Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2008
Randomized Controlled Trial Comparative StudyComparison of the CobraPLA (Cobra Perilaryngeal Airway) and the Laryngeal Mask Airway Unique in children under pressure controlled ventilation.
The Laryngeal Mask Airway-Unique (LMAU) and CobraPLA (Cobra Perilaryngeal Airway) are supraglottic airway devices. There are no published studies comparing these devices in children breathing with pressure controlled ventilation (PCV). ⋯ Both devices appear to be safe and effective in establishing an adequate airway in healthy children undergoing surgery of short duration with PCV.
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Pediatric laryngospasm is an anesthetic emergency. It is a relatively common phenomenon that occurs with varying frequency dependent on multiple factors. In view of this and the clear risks to the patient when it occurs, a consensus committee has been established to determine the evidence based management of this condition. This article will cover the definition, causes and recognition of laryngospasm and the evidence behind a proposed algorithm for its' management.
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Paediatric anaesthesia · Apr 2008
Randomized Controlled Trial Comparative StudyLaryngeal mask airway insertion in children: comparison between rotational, lateral and standard technique.
The purpose of the study was to compare the success and ease of insertion of three techniques of laryngeal mask airway (LMA) insertion; the standard Brain technique, a lateral technique with cuff partially inflated and a rotational technique with cuff partially inflated. ⋯ A rotational technique with partially inflated cuff is associated with the highest success rate of insertion and lowest incidence of complications and could be the technique of first choice for LMA insertion in pediatric patients.
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Paediatric anaesthesia · Apr 2008
Risk factors for laryngospasm in children during general anesthesia.
Laryngospasm is a common and often serious adverse respiratory event encountered during anesthetic care of children. We examined, in a case control design, the risk factors for laryngospasm in children. ⋯ In our pediatric population, the risk of laryngospasm was increased in children with upper respiratory tract infection or an airway anomaly. The use of laryngeal mask airway was found to be associated with laryngospasm even when adjusted for the presence of upper respiratory tract infection and airway anomaly.
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Paediatric anaesthesia · Apr 2008
Case ReportsProlonged apnea with intramuscular ketamine: a case report.
We report a rare case of prolonged apnea following administration of ketamine. A healthy 11-month-old female child was administered intramuscular ketamine as a sole anesthetic agent for a short surgical procedure. ⋯ She recovered completely after 90 min. This case report illustrates the potential hazard of ketamine, emphasizes the importance of being able to provide emergency airway management and monitored anesthesia care.