Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2014
Observational StudyMORPHIT: an observational study on morphine titration in the postanesthetic care unit in children.
Little information is available on the titration of morphine postoperatively in children. This observational study describes the technique in terms of the bolus dose, the number of boluses required, the time to establish analgesia, and side effects noted. ⋯ Our study of morphine titration for children shows that our protocol was effective for pain control with a significant decrease in pain scores over time. No serious complications were encountered. More studies on larger cohorts of patients are needed to confirm the efficacy and safety of this protocol.
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Paediatric anaesthesia · Mar 2014
Case ReportsLipid resuscitation in pediatric patients - need for caution?
A 3-year-old child was successfully resuscitated following bupivacaine cardiotoxicity with 20% intravenous lipid emulsion (ILE). Large volume of ILE was used targeting clinically adequate perfusion. Subsequently, there were features of ventilation/perfusion (V/P) mismatch.