Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2008
Randomized Controlled Trial Comparative StudyPrevention of rocuronium-induced withdrawal movement in children: a comparison of remifentanil with alfentanil.
This study was designed to compare the efficacy of remifentanil and alfentanil without the venous occlusion technique in preventing the withdrawal response associated with rocuronium injection in children. ⋯ Both remifentanil 1 microg.kg(-1) and alfentanil 15 microg.kg(-1) can be used to prevent rocuronium-associated withdrawal movement in children because they are equally effective and attenuate the increase in MAP and HR after intubation.
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Children with learning disabilities can present numerous challenges in the acute hospital setting. This review article examines the causes and presentations of learning disability, and considers some of the management strategies employed when these children present for surgery.