Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2015
Preoperative preparation workshop reduces postoperative maladaptive behavior in children.
Postoperative maladaptive behaviors (POMBs) are common following pediatric anesthesia, and preoperative anxiety is associated with POMBs. A family-centered preoperative preparation workshop was instituted with the aim of reducing the incidence of POMB and preoperative anxiety, and the study was constructed to evaluate its effectiveness. ⋯ The workshop appears to result in reduced preoperative anxiety and POMBs.
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Attention-deficit hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood, affecting 5-8% of children. It has been observed that these children have poor sedation experiences; however, to date there is minimal research on procedural sedation in this population. ⋯ Our study illustrates that children with ADHD do not have higher sedative requirements to achieve a successful brain MRI.
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Paediatric anaesthesia · Oct 2015
Sevoflurane exposure during the neonatal period induces long-term memory impairment but not autism-like behaviors.
To examine whether neonatal exposure to sevoflurane induces autism-like behaviors in mice. ⋯ Our results confirm previous studies that neonatal sevoflurane exposure causes neurodegeneration and long-term memory impairment in mice. However, sevoflurane did not induce autism-like features. Our study suggests that mice are more vulnerable to long-term memory deficits than autism-like behaviors after exposure to sevoflurane.
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Paediatric anaesthesia · Oct 2015
Case ReportsRectal puncture complicating caudal blockade in a child with severe rectal distension.
We describe a case of unrecognized rectal puncture following unsuccessful caudal blockade in a patient later found to have marked rectal distension on MRI. This may have contributed to the rectal injury.