Paediatric anaesthesia
-
Paediatric anaesthesia · Jan 2005
Randomized Controlled Trial Comparative Study Clinical TrialComparison of laser acupuncture and metoclopramide in PONV prevention in children.
Postoperative nausea and vomiting (PONV) are frequent side effects of general anesthesia in children. The aim of this study was to compare the effectiveness of laser acupuncture with metoclopramide in prevention of PONV in children after sevoflurane anesthesia. ⋯ Laser acupuncture is equally effective as metoclopramide in preventing PONV in children.
-
Paediatric anaesthesia · Jan 2005
Clinical TrialPropofol total intravenous anesthesia for MRI in children.
The aim of this study was to assess clinical signs of airway patency, airway intervention requirements and adverse events in 100 children receiving propofol total intravenous anesthesia for magnetic resonance imaging, with spontaneous ventilation and oxygenation via nasal prongs. ⋯ This study demonstrates good preservation of upper airway patency and rapid recovery using general anesthetic doses of propofol in children.
-
Paediatric anaesthesia · Jan 2005
Case ReportsTotal spinal anesthesia during combined general-epidural anesthesia in a 7-year-old child.
Total spinal anesthesia (TSA) is a rare complication of lumbar epidural anesthesia through inadvertent spinal injection of local anesthetics following an undiagnosed dural breach or spinal placement of the catheter. TSA has rarely been reported in children. ⋯ Recent previous lumbar punctures and intrathecal chemotherapy for Burkitt's lymphoma at the same level may have facilitated dural breach. Epidural anesthesia should not be attempted at the same intervertebral level as prior recent lumbar punctures.
-
Paediatric anaesthesia · Jan 2005
Clinical TrialSpinal anesthesia for diagnostic cardiac catheterization in high-risk infants.
The main goals of diagnostic cardiac catheterization (DCC) in infants are to evaluate the anatomy and physiology of congenital and acquired cardiac defects while maintaining normal respiratory and hemodynamic variables. The aims of anesthesia for infants undergoing DCC are to prevent pain and movement during the procedure. General anesthesia (GA) or deep sedation could have undesirable respiratory and hemodynamic effects for conducting such studies. Furthermore, GA is associated with increased risks, especially in high-risk infants. Spinal anesthesia (SA) is a successful alternative to GA in surgery on infants with a history of prematurity and respiratory problems, with minimal respiratory and hemodynamic changes. ⋯ Spinal anesthesia apparently provides stable hemodynamics and respiratory variables, rapid recovery and discharge time, and may be a viable alternative to GA or deep sedation in high-risk infants <6 months old undergoing DCC.
-
Paediatric anaesthesia · Jan 2005
Sevoflurane sedation in infants undergoing MRI: a preliminary report.
Stillness during natural sleep after feeding may not be sufficient for successful magnetic resonance imaging (MRI) in small infants less than 5 kg. Sedation, using an oral agent, is often successful although the timing and depth of sedation is variable. In contrast anesthesia is always effective but is invasive and is associated with postanesthesia apnea and bradycardia in preterm and ex-preterm infants. We are developing an alternative technique involving insufflation of sevoflurane and present our initial experience. ⋯ Sedation by insufflation of sevoflurane in small infants is a simple and practical alternative technique for painless imaging such as MRI; further experience is necessary to determine its limitations.