Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2013
Letter Case ReportsAnesthetic management of bronchial resection in a child.
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Paediatric anaesthesia · Mar 2013
Pediatric scoliosis surgery--is postoperative intensive care unit admission really necessary?
It is common practice for patients to be admitted to the intensive care unit following scoliosis surgery, because of the prolonged anesthesia, the need for efficient pain control and the known immediate postoperative complications. However, this may be unnecessary in many patients. ⋯ Relatively young, healthy idiopathic scoliosis children receiving intraoperative remifentanil sedation and undergoing posterior fusion can be successfully managed in regular wards in the immediate postoperative period. However, intensive care unit admission should be considered in NMS patients, patients with comorbidity conditions, those undergoing anterior or combined spinal fusion, and patients whose anesthesia involves long-acting opioids.
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Paediatric anaesthesia · Mar 2013
Randomized Controlled TrialProtective effect of esmolol on myocardial ischemic injury during open heart surgery in children.
To investigate the efficacy of esmolol in protecting the myocardium from ischemia during pediatric cardiac surgery. ⋯ Esmolol can protect the myocardium from ischemic injury during CPB in children and significantly reduce the use of inotropic drug.
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Paediatric anaesthesia · Mar 2013
Do pediatric patients undergoing cardiac surgeries require larger-size cuffed endotracheal tubes? A prospective study.
There is a controversy over using either smaller- or larger-size endotracheal tubes (ETT) in children undergoing cardiac surgery, and some anesthesiologists prefer to use ETT sizes different from the formula-based sizes. The aim of the present study was to compare proper-size cuffed ETT in children undergoing cardiac vs noncardiac surgeries. ⋯ Children undergoing cardiac surgeries in relation to their age and body size do require larger-size ETTs compared with the children scheduled for noncardiac surgeries.