Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2017
A quality improvement initiative to increase the safety of pediatric emergency airway management.
Emergency airway management is commonly associated with life-threatening hypoxia and hypotension which may be preventable. ⋯ Quality improvement initiatives targeting emergency airway management may be successfully implemented in the emergency department and are associated with a reduction in adverse intubation-related events.
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Paediatric anaesthesia · Dec 2017
Review Meta Analysis Comparative StudyTotal intravenous anesthesia vs single pharmacological prophylaxis to prevent postoperative vomiting in children: A systematic review and meta-analysis.
In children single-agent antiemetic prophylaxis is as equally effective as TIVA in preventing post-operative vomiting.
pearl -
Paediatric anaesthesia · Dec 2017
ReviewThe use of dipyrone (metamizol) as an analgesic in children: What is the evidence? A review.
Dipyrone has analgesic, spasmolytic, and antipyretic effects and is used to treat pain. Due to a possible risk of agranulocytosis with the use of dipyrone, it has been banned in a number of countries. The most commonly used data for the use of dipyrone are related to adults. ⋯ In the limited available data, the analgesic efficacy of intravenous dipyrone appears similar to that of intravenous paracetamol. Evidence is lacking to support the claim that dipyrone is equivalent or even superior to Non-Steroid-Anti-Inflammatory-Drugs in pediatric pain. While the absolute risk of agranulocytosis with dipyrone in children, based on available literature, cannot be determined, case reports suggest that this risk is not negligible.