Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2014
Observational StudyMORPHIT: an observational study on morphine titration in the postanesthetic care unit in children.
Little information is available on the titration of morphine postoperatively in children. This observational study describes the technique in terms of the bolus dose, the number of boluses required, the time to establish analgesia, and side effects noted. ⋯ Our study of morphine titration for children shows that our protocol was effective for pain control with a significant decrease in pain scores over time. No serious complications were encountered. More studies on larger cohorts of patients are needed to confirm the efficacy and safety of this protocol.
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Paediatric anaesthesia · Mar 2014
Straight video blades are advantageous than curved blades in simulated pediatric difficult intubation.
It is still controversial which laryngoscope may be a better option in unanticipated difficult airway in pediatric patients. The aim of the present study was to compare two direct and two video-assisted laryngoscope devices for the management of difficult pediatric airway. ⋯ Storz Miller laryngoscope was found to have advantages over the other laryngoscopes in regard to glottic view, duration of successful intubation, number of attempts, dental trauma severity, need for additional maneuvers, and ease of use.
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Paediatric anaesthesia · Mar 2014
Status of pediatric anesthesiology fellowship research education in the United States: a survey of fellowship program directors.
Currently, very little information is known regarding the research education of pediatric anesthesia fellows. ⋯ Structured research curriculum is associated with increased research productivity during pediatric anesthesia fellowship. Important barriers to fellows' research education include high clinical demands and lack of research time for faculty. Despite acknowledging the poor research education, a small minority of fellowship directors supports the addition of an extra year exclusively dedicated to research.
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Paediatric anaesthesia · Mar 2014
MACEI and MACawake of sevoflurane in infants with obstructive jaundice.
The aim of this study was to determine whether the MACEI and MACawake of sevoflurane in infants with obstructive jaundice are different from that observed in nonjaundiced infants. ⋯ The MACawake of sevoflurane was reduced in obstructive jaundiced infants compared with nonjaundiced controls, whereas there was no significant difference between the MACEI of sevoflurane in infants with obstructive jaundice and that observed in nonjaundiced infants.