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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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.
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Paediatric anaesthesia · Nov 2011
Alterations of acid-base balance, electrolyte concentrations, and osmolality caused by nonionic hyperosmolar contrast medium during pediatric cardiac catheterization.
This prospective clinical observational study was conducted to investigate the effects of contrast medium on acid-base balance, electrolyte concentrations, and osmolality in children. Background: For pediatric cardiac catheterization, high doses of nonionic hyperosmolar contrast medium are widely used. ⋯ Regarding the differential diagnosis of metabolic disturbances after pediatric cardiac catheterization, low-anion gap metabolic acidosis and hyponatremia should be considered as a possible side effect of the administered contrast medium.