Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2005
Pain management in the neonatal intensive care unit: a national survey in Italy.
This study assessed current medical practice in preventative analgesia and sedation for invasive procedures in neonatal intensive care units (NICU) in Italy. ⋯ The need for adequate analgesia is still underestimated. Further information on the safety of analgesics in neonatology is imperative, as is an adequate education of physicians and nurses on the use of pain control guidelines as part of the standard of care in the NICU.
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Paediatric anaesthesia · Nov 2005
Knowledge gained by pediatric residents after neonatal resuscitation program courses.
The efficacy of the Neonatal Resuscitation Program (NRP) courses was previously evaluated, demonstrating good retention of knowledge in the participants. However, there is a lack of information regarding the participants' performance in relation to the different steps of neonatal resuscitation. We aimed to assess the knowledge gained and retained by pediatric residents who participated in a NRP course in relation to the different steps. ⋯ The knowledge gained by pediatric residents participating in the NRP course was very high, but was only partially retained over time. In particular, it was different among the four steps of neonatal resuscitation suggesting further studies on teaching resuscitation.
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Paediatric anaesthesia · Nov 2005
Continuous sciatic block for leg and foot surgery in 160 children.
The aim of this study was to assess the safety and efficacy of continuous sciatic block for lower limb surgery in children. ⋯ Sciatic block with a single shot 3-in-1 block for tourniquet pain and light general anesthesia provides good intraoperative conditions for leg and foot surgery and adequate postoperative pain relief. Additional sedation to minimize the discomfort of a cast may be a consideration in the first 24 h.
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Paediatric anaesthesia · Oct 2005
Randomized Controlled TrialRemifentanil versus fentanyl for short-term analgesia-based sedation in mechanically ventilated postoperative children.
Analgesia-based sedation techniques are becoming more established in the intensive care unit (ICU) setting. The aim of this study was to compare remifentanil and fentanyl infusions for postoperative analgesia in pediatric ICU patients. ⋯ We conclude that a remifentanil infusion provides clinically comparable analgesia with a fentanyl infusion in mechanically ventilated postoperative pediatric patients. These two drugs are suitable for short-term analgesia-based sedation in pediatric postoperative ICU patients.
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Paediatric anaesthesia · Oct 2005
Randomized Controlled Trial Comparative StudyThe comparative effect of single dose mivacurium during sevoflurane or propofol anesthesia in children.
We aimed to randomly compare intubating conditions, recovery characteristics and neuromuscular effects of single dose of mivacurium (0.2 mg.kg(-1)) during sevoflurane vs. propofol anesthesia in 60 healthy children, undergoing inguinal surgery. ⋯ Our results indicate that when compared with propofol group, the sevoflurane group had an accelerated onset and a delayed recovery of neuromuscular block induced by mivacurium in children.