Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2014
Pediatric preoperative blood ordering: when is a type and screen or crossmatch really needed?
Unnecessary testing for and ordering of blood products adds to overall healthcare costs. ⋯ Patients may undergo preoperative type and screen or crossmatch for procedures rarely associated with transfusion. Historic transfusion probability may be used to predict need for transfusion for specific surgical procedures and reduce unnecessary perioperative testing and associated costs.
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Paediatric anaesthesia · Feb 2014
Clinical TrialIntranasal sufentanil/ketamine analgesia in children.
The management of procedural pain in children ranges from physical restraint to pharmacological interventions. Pediatric formulations that permit accurate dosing, are accepted by children and a have a rapid onset of analgesia are lacking. ⋯ Sufentanil/ketamine nasal spray provided rapid onset of analgesia for a variety of painful procedures with few adverse effects and has promising features for use in pediatric procedural pain management.