Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2016
Association of elevated preoperative blood pressure with preincision hypotension in pediatric surgical patients.
High blood pressure (BP) in childhood is associated with left ventricular hypertrophy and abnormal vascular reactivity even in apparently healthy children. This study examined the prevalence of high BP in children undergoing elective noncardiac operations. We also determined the association of preoperative high BP with preincision hypotension (PIH). ⋯ In children, preoperative high BP is an independent predictor of PIH. Although the longtime consequences of high BP are well known, this report provides the first intraoperative evidence of adverse event associated with preoperative high BP in children. Mechanisms underlying this hypotensive response are unclear.
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Paediatric anaesthesia · Aug 2016
Comment LetterReply to Ekeoduru, Rhashedah; Matuszczak, Maria; Lin, Michael, regarding their comment 'Correspondence' regarding 'The presumed central nervous system effects of rocuronium in a neonate and its reversal with sugammadex' by Langley, McFadzean & McCormack.