Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2005
Rescue sedation with dexmedetomidine for diagnostic imaging: a preliminary report.
Sedation is frequently required during noninvasive radiological imaging in children. Although commonly used agents such as chloral hydrate and midazolam are generally effective, failures may occur. The authors report their experience with dexmedetomidine for rescue sedation during magnetic resonance imaging. ⋯ Our preliminary experience suggests that dexmedetomidine may be an effective agent for procedural sedation during radiological imaging. Its potential application in this setting is discussed and other reports regarding its use in pediatric patients are reviewed.
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Paediatric anaesthesia · Mar 2005
Pediatric sedation in North American children's hospitals: a survey of anesthesia providers.
Information about the existence and organization of pediatric sedation services in North America is not available. We conducted a survey to collect this information from anesthesiologists at pediatric institutions and to identify factors perceived as limiting the development of sedation services. ⋯ Propofol use by nonanesthesiologists is common. Addressing the shortage of providers, and allocating resources for credentialing providers will encourage further development of pediatric sedation practice.
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Paediatric anaesthesia · Mar 2005
Case ReportsAnesthesia for children with Wolf-Hirshhorn syndrome: a report and literature review.
Wolf-Hirshhorn is a rare chromosomal defect syndrome. We present two cases of children diagnosed with Wolf-Hirshhorn syndrome, and discuss the ramifications of anesthesia for these patients.
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Paediatric anaesthesia · Feb 2005
Clinical TrialThe optimal insertion length of central venous catheter via the femoral route for open-heart surgery in infants and children.
The recommended insertion length of central venous (CV) catheter via the internal jugular or subclavian vein has been determined in infants and children. However, the insertion length via the femoral vein has not been well-studied. This study determined the optimal insertion length of CV catheter via the femoral vein. ⋯ It has been recommended to place the tip of the catheter below the level of renal veins to avoid blocking free flow of those veins. Therefore, we chose the mid-point, L3 level as the optimal tip position of the femoral venous catheter. The length derived from the above formula could be used as a guideline for CV catheter insertion via the femoral vein in infants and children.