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
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.
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Paediatric anaesthesia · Apr 2009
Survey of pediatric continuing professional development undertaken by consultant anesthetists.
Whilst not all anesthetists have a regular pediatric commitment there is a need for out of hours cover of pediatric anesthesia. We have attempted to determine who covers pediatric anesthetic services in the District General Hospital setting. ⋯ General anesthetists are responsible for elective and emergency anesthetics as well as the care of critically ill children outside of specialist centers. This is despite a proportion of these consultants not having regular pediatric experience, not having completed a recent pediatric resuscitation course and without pediatric anesthetic CPD.