Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2010
Randomized Controlled Trial Comparative StudyThe effects of mivacurium-induced neuromuscular block on Bispectral Index and Cerebral State Index in children under propofol anesthesia - a prospective randomized clinical trial.
In adults anesthetized with propofol, muscle relaxants may decrease the Bispectral Index (BIS). The aim of this prospective randomized trial was to detect the influence of a muscle relaxant bolus on the BIS and the Cerebral State Index (CSI) in children under propofol anesthesia. ⋯ These data suggest that in pediatric patients anesthetized with propofol, administration of mivacurium has no impact on BIS and CSI values.
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Paediatric anaesthesia · Aug 2010
Randomized Controlled TrialEfficacy of palatal block for analgesia following palatoplasty in children with cleft palate.
This prospective randomized controlled study was undertaken to evaluate the efficacy of palatal block i.e. blocking of naso palatine, greater and also lesser palatine nerves in children with cleft palate undergoing palatoplasty by evaluating its effects on intraoperative anesthetic requirement, postoperative analgesia and parental satisfaction. ⋯ Palatal block is technically simple, safe and effectively provides postoperative analgesia with good parental satisfaction. Injection of saline also produced palatal nerve block; however, the effect was not consistent.
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Paediatric anaesthesia · Aug 2010
Biography Historical ArticleAn appreciation of Robert Moors Smith MD, an icon of pediatric anesthesiology.
Robert Moors Smith M. D. passed away recently at the age of 97. During his chairmanship of the Department of Anesthesiology at Children's Hospital Boston from 1946 to 1980 he gained world prominence for his contributions to the anesthetic care of children and the education of generations of pediatric anesthesiologists. His dedicated and earnest approach, reflected in tribute and in his own words, provide a window on pediatric anesthesia during its development into a recognized subspecialty in the 20th century.
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Paediatric anaesthesia · Aug 2010
Randomized Controlled TrialSevoflurane for central catheter placement in neonatal intensive care: a randomized trial.
To compare the efficacy and safety of sevoflurane deep sedation with glucose and nonnutritive sucking (GNNS) in reducing the duration of the procedure and in preventing pain-related effects during peripherally inserted central catheter (PICC) placement. ⋯ Inhaled sevoflurane does not make easier catheters placement but prevent pain-related symptoms. Because sevoflurane is responsible for hypotension, it requires careful monitoring and treatment adaptation.
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Paediatric anaesthesia · Aug 2010
Comparative StudyA comparison of emergence delirium scales following general anesthesia in children.
Emergence delirium (ED) is of increasing interest since the introduction of short-acting volatiles such as sevoflurane. ⋯ All three scales correlated reasonably well with each other but have individual limitations in their potential to assess whether ED is present. In the absence of developing an improved research tool to assess ED, a PAED score >12 appears to provide greater sensitivity and specificity than a PAED score > or =10. However, the Watcha scale is a simpler tool to use in clinical practice and may have a higher overall sensitivity and specificity than the other scales.