Paediatric anaesthesia
-
Paediatric anaesthesia · Feb 2013
Randomized Controlled Trial Comparative StudyComparison of buccal and nasal dexmedetomidine premedication for pediatric patients.
Alpha-2 adrenergic agonists are used to premedicate pediatric patients to reduce separation anxiety and achieve calm induction. The clinical effects of clonidine are similar whether via the oral or nasal route. However, oral dexmedetomidine is not preferred because of its poor bioavailability. The objective of this study was to evaluate the effects of nasal versus buccal dexmedetomidine used for premedication in children. ⋯ These results suggest that intranasal administration of 1 μg·kg(-1) dexmedetomidine is more effective than buccal administration of 1 μg·kg(-1) dexmedetomidine for premedication in children.
-
Paediatric anaesthesia · Feb 2013
Randomized Controlled Trial Comparative StudyA randomized equivalence trial comparing the i-gel and laryngeal mask airway Supreme in children.
The laryngeal mask airway Supreme (Supreme) is a new single-use supraglottic device with gastric access capability now available in all sizes for children. ⋯ In infants and children, when a single-use supraglottic device with gastric access capabilities is required, the i-gel demonstrated higher airway leak pressures and can be a useful alternative to the Supreme.
-
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.