Paediatric anaesthesia
-
Paediatric anaesthesia · Jun 2015
An audit of anesthesia safety in a pediatric cochlear implantation program.
Approximately 50 children per year undergo cochlear implant surgery under the Scottish Cochlear Implant Programme at University Hospital Crosshouse, Kilmarnock. Many have significant comorbidities. Although this district general hospital has a high dependency unit, there is no pediatric intensive care unit (PICU). Children deemed likely to need PICU care are operated on at the local tertiary pediatric hospital in Glasgow, 25 miles away. ⋯ Anesthesia for cochlear implants in children can be safely carried out in a district general hospital setting. Appropriate safeguards should be in place to refer complex cases which may require PICU to a tertiary pediatric center.
-
Paediatric anaesthesia · Jun 2015
Determination of the 95% effective dose of remifentanil for the prevention of coughing during extubation in children undergoing tonsillectomy (with or without adenoidectomy).
Limited data are available regarding the 95% effective dose (ED95 ) of remifentanil to prevent the cough response during emergence from general anesthesia in children. ⋯ The ED95 of the continuous remifentanil infusion rate was 0.060 μg·kg(-1) ·min(-1) to prevent the cough response during extubation in children after tonsillectomy.
-
Paediatric anaesthesia · Jun 2015
Randomized Controlled TrialProphylactic methylprednisolone to reduce inflammation and improve outcomes from one lung ventilation in children: a randomized clinical trial.
One lung ventilation (OLV) results in inflammatory and mechanical injury, leading to intraoperative and postoperative complications in children. No interventions have been studied in children to minimize such injury. ⋯ Methylprednisolone at 2 mg·kg(-1) given as a single dose prior to OLV provides physiological stability to children undergoing OLV. In addition, methylprednisolone results in lower pro-inflammatory markers and higher anti-inflammatory markers in the children's plasma.
-
Paediatric anaesthesia · Jun 2015
Randomized Controlled TrialPropofol-ketamine or propofol-remifentanil for deep sedation and analgesia in pediatric patients undergoing burn dressing changes: a randomized clinical trial.
In this study, we compared the propofol-ketamine and propofol-remifentanil combinations for deep sedation and analgesia during pediatric burn wound dressing changes. ⋯ The combinations of propofol-ketamine and propofol-remifentanil were effective for sedation and analgesia in pediatric patients undergoing burn dressing changes, but the propofol-remifentanil combination provided faster recovery compared to the propofol-ketamine combination.