Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2018
Randomized Controlled TrialEffects of remifentanil maintenance during recovery on emergence delirium in children with sevoflurane anesthesia.
Emergence delirium is a common complication of sevoflurane anesthesia in children. ⋯ Maintaining a low dose of remifentanil (0.05 μg/kg/min) throughout the recovery phase attenuated the incidence of emergence delirium in children undergoing strabismus surgery under sevoflurane anesthesia.
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Paediatric anaesthesia · Aug 2018
Infraorbital foramen location in the pediatric population: A guide for infraorbital nerve block.
Infraorbital nerve blocks are often performed for the management of postoperative pain associated with cleft lip correction. Infraorbital nerve block procedures depend on the identification of the infraorbital foramen; however, there is little information regarding the infraorbital foramen location in the pediatric population. ⋯ The infraorbital foramen was located within 2 mm, on average, from the nasospinale-to-jugale midpoint regardless of age group. Therefore, the nasospinale-to-jugale midpoint may serve as useful means of identifying the location of the infraorbital foramen in the pediatric population and aid in optimizing infraorbital nerve block procedures. The information in this report is valuable in general, but may be particularly useful in developing countries where there is a lack of ultrasound training and availability for health care providers; or places where infraorbital nerve block may be the sole anesthetic modality for cleft lip surgery, even among adolescent patients.
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Paediatric anaesthesia · Aug 2018
An evaluation of preoperative anxiety in Spanish-speaking and Latino children in the United States.
There is a large body of literature examining factors associated with children's preoperative anxiety; however, cultural variables such as ethnicity and language have not been included. ⋯ Clinicians should be aware that younger, less sociable children of Spanish-speaking Latino parents are at higher risk of developing preoperative anxiety and manage these children based on this increased risk.