Paediatric anaesthesia
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Paediatric anaesthesia · May 2012
Randomized Controlled TrialUltrasound guidance allows faster peripheral IV cannulation in children under 3 years of age with difficult venous access: a prospective randomized study.
Ultrasound-guided peripheral venous access (USG-PIVA) presents many advantages over the reference 'blind' technique in both adults and children in emergency situations. ⋯ Ultrasound-guided peripheral venous access leads to faster peripheral IV access and should therefore be recommended in children presenting with difficult venous access.
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Paediatric anaesthesia · May 2012
Randomized Controlled TrialClonidine does not improve quality of ropivacaine axillary brachial plexus block in children.
The addition of clonidine to peripheral nerve blocks is controversial in children. ⋯ Ropivacaine (0.2% 0.4 ml · kg(-1) ) for ABPB provides sufficient postoperative analgesia in children scheduled for forearm or hand surgery. The addition of clonidine to ABPB does not improve overall postoperative analgesia but may increase the time to first analgesia request.