Paediatric anaesthesia
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Paediatric anaesthesia · Jun 2011
Prospective evaluation of the self-pressurized air-Q intubating laryngeal airway in children.
To assess the clinical efficacy of the self-pressurized air-Q ILA™ (ILA-SP). ⋯ Acceptable clinical performance was demonstrated with the ILA-SP for a variety of procedures in infants and children with spontaneous and positive pressure ventilation. Future studies comparing this device to other supraglottic airways may provide useful information regarding the safety of the ILA-SP in pediatric clinical practice.
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Paediatric anaesthesia · Jun 2011
Exploring the pharmacokinetics of oral ketamine in children undergoing burns procedures.
The aim of this study was to describe ketamine pharmacokinetics when administered orally to children suffering from burn injury in >10% body surface area. ⋯ The ketamine pharmacokinetics in children with minor burns are similar to those without burns. The peak ratio of norketamine/ketamine at 1 h is 2.8 after oral administration allowing an analgesic contribution from the metabolite at this time. There is low relative bioavailability (<0.5) and slow variable absorption. Dose simulation in a child (3.5 years, 15 kg) suggests a dose regimen of oral ketamine 10 mg·kg(-1) followed by intravenous ketamine 1 mg·kg(-1) i.v. with the advent of short-duration surgical dressing change at 45 min.
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Paediatric anaesthesia · Jun 2011
Fluoroscopic-assisted endobronchial intubation for single-lung ventilation in infants.
Review our institutional experience with an alternative to fiberoptic-guided endobronchial intubation. ⋯ Fluoroscopic aided lung isolation is a reliable and effective alternative method to the use of fiberoptic bronchoscope for endobronchial intubation in infants.