Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2016
Comparative StudyA comparison of the hourly output between the Ambu(®) Smart-Infuser(™) Pain Pump and the On-Q Pump(®) with Select-A-Flow(™) Variable Rate Controller with standard and overfill volumes.
The Ambu Smart-Infuser Pain Pump and the On-Q Pump with Select-a-Flow Variable Rate Controller are elastomeric devices with a flow regulator that controls the rate of infusion of a local anesthetic agent through a peripheral catheter. As a safety evaluation, we evaluated the infusion characteristics of these two devices when filled with manufacturer recommended standard volumes and when overfilled with a volume 50% in excess of that which is recommended. ⋯ This investigation demonstrates that no change in the hourly output occurs with overfilling of these home infusion devices. However, as noted previously, the hourly output from the On-Q device is significantly higher than the set rate during the initial 8 h of infusion which could have potential clinical implications.
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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.