Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2003
Randomized Controlled Trial Clinical TrialKetamine and midazolam is an inappropriate preinduction combination in uncooperative children undergoing brief ambulatory procedures.
We prospectively studied the effects of intramuscular (i.m.) ketamine alone, or combined with midazolam, on mask acceptance and recovery in young children who were uncooperative during induction of anaesthesia. ⋯ It is concluded that ketamine/midazolam combination is not appropriate for preinduction of anaesthesia in paediatric ambulatory patients because of unacceptably prolonged recovery and delayed discharge times.
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Paediatric anaesthesia · Mar 2003
Randomized Controlled Trial Clinical TrialCaudal bupivacaine and s(+)-ketamine for postoperative analgesia in children.
The aim of this study was to evaluate whether caudal s-ketamine would prolong analgesia together with caudal bupivacaine. ⋯ Addition of preservative-free s-ketamine 0.5 mg.kg(-1) to caudal bupivacaine 0.125% 1 ml.kg(-1) provides significant prolongation of analgesia without producing negative side-effects.
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Paediatric anaesthesia · Mar 2003
Randomized Controlled Trial Comparative Study Clinical TrialEffects of halothane and sevoflurane on QT dispersion in paediatric patients.
The QT dispersion (QTd) of the ECG is an indirect measure of heterogeneity of ventricular repolarization which may contribute to complex ventricular arrhythmias. We compared the effects of halothane and sevoflurane on QTd, and heart-rate corrected QT dispersion (QTcd). ⋯ Neither sevoflurane nor halothane caused a significant increase in QTd compared with control values before induction. Only QTd following intubation was significantly greater in the halothane group than the sevoflurane group.
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We report the anaesthetic management for a Cohen procedure in a girl with Edward's syndrome (trisomy 18). Information in the literature about anaesthetic management in trisomy 18 patients is poor. ⋯ Anaesthesia is high risk and pain assessment is difficult. Establishing good relations with the family and appraising the need for surgical procedures are the main other difficulties.