Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2017
Anatomic variations of neck vessels and the course of pediatric internal jugular veins.
Landmark-guided internal jugular vein cannulation is difficult for pediatric patients but useful, especially when ultrasound equipment is unavailable. Therefore, it is important to define the adjacent anatomic characteristics of the pediatric internal jugular vein. ⋯ The common carotid artery and internal jugular vein are farther apart as one moves down the neck, whereas the vertebral artery and internal jugular vein are getting together. Additionally, the diameter of the internal jugular vein increased.
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Paediatric anaesthesia · Sep 2017
Review Meta AnalysisEffects of intravenous fentanyl around the end of surgery on emergence agitation in children: Systematic review and meta-analysis.
Emergence agitation is a serious postoperative problem in children undergoing general anesthesia. The use of fentanyl around the end of surgery has been proposed to prevent emergence agitation. However, the efficacy and disadvantages of this method remain uncertain because previous results have not been consistent, depending on the variable assessed. ⋯ The current analyses indicate that fentanyl around the end of surgery reduces the incidence of emergence agitation in children undergoing general anesthesia.
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Paediatric anaesthesia · Sep 2017
Intraoperative hemodynamic factors predicting early postoperative renal function in pediatric kidney transplantation.
The anesthetic management of kidney transplantation in children remains somewhat empirical. The goal of the present study was to investigate intraoperative hemodynamic factors affecting posttransplantation kidney function. ⋯ Intraoperative hemodynamics during kidney transplantation should be optimized in order to increase mean blood pressure according to values indicated by our analyses. Cold ischemia duration should be shortened as far as possible.