Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2011
Comparative StudyComparison of epinephrine vs lipid rescue to treat severe local anesthetic toxicity - an experimental study in piglets.
Local anesthetic (LA) intoxication with severe hemodynamic compromise is a potential catastrophic event. Lipid resuscitation has been recommended for the treatment of LA-induced cardiac arrest. However, there are no data about effectiveness of Intralipid for the treatment of severe cardiovascular compromise prior to cardiac arrest. Aim of this study was to compare effectiveness of epinephrine and Intralipid for the treatment of severe hemodynamic compromise owing to bupivacaine intoxication. ⋯ For the treatment of severe hemodynamic compromise owing to bupivacaine intoxication in piglets, first-line rescue with epinephrine was more effective than Intralipid with regard to survival as well as normalization of hemodynamic parameters and ET(CO2) .
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Digby Leigh was a pioneer of Canadian pediatric anesthesia. He was an outstanding man - once met, never forgotten. My only contact with him was at the First Paediatric Anaesthesia Workshop at HSC in Toronto organized by Alan Conn in 1964. ⋯ He moved to Montreal to attend McGill University because there was no medical school in Vancouver. He graduated in 1932 and, like many others, began surgical training at Montreal Children's before Wesley Bourne, Chief of Anaesthesia, persuaded him to change to Anaesthesia. He went to Madison, Wisconsin, and trained with one of the great pioneer teachers, Ralph Waters, for 3 years.
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Paediatric anaesthesia · Nov 2011
Randomized Controlled Trial Comparative StudyFiber-optic assessment of LMA position in children: a randomized crossover comparison of two techniques.
This crossover study compared fiber-optic assessment of laryngeal mask airway (LMA) position in children using two LMA insertion techniques, i.e., standard and rotational. ⋯ Rotational technique of LMA insertion in children is associated with better seating of LMA (as observed on fiber-optic assessment) compared with the standard technique. Also, it is associated with higher success rate and lower incidence of complications.