Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2017
Randomized Controlled TrialThe impact of capnography monitoring among children and adolescents in the postanesthesia care unit: a randomized controlled trial.
Pulse oximetry does not reliably recognize respiratory depression, particularly in the presence of supplemental oxygen. Capnography frequently detects hypoventilation and apnea among children recovering from anesthesia. Although children are routinely monitored with capnography during anesthesia, reducing the rate of adverse events, it is not routinely used in the postanesthesia care unit (PACU), where patients remain at risk for respiratory depression. ⋯ Children monitored with capnography have different rates of adverse respiratory events over time than children monitored solely with pulse oximetry. The addition of capnography improved the efficacy of staff interventions, however did not impact rates of oxygen desaturation.
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Paediatric anaesthesia · Apr 2017
Randomized Controlled TrialPilot randomized controlled trial on early and late remote ischemic preconditioning prior to complex cardiac surgery in young infants.
Remote ischemic preconditioning involves providing a brief ischemia-reperfusion event to a tissue to create subsequent protection from a more severe ischemia-reperfusion event to a different tissue/organ. The few pediatric remote ischemic preconditioning studies in the literature show conflicting results. ⋯ In infants who underwent surgery for congenital heart disease, our pilot randomized controlled trial on early and late remote ischemic preconditioning proved to be feasible but did not find any significant difference in acute outcomes. A larger trial may be necessary.
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Paediatric anaesthesia · Apr 2017
Randomized Controlled TrialThe influence of parents' voice on the consumption of propofol for pediatric procedural sedation-a randomized controlled trial.
In pediatric patients, invasive procedures such as the insertion of a central venous catheter or gastroscopy require deep sedation. It is unknown whether listening to parental voice during deep sedation in children can reduce sedative doses. ⋯ Listening to parental voice during deep sedation does not result in a reduction of sedative dose in children undergoing short medical procedures.