Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2015
Case ReportsSuccessful use of ultrasound-guided caudal catheter in a child with a very low termination of dural sac and Opitz-GBBB syndrome: a case report.
We report a 2-year-old patient with Opitz-GBBB syndrome scheduled for a posterior sagittal anorectoplasty (PSARP). The ultrasound scan revealed the inferior end of dural sac just below sacrococcygeal membrane, although the patient had previously two successful caudal epidural blocks. Consequently, the epidural catheter was inserted under a real-time ultrasound guidance without dural puncture. Our patient had excellent pain relief without any side effects.
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Paediatric anaesthesia · Oct 2015
Preoperative preparation workshop reduces postoperative maladaptive behavior in children.
Postoperative maladaptive behaviors (POMBs) are common following pediatric anesthesia, and preoperative anxiety is associated with POMBs. A family-centered preoperative preparation workshop was instituted with the aim of reducing the incidence of POMB and preoperative anxiety, and the study was constructed to evaluate its effectiveness. ⋯ The workshop appears to result in reduced preoperative anxiety and POMBs.
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Attention-deficit hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood, affecting 5-8% of children. It has been observed that these children have poor sedation experiences; however, to date there is minimal research on procedural sedation in this population. ⋯ Our study illustrates that children with ADHD do not have higher sedative requirements to achieve a successful brain MRI.
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Paediatric anaesthesia · Oct 2015
Sevoflurane exposure during the neonatal period induces long-term memory impairment but not autism-like behaviors.
To examine whether neonatal exposure to sevoflurane induces autism-like behaviors in mice. ⋯ Our results confirm previous studies that neonatal sevoflurane exposure causes neurodegeneration and long-term memory impairment in mice. However, sevoflurane did not induce autism-like features. Our study suggests that mice are more vulnerable to long-term memory deficits than autism-like behaviors after exposure to sevoflurane.
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Paediatric anaesthesia · Oct 2015
Case ReportsRectal puncture complicating caudal blockade in a child with severe rectal distension.
We describe a case of unrecognized rectal puncture following unsuccessful caudal blockade in a patient later found to have marked rectal distension on MRI. This may have contributed to the rectal injury.