Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2012
Biography Historical ArticleG. Jackson Rees (Liverpool, England).
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Paediatric anaesthesia · Feb 2012
Randomized Controlled Trial Comparative StudyA comparison of fentanyl with tramadol during propofol-based deep sedation for pediatric upper endoscopy.
This study was conducted to compare the efficacy and safety of tramadol with those of fentanyl and to evaluate the impact of age in pediatric patients undergoing upper gastrointestinal endoscopy (UGIE). ⋯ Tramadol in pediatric patients undergoing UGIE provided sedation as efficient as fentanyl with a better hemodynamic and respiratory stability and provided a superior safety and tolerance in younger children.
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Paediatric anaesthesia · Feb 2012
The severity and duration of postoperative pain and analgesia requirements in children after tonsillectomy, orchidopexy, or inguinal hernia repair.
To provide parents of children with accurate information regarding postoperative pain, its management, and functioning following common surgical procedures. ⋯ After tonsillectomy, children experience significant pain and severe functional limitation for 7 days after surgery. For many children, pain and functional limitation persists throughout the second postoperative week. In children undergoing orchidopexy, paracetamol and ibuprofen provide adequate analgesia. Pain begins to subside after the first postoperative day, and normal activity resumes after 7 days. After IHR, children experience mild pain that can be treated with paracetamol and return to normal functioning after 4 days.
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Paediatric anaesthesia · Feb 2012
Ultrasonographic gastric antral area and gastric contents volume in children.
Cross-sectional gastric antral area (GAA) measurements by ultrasonography (US) have been proposed for preoperative assessment of gastric volume in adults but not been validated in children. This study investigates whether in children gastric volumes can be predicted by US performed in different patient positions. ⋯ Correlations between GAA and TGV(w) or GFV(w) in children are best in the RDC position, but not sufficient to predict GFV(w) with a given GAA. Interpretation of isolated GAA values may be misleading.