Paediatric anaesthesia
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To ascertain whether there is medical and religious agreement that neonates being circumcised should have anesthesia. ⋯ (i) That anesthesia should be provided for neonatal circumcision. (ii) That there will be difficulties in providing a professional service. (iii) That EMLA cream is the most practical, even if only partly effective. (iv) A website demonstrating application to parents would encourage usage.
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Paediatric anaesthesia · Dec 2010
Randomized Controlled TrialEfficacy of different concentrations of sevoflurane administered through a face mask for magnetic resonance imaging in children.
The main aim of this study was to use a non-invasive method such as a face mask to maintain anesthesia in children during magnetic resonance imaging (MRI). The secondary aim was to ascertain hemodynamic-respiration parameters, recovery time and complications of anesthesia with the administration of different concentrations of sevoflurane. ⋯ We believe that the administration of sevoflurane at a concentration of 1% via a face mask under spontaneous respiration may provide light anesthesia without complications to induce an unarousable sleep for children during MRI.
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Paediatric anaesthesia · Dec 2010
Use of epidural and peripheral nerve blocks at the end of life in children and young adults with cancer: the collaboration between a pain service and a palliative care service.
Clinicians may avoid continuous pain blocks in pediatric cancer patients at the end of life for fear of complications or of interfering with the desired location of death. ⋯ Our findings suggest that continuous catheter-delivered pain blockade at the end of life contributes to analgesia, moderates opioid requirements, and usually does not preclude death at the preferred location.
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Paediatric anaesthesia · Dec 2010
Randomized Controlled TrialEntropy monitoring decreases isoflurane concentration and recovery time in pediatric day care surgery--a randomized controlled trial.
To assess if titrating anesthesia with entropy would result in faster awakening in children undergoing day care surgery. ⋯ In pediatric day care surgery, entropy monitoring resulted in statistically though not clinically significant faster awakening and significantly lower end – tidal isoflurane concentrations.
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Paediatric anaesthesia · Dec 2010
Randomized Controlled Trial Comparative StudyComparison of Bullard laryngoscope and short-handled Macintosh laryngoscope for orotracheal intubation in pediatric patients with simulated restriction of cervical spine movements.
To compare time to intubation, time to optimal laryngoscopy, best laryngeal view, and success rate of intubation with pediatric Bullard laryngoscope and short-handled Macintosh laryngoscope in children being intubated with neck stabilization. ⋯ Laryngoscopy and intubation is faster using a short-handled Macintosh laryngoscope with a higher success rate compared to pediatric Bullard laryngoscope in pediatric patients when manual inline stabilization is applied.