Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2004
Comment Randomized Controlled Trial Clinical TrialEarly intravenous cannulation in children during sevoflurane induction.
It has been shown that early placement of an intravenous line in children anesthetized with halothane is equally safe compared with later placement. Whether this is true of sevoflurane is not known. ⋯ Following an inhalation induction with sevoflurane in children, movement with intravenous placement was greater, and the incidence of laryngospasm was higher, when the intravenous access was attempted 30 s rather than 120 s following loss of lid reflex. We recommend waiting two min following the loss of lid reflex before attempting intravenous placement in children receiving an inhalation induction with sevoflurane.
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Paediatric anaesthesia · Oct 2004
Randomized Controlled Trial Clinical TrialEffects of low dose ketamine before induction on propofol anesthesia for pediatric magnetic resonance imaging.
We aimed to investigate effects of low dose ketamine before induction on propofol anesthesia for children undergoing magnetic resonance imaging (MRI). ⋯ Intravenous administration of low dose ketamine before induction and maintenance with propofol preserves hemodynamic stability without changing the duration and the quality of recovery compared with propofol alone.
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Paediatric anaesthesia · Oct 2004
Comment Letter Case ReportsCardiac arrest in a patient with Larsen syndrome under sevoflurane anesthesia.
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Paediatric anaesthesia · Oct 2004
Randomized Controlled Trial Comparative Study Clinical TrialTracheal sealing characteristics of pediatric cuffed tracheal tubes.
The aim of the study was to compare sealing characteristics of the new Microcuff pediatric tracheal tube featuring a high volume-low pressure (HVLP) cuff with ultrathin membrane with three conventional pediatric cuffed tracheal tubes. ⋯ This preliminary investigation suggests that the new Microcuff pediatric tracheal tube with ultrathin high volume-low pressure cuff membrane allows effective tracheal sealing at very low cuff pressures. This represents a benefit for children with regard to their lower mucosal perfusion pressures compared with adult patients.
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Paediatric anaesthesia · Oct 2004
Randomized Controlled Trial Clinical TrialRemifentanil vs fentanyl/morphine for pain and stress control during pediatric cardiac surgery.
Remifentanil is a short acting, potent synthetic opioid that does not accumulate after infusion or repeated bolus doses. It may be rapidly titrated to the requirements of individual patients. Titrated infusion of remifentanil may be able to provide potent analgesia required for pediatric cardiac surgery and obtund the stress response in theater whilst not having the persistent respiratory depression and sedation seen with longer acting opioids. ⋯ The only significant difference was in glucose in the postbypass time periods. Although statistically significant, this difference is insufficient evidence of increased stress in the remifentanil group. The results show that in the patients studied there was no clinically important difference between the two techniques.