Paediatric anaesthesia
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Paediatric anaesthesia · May 2013
Randomized Controlled TrialA randomized study of surgical site infiltration with bupivacaine or ketamine for pain relief in children following cleft palate repair.
Wound infiltration with ketamine reduces postoperative pain after tonsillectomy by NMDA receptor blockade and local anesthetic effect. ⋯ Surgical site infiltration with either bupivacaine or ketamine provides adequate analgesia and is devoid of major side effects. Ketamine is superior to bupivacaine in terms of requirement of rescue analgesic, peaceful sleep pattern and early resumption of feeding.
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Paediatric anaesthesia · May 2013
Randomized Controlled Trial Comparative StudyComparison of low-dose ketamine to midazolam for sedation during pediatric urodynamic study.
Aim of sedation during pediatric urodynamic studies (UDS) is a calm and cooperative child while not affecting measurements. We compared the effectiveness of midazolam to low-dose ketamine infusion for sedation and their impact on urodynamics. ⋯ Midazolam or low-dose ketamine provide satisfactory sedation during pediatric UDS without impacting urodynamic values.
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Paediatric anaesthesia · May 2013
Randomized Controlled Trial Comparative StudyPain, fentanyl consumption, and delirium in adolescents after scoliosis surgery: dexmedetomidine vs midazolam.
The study aim was to compare the efficacy of dexmedetomidine vs midazolam for sedation during the early postoperative period in adolescents who underwent scoliosis surgery. ⋯ Dexmedetomidine was associated with the decreased postoperative fentanyl consumption, NVAS scores, and a decreased incidence of delirium. These findings may be beneficial for managing sedation protocols in adolescents who have undergone scoliosis surgery.
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Paediatric anaesthesia · May 2013
Randomized Controlled Trial Comparative StudyDoes take-home analgesia improve postoperative pain after elective day case surgery? A comparison of hospital vs parent-supplied analgesia.
More children are undergoing same-day surgery. While advances have been made in pediatric pain management, there have been few studies addressing pain management in the home (Br J Anaesth, 82, 1999 and 319). We wished to investigate whether issuing parents with take-home analgesia would improve postoperative pain scores and/or parental satisfaction following hospital discharge. ⋯ Our study did not show any differences in the incidence of pain/parental satisfaction between the two groups. Analgesia advice given to parents was poorly retained, suggesting that other methods for disseminating information should be considered.
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Paediatric anaesthesia · May 2013
Randomized Controlled Trial Comparative StudyA randomized comparison of caudal block by sacral hiatus injection under ultrasound guidance with traditional sacral canal injection in children.
There is a risk of inadvertent dural or vascular puncture for the traditional single-shot caudal block performed by inserting the needle into the sacral canal through the sacral hiatus. This prospective, randomized study was to evaluate the clinical feasibility of the hiatus injection under ultrasound guidance for caudal block in children. ⋯ Sacral hiatus injection offers a reliable caudal block for pediatric inguinal hernia repair with the advantages of easier performance and fewer complications compared with traditional sacral canal injection.