Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2020
Comparative Study Observational StudyA Comparison of the External Anatomical Landmark and the Radiological Landmark for Obtaining the Optimal Depth of a Right Internal Jugular Venous Catheter in Pediatric Cardiac Patients.
The external anatomical landmark and the radiological landmark have been introduced to provide estimation of the depth of right internal jugular venous catheter during insertion. ⋯ Both the external anatomical landmark and the radiological landmark enabled accurate estimation of the central venous catheter depth close to the superior vena cava and the right atrium junction. The external anatomical landmark is of more potential use than the radiological landmark in clinical practice.
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Paediatric anaesthesia · Apr 2020
Observational StudyFeasibility of Awake Craniotomy in the Pediatric Population.
Awake craniotomy with direct cortical stimulation and mapping is the gold standard for resection of lesions near eloquent brain areas, as it can maximize the extent of resection while minimizing the risk of neurological damage. In contrast to the adult population, only small series of awake craniotomies have been reported in children. ⋯ Awake craniotomy with intraoperative mapping can be successfully performed in children. Adequate patient selection and close cooperation between neurosurgeons, anesthesiologists, neuropsychologists, and neurophysiologists is paramount. Further studies are needed to determine the best anesthetic technique in this population group.