Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2014
Randomized Controlled TrialImplicit memory formation using the word stem completion task during anesthesia in children.
To determine whether there is evidence of implicit memory formation during pediatric anesthesia using the word stem completion task. ⋯ This study found no strong evidence that children form implicit memories for auditory words during anesthesia. Given the difference between lists, future research is warranted using carefully chosen word stems.
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Paediatric anaesthesia · Mar 2014
Hunger and thirst numeric rating scales are not valid estimates for gastric content volumes: a prospective investigation in healthy children.
A rating scale for thirst and hunger was evaluated as a noninvasive, simple and commonly available tool to estimate preanesthetic gastric volume, a surrogate parameter for the risk of perioperative pulmonary aspiration, in healthy volunteer school age children. ⋯ Hunger and thirst scores vary considerably inter- and intra-individually and cannot predict gastric volume, nor do they correlate with fasting times in school age children.
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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
Straight video blades are advantageous than curved blades in simulated pediatric difficult intubation.
It is still controversial which laryngoscope may be a better option in unanticipated difficult airway in pediatric patients. The aim of the present study was to compare two direct and two video-assisted laryngoscope devices for the management of difficult pediatric airway. ⋯ Storz Miller laryngoscope was found to have advantages over the other laryngoscopes in regard to glottic view, duration of successful intubation, number of attempts, dental trauma severity, need for additional maneuvers, and ease of use.
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Paediatric anaesthesia · Mar 2014
Status of pediatric anesthesiology fellowship research education in the United States: a survey of fellowship program directors.
Currently, very little information is known regarding the research education of pediatric anesthesia fellows. ⋯ Structured research curriculum is associated with increased research productivity during pediatric anesthesia fellowship. Important barriers to fellows' research education include high clinical demands and lack of research time for faculty. Despite acknowledging the poor research education, a small minority of fellowship directors supports the addition of an extra year exclusively dedicated to research.