Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2019
The association between high-volume intraoperative fluid administration and outcomes among pediatric patients undergoing large bowel resection.
Traditional intraoperative fluid administration practices have been challenged this century with data suggesting improved outcomes with restrictive or goal-directed fluid administration during adult bowel surgery. Minimal data on outcomes associated with differing intraoperative fluid administration practice exists for pediatric patients. ⋯ High-volume fluid administration during colectomy for pediatric patients is associated with worsened postoperative outcomes suggestive of impaired recovery.
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Paediatric anaesthesia · Apr 2019
A new way to determine correct depth of central venous catheter insertion using a real-time ultrasound-guided insertion technique in pediatric patients.
Several formulae or methods are reported to predict the ideal central venous catheter insertion depth. However, they are complicated and often unsuitable in cases requiring rapid management. ⋯ This study successfully determined a visually simple and practical bar graph to predict the ideal central venous catheter depth inserted using only the real-time ultrasound-guided insertion technique for the right internal jugular vein, left supraclavicular, and right supraclavicular approaches.
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Paediatric anaesthesia · Apr 2019
Randomized Controlled TrialManual versus pressure-controlled facemask ventilation during the induction of general anaesthesia in children: a prospective randomised controlled study.
Pressure-controlled face mask ventilation during paediatric induction reduces gastric insufflation compared with manual ventilation.
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Paediatric anaesthesia · Apr 2019
Randomized Controlled TrialComparison of low-fresh gas flow technique to standard technique of sevoflurane induction in children-A randomized controlled trial.
Although sevoflurane is preferred for inhalational induction in children, financial and environmental costs remain major limitations. The aim of this study was to determine if the use of low-fresh gas flow during inhalational induction with sevoflurane could significantly reduce agent consumption, without adversely affecting induction conditions. ⋯ Induction of anesthesia with sevoflurane using low-fresh gas flow is effective in reducing sevoflurane consumption, without compromising induction time and conditions.