Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2010
Randomized Controlled Trial Comparative StudyA randomized trial of propofol consumption and recovery profile with BIS-guided anesthesia compared to standard practice in children.
To evaluate the impact of bispectral index (BIS) monitoring on the consumption of propofol and recovery from anesthesia compared to the standard clinical practice in children. ⋯ Our study showed no benefit of BIS-guided propofol administration on anesthetic consumption or recovery compared to standard anesthetic practice.
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Paediatric anaesthesia · Feb 2010
Multicenter StudySemi-elective intraosseous infusion after failed intravenous access in pediatric anesthesia.
Intraosseous (IO) infusion is a well-established intervention to obtain vascular access in pediatric emergency medicine but is rarely used in routine pediatric anesthesia. ⋯ IO access represents a quick and reliable alternative for pediatric patients with prolonged difficult or failed IV access after inhalational induction of anesthesia.
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Paediatric anaesthesia · Feb 2010
Comparative Study Clinical TrialComparing peripheral venous access between obese and normal weight children.
Intravenous (i.v.) access is sometimes a difficult, time-consuming, and highly frustrating procedure. Obesity is widely believed to be associated with difficult peripheral intravenous access (PIV) placement. This study examined the relationship between body mass index (BMI) and ease of venous access in children undergoing noncardiac surgical procedures. ⋯ These data indicate that i.v. placement is more difficult in obese children than their lean peers and that the most likely site for successful placement in obese children after a failed attempt on the dorsum of the hand is the volar surface of the hand. Knowledge of potential sites for successful i.v. access could help to improve the success rate for i.v. placement.
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Paediatric anaesthesia · Feb 2010
Spinal needle design and size affect the incidence of postdural puncture headache in children.
In adults, pencil point spinal needles are known to be less traumatic and hence to be superior compared with cutting point needles in respect of postpuncture complications. In children, only a few trials have evaluated the difference in the incidence of postdural puncture headache (PDPH) using spinal needles with different tip designs. The aim of this study was to evaluate the success rate and the incidence of PDPH and backache following spinal anesthesia (SA) with the two types of needles currently in use for children. ⋯ The data suggest that 27G pencil point spinal needles lead to less PDPH compared to 26G cutting point spinal needles in children.