Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2008
Comment Letter Case ReportsIntra-arterial access in pediatric patients.
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Paediatric anaesthesia · Jul 2008
Comparative StudyDetermining the accuracy of caudal needle placement in children: a comparison of the swoosh test and ultrasonography.
The aim of the present study was to compare two confirmatory tests - the 'swoosh' test (auscultation during caudal injection) and real time ultrasound imaging (both transverse 2D imaging and color flow Doppler imaging) in pediatric patients receiving a caudal epidural block. ⋯ Ultrasonography is superior to the 'swoosh' test as an objective confirmatory technique during caudal block placement in children. We found the presence or absence of turbulence during injection within the caudal space to be the best single indicator of caudal success. We think ultrasonography should be used, if available, when teaching this technique.
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Paediatric anaesthesia · Jul 2008
Wet forced-air warming blankets are ineffective at maintaining normothermia.
Forced-air warming systems have proven effective in preventing perioperative hypothermia. To date, reported adverse events relate primarily to overheating and thermal injuries. This study uses a simple model to show that forced-air warming blankets become ineffective if they get wet. ⋯ A wet forced-air warming blanket is ineffective at maintaining normothermia. Once wet, the warming blanket resulted in cooling similar to the control group.
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Paediatric anaesthesia · Jul 2008
Randomized Controlled TrialEfficacy of ketamine and midazolam as co-induction agents with propofol for laryngeal mask insertion in children.
Use of midazolam and ketamine lowers the induction dose of propofol (co-induction) producing hemodynamic stability. ⋯ In children, the combination of propofol with ketamine or midazolam produces stable hemodynamics and improved LM insertion conditions but is associated with delayed recovery.