Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2014
Review Meta AnalysisSupraglottic airway devices vs tracheal intubation in children: a quantitative meta-analysis of respiratory complications.
In the absence of airway infection, the use of a laryngeal mask airway in children is associated with fewer postop complications than intubation.
pearl -
Paediatric anaesthesia · Oct 2014
Review Meta Analysis Comparative StudyControlled ventilation or spontaneous respiration in anesthesia for tracheobronchial foreign body removal: a meta-analysis.
Either controlled ventilation or spontaneous respiration is commonly used in general anesthesia for inhaled foreign body removal via rigid bronchoscopy. Controversy in the literature exists concerning which form of ventilation is optimally suited for bronchoscopy. We performed a meta-analysis to compare controlled ventilation and spontaneous respiration with respect to complications, operation time, and anesthesia recovery time. ⋯ Current evidence does not show a preference for either controlled ventilation or spontaneous respiration, although laryngospasm has a lower incidence when controlled ventilation is performed. Additional clinical studies are required to substantiate this issue.
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Paediatric anaesthesia · Oct 2014
Review Meta AnalysisPediatric video laryngoscope versus direct laryngoscope: a meta-analysis of randomized controlled trials.
Video-laryngoscopy in pediatric anesthesia improves glottis visualization but prolongs intubation time and increases failure.
pearl -
Paediatric anaesthesia · Oct 2014
Review Meta AnalysisEvaluation of i-gel(™) airway in children: a meta-analysis.
I-gel(™) is a relatively newer addition in the pediatric anesthesia practice. Its comparison with the other laryngeal mask airway repor-ted a wide range of results. Randomized controlled trials where i-gel(™) has been compared with other laryngeal masks (laryngeal mask airway ProSeal(™) and laryngeal mask airway Classic(™) ) in children for airway management device during general anesthesia has been included in this meta-analysis. ⋯ We conclude that i-gel(™) is an effective alternative of the commonly used laryngeal mask airway ProSeal(™) and laryngeal mask airway Classic(™) in children for airway management during general anesthesia.
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Paediatric anaesthesia · Aug 2014
Meta AnalysisIs dexmedetomidine superior to midazolam as a premedication in children? A meta-analysis of randomized controlled trials.
In the current published literature, there are controversial results regarding the effectiveness of dexmedetomidine compared with midazolam as premedication in children. The aim of this meta-analysis was to compare the use of dexmedetomidine as a premedication in pediatric patients with that of midazolam. ⋯ This meta-analysis demonstrated that dexmedetomidine premedication is superior to midazolam premedication in terms of producing satisfactory sedation upon parent separation and mask acceptance. Dexmedetomidine premedication provides clinical benefits that included reducing the requirements for rescue analgesia and reducing agitation or delirium and shivering during the postoperative period. However, the risks of heart rate and blood pressure decreases, and the prolonged onset of sedation associated with dexmedetomidine should be considered.