Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2009
Review Meta AnalysisUltrasound guided internal jugular vein access in children and infant: a meta-analysis of published studies.
Central venous catheter placement is technically difficult in pediatric population especially in the younger patients. Ultrasound prelocation and/or guidance (UPG) of internal jugular vein (IJV) access has been shown to decrease failure rate and complications related to this invasive procedure. The goal of the present study was to perform a systematic review of the advantages of UPG over anatomical landmarks (AL) during IJV access in children and infants. ⋯ This current meta-analysis does not found the utility of ultrasound during IJV access in children and infants in increasing the success rate and in decreasing complications.
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To examine the effects of dexmedetomidine sedation on EEG background and epileptiform activity in children, comparing it to natural sleep. ⋯ Dexmedetomidine sedation elicited an EEG pattern similar to that of Stage II sleep with modest increases in theta, alpha, and beta activity. Dexmedetomidine does not hinder interpretation of the EEG, suggesting that it may be a uniquely useful agent for EEG sedation in children.
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Paediatric anaesthesia · Dec 2009
Comment Letter Comparative StudyComparison of the intubation with the Storz video laryngoscope and standard direct laryngoscopy in pediatric patients.
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Paediatric anaesthesia · Dec 2009
Case ReportsReversal of rocuronium-induced profound neuromuscular block by sugammadex in Duchenne muscular dystrophy.
A case is reported in which a child with Duchenne muscular dystrophy received a dose of sugammadex to reverse a rocuronium-induced profound neuromuscular block. Sugammadex is the first selective relaxant binding agent and reverses rocuronium- and vecuronium-induced neuromuscular block. A fast and efficient recovery from profound neuromuscular block was achieved, and no adverse events or other safety concerns were observed.