Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2013
Randomized Controlled TrialA psychological preoperative program: effects on anxiety and cooperative behaviors.
To evaluate the effectiveness of a psychological preoperative program in reducing preoperative anxiety and in promoting compliance of pediatric participants with surgical procedures. ⋯ Preparing children through playful dramatization of the operative procedure, manipulation of medical instruments and psychologist's support may be useful in pediatric surgery structures.
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Paediatric anaesthesia · Feb 2013
Endoscopic airway findings in children with or without prior endotracheal intubation.
Airway alterations found after endotracheal intubation are usually associated with mechanical trauma from the tube. However, no studies are available concerning alterations in airways that have never been intubated before. It was the aim of the study to compare endoscopic findings in the larynx and trachea of children who had undergone prior endotracheal intubation with findings in children who had not been intubated before. ⋯ Endoscopic airway alterations can be observed in about one-quarter of children presenting for routine surgery without prior intubation. Except for glottic granulomas, the abnormalities are found with similar frequency in patients with and without prior intubation. No relevant airway damage from short-term endotracheal intubation was found.
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Paediatric anaesthesia · Feb 2013
Outcomes of general anesthesia for noncardiac surgery in a series of patients with Fontan palliation.
To describe the experience of a single, tertiary care institution in the care of patients with Fontan physiology undergoing anesthesia for noncardiac surgery. ⋯ It may be more appropriate for Fontan patients to undergo anesthesia for noncardiac surgery in a tertiary institution, particularly patients with an ejection fraction of <30%. Intraoperative arterial blood pressure monitoring and overnight admission are likely appropriate for most cases.
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Paediatric anaesthesia · Feb 2013
Historical ArticleFarewell! flammable agents - ether and cyclopropane.