Paediatric anaesthesia
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Paediatric anaesthesia · May 2009
ReviewSpecialist training in pediatric anesthesia - the Scandinavian approach.
There has been a great deal of focus on specialist training in pediatric anesthesia in the last decade or so. Internationally, however, there is still no uniform agreement as to how such a training program should be arranged and organized. Since September 2003, the Scandinavian Society of Anaesthesiology and Intensive Care Medicine has coordinated an advanced Inter-Nordic educational program in pediatric anesthesia and intensive care. ⋯ The program also includes three theoretical courses each of 4 days duration and a 4-week exchange module at another pediatric center inside or outside Scandinavia. In this article the Scandinavian training program in pediatric anesthesia and intensive care is presented and discussed in more details. International collaboration on how best to arrange and organize a training program in pediatric anesthesia and intensive care is encouraged.
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Paediatric anaesthesia · May 2009
ReviewTranscutaneous carbon dioxide monitoring in infants and children.
To review the technology required for and the applications of transcutaneous carbon dioxide (TC-CO2) monitoring in infants and children. ⋯ Transcutaneous carbon dioxide monitoring may be a useful adjunct in various clinical scenarios in infants and children. It should be viewed as a complimentary technology and may be used in combination with ET-CO2 monitoring.
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Paediatric anaesthesia · May 2009
Randomized Controlled TrialThe effect of postoperative fasting on vomiting in children and their assessment of pain.
Mandatory postoperative food intake has been shown to increase nausea and vomiting, and so postoperative fasting has become common practice even if patients request food or drink. ⋯ Postoperative fasting did not reduce the incidence of vomiting after general anesthesia in children when compared with a liberal regimen. Furthermore, the ability to eat and drink at will decrease the bothersome aspects of pain and lead to happier patients.
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Paediatric anaesthesia · May 2009
Impact of laryngeal mask airway cuff pressures on the incidence of sore throat in children.
Hyperinflation of laryngeal mask airway cuffs can cause harm to the upper airway mainly by exerting high pressures on pharyngeal and laryngeal structures thus impairing mucosal perfusion. Although cuff manometers can be used to guide the monitoring of cuff pressures, their use is not routine in many institutions. In a prospective audit, we assessed the incidence of sore throat following day-case-surgery in relation to the intracuff pressure within the laryngeal mask airway. ⋯ We have demonstrated that intra cuff pressure in laryngeal mask airways is closely related to the development of sore throat with higher pressures increasing its likelihood. Hence, cuff pressures should be measured routinely using a manometer to minimize the incidence of sore throat.