Paediatric anaesthesia
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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
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.
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Paediatric anaesthesia · Dec 2010
Randomized Controlled TrialPressure vs. volume control ventilation: effects on gastric insufflation with size-1 LMA.
In this randomized prospective study, peak airway pressure (PAP) and gastric insufflation were compared between volume control ventilation (VCV) and pressure control ventilation (PCV) using size-1 laryngeal mask airway (LMA) in babies weighing 2.5-5 kg. ⋯ In conclusion, PCV should be the preferred mode to provide positive pressure ventilatio (PPV), when using the size-1 cLMA in babies weighing 2.5-5 kg, in view of less gastric insufflation associated with it for surgeries of brief duration. More studies are required to validate the clinical significance of these two modes of ventilation in longer procedures, in this subpopulation.