Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2016
Randomized Controlled TrialRandomized controlled trial on preemptive analgesia for acute postoperative pain management in children.
Preemptive analgesia is an anti-nociceptive treatment that starts before surgery and prevents the establishment of central sensitization. Whether preemptive analgesia is more effective than conventional regimens for managing postoperative pain remains controversial. This study evaluated the efficacy of intravenous preemptive analgesia for acute postoperative pain control in pediatric patients. ⋯ Preemptive analgesia using IV-PCA with fentanyl showed no significant advantages for postoperative analgesia after corrective osteotomy in pediatric patients.
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Paediatric anaesthesia · Apr 2016
NewB for newbies: a randomized control trial training housestaff to perform neonatal intubation with direct and videolaryngoscopy.
Competency rates in neonatal intubation among pediatric residents are low and currently not meeting ACGME/AAP standards. ⋯ Both standard teaching and computer module teaching of neonatal intubation on a mannequin model results in improved time to successful intubation and overall improved resident confidence with intubation equipment and technique. Although intubation times were lower with direct laryngoscopy compared to videolaryngoscopy, the participating residents felt that videolaryngoscopy is an important educational tool.
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Paediatric anaesthesia · Apr 2016
Review Meta AnalysisRectus sheath and transversus abdominis plane blocks in children: a systematic review and meta-analysis of randomized trials.
The role of rectus sheath blocks (RSB) and transversus abdominis plane (TAP) blocks in pediatric surgery has not been well established. ⋯ Abdominal wall blocks reduce pain and opiate use in children. We advise cautious interpretation of the results given the heterogeneity of studies.
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Paediatric anaesthesia · Apr 2016
Review Meta AnalysisLignocaine topicalization of the pediatric airway.
The application of topical laryngeal lignocaine is a technique used frequently in pediatric anesthesia. It is often used to facilitate open airway procedures, tracheal intubation, or to reduce the incidence of perioperative adverse respiratory events such as coughing and laryngospasm. ⋯ We review the current literature relating to the use of lignocaine to topicalize the pediatric airway. This review concentrates on the indications for use, the maximum safe dose, the effect on swallowing, and risk of aspiration and the complications of the technique.