Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2013
Clinical experience with intraoperative jugular venous oximetry during pediatric intracranial neurosurgery.
To report our institutional experience with intraoperative jugular venous oximetry during pediatric intracranial surgery to guide anesthetic care. ⋯ Findings from this series indicate that (i) intraoperative jugular venous oximetry in children is feasible in experienced hands, (ii) cerebral desaturation detected by jugular oximetry is common during pediatric intracranial procedures, and (iii) monitoring jugular venous saturation can impact anesthetic interventions to optimize cerebral physiology.
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Paediatric anaesthesia · Jan 2013
Postoperative vomiting in pediatric oncologic patients: prediction by a fuzzy logic model.
To report a fuzzy logic mathematical model to predict postoperative vomiting (POV) in pediatric oncologic patients and compare with preexisting scores. ⋯ The fuzzy score can predict the chance of POV in children with cancer with good accuracy, allowing better planning for postoperative prophylaxis of vomiting. The computational interface is available for free download at the internet and is very easy to use.
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Paediatric anaesthesia · Jan 2013
Ultrasound detection of guidewires in-plane during pediatric central venous catheterization.
To assess the usefulness of longitudinal ultrasound images of guidewires for pediatric central venous catheter (CVC) placement. ⋯ To confirm the insertion of dilators into veins in children, we recommend that longitudinal images of the guidewires should be initially acquired.
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Paediatric anaesthesia · Jan 2013
The relationship between age and morphine infusion rate in children.
We performed a retrospective audit of intravenous morphine infusion administered to children in an effort to characterize the relationship between dose and age. ⋯ Morphine infusions at steady-state did not mirror clearance maturation in children nursed in our hospital. We suggest that initial infusion rates in children are started at 10 μg · kg(-1) per h in neonates, 15 μg · kg(-1) per h in toddlers and 25 μg · kg(-1) per h in children above the age of 5 years. The large variability associated with infusion rates means that subsequent infusion rates will depend on feedback from pain scores, adjuvant medications and adverse effects.
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Paediatric anaesthesia · Dec 2012
Randomized Controlled TrialPerioperative outcomes of severely obese children undergoing tonsillectomy.
Severe obesity (BMI > 98th centile) in paediatric tonsillectomy is associated with an increased risk of perioperative respiratory complications.
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