Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2005
Using a nasopharyngeal airway during fiberoptic intubation in small children with a difficult airway.
Induction of anesthesia and tracheal intubation in small children with a difficult airway is a challenging task. We report the experience with a procedure based on sevoflurane inhalation via a nasopharyngeal airway inserted early during induction before airway obstruction occurs. A pediatric fiberscope is used to perform a nasotracheal intubation via the opposite nostril. ⋯ The combination of nasopharyngeal airway and fiberoptic guided tracheal intubation seems to be a reliable and safe procedure for managing the difficult airway in small children.
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Paediatric anaesthesia · Oct 2005
Case ReportsPrevention of aspiration under general anesthesia by use of the size 2 1/2 ProSeal laryngeal mask airway in a 6-year-old boy: a case report.
We report a case where use of the size 2 1/2 ProSeal laryngeal mask airway helped to prevent pulmonary aspiration of regurgitated gastric fluid. We describe the management of this case and discuss the potential advantages of this modified laryngeal mask airway for supraglottic airway management in pediatric patients.
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Paediatric anaesthesia · Sep 2005
Clinical TrialThe correlation of the Narcotrend Index with endtidal sevoflurane concentrations and hemodynamic parameters in children.
The Narcotrend Index (NI) of anesthetic depth is potentially a pharmacodynamic measure of the effects of sevoflurane on the brain. ⋯ In children, nonsteady-state eT(Sevo) concentrations are more closely related with NI than with MAP or HR. In this study, only NI reliably differentiated consciousness from unconsciousness.