋯ In this study, we found that in neonates and infants, the tracheal intubation using Truview infant EVO2 blade took almost as much time as miller blade and provided improved laryngoscopic view as compared to the Miller blade.
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Paediatric anaesthesia · Apr 2009
ReviewUltrasound guided transversus abdominis plane block in infants, children and adolescents: a simple procedural guidance for their performance.
The transversus abdominis plane block (TAP) has been described recently for pain management following abdominal surgery. Although many techniques have been described using anatomical landmarks, a simple ultrasound (US) guidance technique for the block has not been described in children. ⋯ We describe in this article, a user-friendly approach to the placement of a TAP block in infants, children and adolescents. Further pharmacokinetic data has to be obtained for actual dosing for these blocks in infants and children.
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Paediatric anaesthesia · Apr 2009
Comparative StudyA weight-based formula for tracheal tube size in children.
Age (in years) of the child has conventionally been used in formulae to estimate the tracheal tube (TT) size. The objective of this retrospective study was to test a weight-based formula (WBF) for uncuffed oral TT in children and compare it with the conventional age-based formula (ABF). ⋯ This study suggests that in this patient cohort, the WBF is statistically inferior to the conventional ABF. However, our findings also suggest that the WBF may correctly predict TT sizes in a subset of patients in whom the ABF is inaccurate.