Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2012
Randomized Controlled TrialEmergency airway access in children--transtracheal cannulas and tracheotomy assessed in a porcine model.
In the rare scenario when it is impossible to oxygenate or intubate a child, no evidence exists on what strategy to follow. ⋯ In a piglet model, we found no significant difference in success rates or time to insert a jet ventilation cannula or an intravenous catheter transtracheally, but the incidence of complications was high. In the same model, we found a 97% success rate for performing an emergency tracheotomy within 4 min with a low rate of complications.
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Paediatric anaesthesia · Dec 2012
Epidural blood patches are effective for postdural puncture headache in pediatrics--a 10-year experience.
Postdural puncture headache (PDPH) is a relatively common complication after lumbar punctures (LP). If conservative treatment is not sufficient within a few days and the symptoms are severe, an epidural blood patch (EBP) may be performed. ⋯ If PDPH symptoms are severe and are not relieved with conservative treatment, EBP is a highly effective procedure in pediatric patients.
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Paediatric anaesthesia · Dec 2012
Randomized Controlled Trial Comparative StudyA randomized trial comparing the Ambu ® Aura-i ™ with the air-Q ™ intubating laryngeal airway as conduits for tracheal intubation in children.
To assess the clinical performance of the Ambu Aura-i (Aura-i) in children. ⋯ Both devices served as effective conduits for fiberoptic-guided tracheal intubation. The limitation of the narrower proximal airway tube of the size 1.5 Aura-i should be considered if cuffed tracheal tubes are to be utilized.