Paediatric anaesthesia
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Paediatric anaesthesia · Jun 2006
Optimally fitted tracheal tubes decrease the probability of postextubation adverse events in children undergoing general anesthesia.
The air leak test is recommended for assessing the appropriate size of an uncuffed tracheal tube (TT) in children. Our objectives were to determine whether there is a certain threshold air leak value beyond which a higher risk for adverse events after removal of TT can be predicted and to define other risk factors related to extubation. ⋯ Adverse events after removal of TT were more likely to occur in children with an absent air leak at 25 cmH(2)O pressure and in children whose anesthesia was provided by a less experienced anesthetist.
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Paediatric anaesthesia · Jun 2006
Letter Case ReportsLumbar epidural anesthesia for the child with Escobar syndrome.
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Paediatric anaesthesia · Jun 2006
Randomized Controlled Trial Comparative StudyOral sedation with midazolam and diphenhydramine compared with midazolam alone in children undergoing magnetic resonance imaging.
The purpose of this study was to compare the safety and efficacy of oral midazolam and midazolam-diphenhydramine combination to sedate children undergoing magnetic resonance imaging (MRI). ⋯ Our study indicates that the combination of oral diphenhydramine with oral midazolam resulted in safe and effective sedation for children undergoing MRI. The use of this combination might be more advantageous compared with midazolam alone, resulting in less sedation failure during MRI.
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Paediatric anaesthesia · Jun 2006
Comparative StudyConvection heating in pediatric general surgery - a comparison of warming alternatives in a mannequin study.
Numerous methods of patient warming are used to prevent intraoperative hypothermia in children. Commercially available forced air warming blankets are effective, but are single-use items. We tested a custom-designed heat dissipation unit (HDU) against one such commercially available blanket. ⋯ The custom-built HDU compares favorably in our mannequin study with a Bair Hugger forced air warming blanket. As it is reusable, it offers considerable potential savings.
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Paediatric anaesthesia · Jun 2006
The safety and effectiveness of a modified convection heating system for children during anesthesia.
Convection heating shows most promise in maintaining children's core temperatures under anesthesia. We have previously shown that a modified convection heating technique worked in a mannequin model and sought to establish its safety and effectiveness in a clinical study. ⋯ The technique is safe and effective for children throughout the pediatric range. The practice of increasing room temperature above 21 degrees C for elective cases should be abandoned. Continuous monitoring of core temperature is necessary to prevent hyperthermia.