Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2012
Randomized Controlled TrialEmergency airway access in children--transtracheal cannulas and tracheotomy assessed in a porcine model.
In the rare scenario when it is impossible to oxygenate or intubate a child, no evidence exists on what strategy to follow. ⋯ In a piglet model, we found no significant difference in success rates or time to insert a jet ventilation cannula or an intravenous catheter transtracheally, but the incidence of complications was high. In the same model, we found a 97% success rate for performing an emergency tracheotomy within 4 min with a low rate of complications.
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Paediatric anaesthesia · Dec 2012
Randomized Controlled Trial Comparative StudyA randomized trial comparing the Ambu ® Aura-i ™ with the air-Q ™ intubating laryngeal airway as conduits for tracheal intubation in children.
To assess the clinical performance of the Ambu Aura-i (Aura-i) in children. ⋯ Both devices served as effective conduits for fiberoptic-guided tracheal intubation. The limitation of the narrower proximal airway tube of the size 1.5 Aura-i should be considered if cuffed tracheal tubes are to be utilized.
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Paediatric anaesthesia · Dec 2012
Randomized Controlled TrialAsleep-awake-asleep technique in children during strabismus surgery under sufentanil balanced anesthesia.
Both over- and undercorrection can occur in up to 10-15% of strabismus surgeries. Use of adjustable suture technique and an intraoperative awake test may decrease the incidence of over- or undercorrection. In this study, we investigated the ability to provide optimal conditions for intraoperative awake strabismus suture adjustment in children by means of target-controlled infusions (TCI) of propofol and remifentanil propofol compared with propofol and sufentanil. ⋯ Propofol combined with sufentanil or remifentanil can be suitable for planned intraoperative awakening for an adjustable suture technique in pediatric patients during strabismus surgery. Remifentanil has quicker wake-up time; however, sufentanil demonstrated an advantage in terms of better analgesia, more stable hemodynamics, and improved qualify of awakening.
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Paediatric anaesthesia · Dec 2012
Randomized Controlled Trial Comparative StudyTracheal extubation of deeply anesthetized pediatric patients: a comparison of sevoflurane and sevoflurane in combination with low-dose remifentanil.
We aimed to observe the emergence characteristics of children tracheally extubated in deep anesthesia with sevoflurane or sevoflurane in combination with low-dose remifentanil. ⋯ Low-dose remifentanil in combination with sevoflurane provided rapid recovery and was safe for deep tracheal extubation in deep anesthesia in pediatric patients.